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JOURNAL OF URGENT CARE MEDICINE Practice Management Subscribe/Get AccessLog In MENU * News * Research * Clinical * Clinical Feature Articles * Case Reports * Orthopedic Case Report * Clinical Image Challenges * Web Exclusive Images Challenges * Abstracts in Urgent Care * JUCM Webinars Archive * Practice Mgmt * Letters from the Editor-in-Chief * From the UCA CEO * Practice Management Articles * Perspectives * Health Law * Occupational Medicine * Revenue Cycle Management * Developing Data * Web Exclusive Articles * Get CME * Buyer’s Guide * Jobs * Authors * Author Bios * Author Instructions * Submit An Article * About Us * About Us * Advertise * Contact Us * Archives * Individual Articles * Full Issue PDFs Orthopedic Case ReportUrgent Care Management of Scaphoid Fracture Original ResearchFast Track Improves Patient Flow and Wait Times in the Pediatric Urgent Care: A Quality Improvement Project Case ReportsEscalating Back Pain Leading to a Diagnosis of ST-Elevation Myocardial Infarction (STEMI) in Urgent Care: A Case Report Practice ManagementPatient Arrival Times In Urgent Care Images Challenge47-Year-Old With Left Hip Pain Orthopedic Case ReportUrgent Care Management of Scaphoid Fracture * Clinical * Orthopedic Case Report URGENT CARE MANAGEMENT OF SCAPHOID FRACTURE By Ashley Blachford / June 27, 2024 Naushair Hussain, DO; Shahmeer Hussain, DO; Clinton A. Hartz, MD Urgent Message: Scaphoid fractures most frequently occur at the mid… Read More Original ResearchFast Track Improves Patient Flow and Wait Times in the Pediatric Urgent Care: A Quality Improvement Project * Clinical * Original Research FAST TRACK IMPROVES PATIENT FLOW AND WAIT TIMES IN THE PEDIATRIC URGENT CARE: A QUALITY IMPROVEMENT PROJECT By Ashley Blachford / June 27, 2024 Urgent Message: Fast trackmodels aim to improve patient throughput metrics for low-acuity patients. In this quality improvement project, a process… Read More Case ReportsEscalating Back Pain Leading to a Diagnosis of ST-Elevation Myocardial Infarction (STEMI) in Urgent Care: A Case Report * Case Reports * Clinical ESCALATING BACK PAIN LEADING TO A DIAGNOSIS OF ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) IN URGENT CARE: A CASE REPORT By Ashley Blachford / June 28, 2024 Urgent Message: Acute coronary syndromes (ACS), including ST-elevation myocardial infarction (STEMI), may present with predominant back pain or other non-chest-pain… Read More Practice ManagementPatient Arrival Times In Urgent Care * Developing Data * Practice Management PATIENT ARRIVAL TIMES IN URGENT CARE By Ashley Blachford / July 1, 2024 The table above shows the percentage of patients within an average day who arrived during each hour of operations, based… Read More Images Challenge47-Year-Old With Left Hip Pain * Images Challenge 47-YEAR-OLD WITH LEFT HIP PAIN By Ashley Blachford / December 19, 2023 One afternoon, a 47-year-old man presents in the urgent care with left hip pain that he says just started in… Read More URGENT CARE NEWS HOSPITAL PEDIATRIC CAPABILITY LEVELS SUGGESTED A study of 1,061 hospitals recently published in JAMA Network Open offers a classification of … Read More CDC IN COLORADO TO MANAGE BIRD FLU OUTBREAK The Centers for Disease Control and Prevention (CDC) has sent a 9-member team of epidemiologists, … Read More CYBERATTACK COSTS UNITEDHEALTH $2.45B AGAINST PROFITABLE Q2 UnitedHealth Group—the parent company of Change Healthcare, which is still reeling from a massive data … Read More URGENT CARE FOR KIDS DEAL ADDS 11 LOCATIONS Urgent Care for Kids in Houston, Texas, this week announced the acquisition of 11 Pediatrix … Read More SEPSIS PROCEDURES AND TRAINING NOW REQUIRED FOR UC CENTERS IN MARYLAND A newly minted law in Maryland requires hospitals