Practice Management
A 55-year-old male presents to urgent care with progressive dyspnea for 2 weeks associated with lower extremity edema. The patient is afebrile, slightly tachypneic, with bilateral lower extremity edema on exam. An ECG is ordered. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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As we close out 2025, I find myself reflecting on a year defined by both challenge and progress. It’s been a year of reconnection—of reestablishing relationships, realigning priorities, and recommitting to what makes Urgent Care such an essential part of healthcare. Whether through chapter conferences, advocacy meetings, or direct conversations with our members, one message continues to ring true: our collective story has never been more important to tell, and data is one of the …
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Urgent Message: Banning generative artificial intelligence can create a culture of secretive use that presents potential risks for legal liability, clinical harm, and degradation of reputation. Key Words: Generative Artificial Intelligence; Protected Health Information; HIPAA; Clinical Decision-Making Across urgent care centers, many clinicians are experimenting with generative artificial intelligence (AI) tools. The trend is measurable, not anecdotal. The American Medical Association reports that 2 in 3 physicians used AI in 2024—a stunning rise from 38% …
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New data from the World Health Organization (WHO) warns of a rise in drug-resistant gonorrhea worldwide. According to a news release from the agency’s Enhanced Gonococcal Antimicrobial Surveillance Program, resistance to ceftriaxone and cefixime—2 first-line antibiotics for gonorrhea—has increased. From 2022 to 2024, ceftriaxone resistance rose from 0.8% to 5%, while cefixime resistance rose from 1.7% to 11%. Resistance to azithromycin, which is often used alongside ceftriaxone or cefixime, also increased from 0.5% to 4%, …
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The healthcare industry was among the few sectors to post job gains in the most recent Bureau of Labor Statistics reporting. Healthcare added 43,000 jobs in September, keeping pace with its ongoing growth for the year. Ambulatory categories accounted for the highest gain, adding more than 23,000 positions in the market. Future forecast: Against the backdrop of the aging of America, health service demand is likely to remain high, and as a result, related job …
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Anticipated updates for asthma treatment guidelines are shifting away from oral or systemic corticosteroids because of increasing evidence of long-term harm. Negative effects can come from even short, intermittent use, according to coverage in MedPage Today of the American College of Allergy, Asthma and Immunology meeting. Studies show that as few as 3 or 4 steroid bursts over a lifetime may lead to side effects such as bone loss, metabolic disorders, and adrenal suppression. The …
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A 5-year study that was presented this month at the annual scientific meeting of the American College of Allergy, Asthma and Immunology finds that thunderstorms can trigger measurable increases in asthma-related emergency department (ED) visits. Researchers analyzed 4,439 asthma-related visits across 3 hospitals in Kansas from January 2020 to December 2024, during which time, they identified 38 thunderstorm days. Data showed the mean number of admissions on storm days (17.91) was significantly higher than on …
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The Centers for Disease Control and Prevention (CDC) has returned to publishing its seasonal FluView updates, reporting that for the week ending November 8, positive influenza tests are up 2% over the previous week, and 1,665 patients were admitted to hospitals with influenza. According to global reports, the mutated H3N2 flu virus is spreading faster than usual, and CDC found this subtype in more than 62% of subtyping performed for the past 2 weeks of …
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Alan A. Ayers, MBA, MAcc, President of Urgent Care Consultants and Senior Editor of JUCM. The Southeast Regional Urgent Care Association (SERUCA) 2025 conference, held November 14–15, 2025, in New Orleans, focused on urgent care’s most pressing challenges: technology, workforce well-being, and clinical quality through stewardship. This article highlights key takeaways for operators, vendors, and clinicians. Promoting Clinical Excellence Through Stewardship Stewardship was a recurring theme. In a session on antibiotic use, Steven Goldberg, MD, …
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A large multi-system analysis of 140,579 pediatric acute otitis media (AOM) visits published in the Journal of the Pediatric Infectious Diseases Society found “watchful waiting” was used in only 15.6% of cases—even though watchful waiting is often a beneficial approach, according to the authors. The watchful waiting group was either sent home without a prescription (56%) or received a delayed prescription (44%). Meanwhile, the remaining 84% of AOM cases received immediate antibiotics. Both groups had …
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