and urgent care centers to develop evidence-based … Read More ORIGINAL RESEARCH ARTICLES FAST TRACK IMPROVES PATIENT FLOW AND WAIT TIMES IN THE PEDIATRIC URGENT CARE: A QUALITY IMPROVEMENT PROJECT Urgent Message: Fast trackmodels aim to improve patient throughput metrics for low-acuity patients. In this … Read More RETURN VISITS AND HOSPITALIZATION RATES OF ADULT PATIENTS DISCHARGED WITH TACHYCARDIA AFTER AN URGENT CARE VISIT: A RETROSPECTIVE COHORT STUDY Urgent Message: Patients discharged from an urgent care clinic with tachycardia were found to have … Read More INFLUENCE OF CLINICAL SETTING ON ANTIBIOTIC PRESCRIBING PRACTICES FOR ACUTE OTITIS MEDIA IN CHILDREN AT AN URBAN ACADEMIC MEDICAL CENTER Urgent Message: This retrospective chart review study found that the odds of children receiving an … Read More NSAIDS IN URGENT CARE AND EMERGENCY DEPARTMENTS: A NARRATIVE REVIEW Urgent Message: This narrative review of non-steroidal anti-inflammatory drugs (NSAIDs) characterizes the specific evidence-based indications, … Read More USING URGENT-CARE-BASED TELEMEDICINE TO INCREASE PRIMARY CARE REFERRALS: A QUALITY IMPROVEMENT PROJECT Urgent Message: A quality improvement project demonstrated increased referral rates to primary care from an … Read More CLINICAL ARTICLES DYSPNEA IN THE URGENT CARE: DIFFERENTIATING BENIGN FROM ‘CAN’T MISS’ Urgent Message: Patients commonly present with respiratory symptoms in the urgent care setting and not infrequently complain of some degree … Read More A REVIEW OF GENITAL MYCOPLASMA AND UREAPLASMA INFECTIONS FOR THE URGENT CARE CLINICIAN Urgent Message: Mycoplasma species, most notably Mycoplasma genitalium are an increasingly recognized etiology of persistent urethral discomfort and non-gonococcal urethritis … Read More HOW USEFUL IS ULTRASOUND IN ACUTE FEMALE PELVIC PAIN? Andrew Alaya, MD, MSc Urgent Message: For time-sensitive diagnoses related to acute pelvic pain, ultrasound is generally the recommended initial … Read More ISOLATED STERNAL FRACTURES AFTER TRAMPOLINE FALLS IN CHILDREN: A CASE SERIES Urgent Message: Isolated sternal fractures in children can occur from relatively minor trauma, such as a trampoline fall, and patients … Read More PRACTICE MANAGEMENT ARTICLES THE URGENT NEED FOR STI TESTING IN URGENT CARE CENTERS Urgent Message: With STI rates rising, urgent care centers have a unique opportunity to address a pressing public health need … Read More 2024 URGENT CARE’S TOP 100 BY NUMBER OF LOCATIONS Alan Ayers, MBA, MAcc The following table summarizes the 100 largest urgent care operators by number of locations as of … Read More AVOIDING COMMON PITFALLS IN URGENT CARE SITE SELECTION Urgent Message: Location and accessibility are keys to success for any urgent care. Operators must avoid common pitfalls when evaluating … Read More WHAT DOES UNCLAIMED PROPERTY MEAN FOR URGENT CARE PROVIDERS? Urgent Message: Undeliverable refunds of patient balances do not become property of the urgent care center, but rather, after effort … Read More INSIGHTS IN IMAGES CHALLENGES 29-YEAR-OLD WITH CHRONIC HIP PAIN Click Here 70-YEAR-OLD WITH FATIGUE AND EDEMA Click Here 56-YEAR-OLD WITH CANCER AND DEVELOPING RASH Click Here 60-YEAR-OLD WITH ANNOYING COUGH Click Here 15-YEAR-OLD GASPING FOR AIR Click Here 29-YEAR-OLD WITH STINGING SENSATION Click Here CASE REPORTS ESCALATING BACK PAIN LEADING TO A DIAGNOSIS OF ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) IN URGENT CARE: A CASE REPORT Urgent Message: Acute coronary syndromes (ACS), including ST-elevation myocardial infarction (STEMI), may present with predominant back … Read More ATYPICAL CHEST X-RAY APPEARANCE IN A PATIENT WITH COUGH: A CASE REPORT Urgent Message: The azygos lobe may be apparent on a chest x-ray and is a relatively … Read More FEVER OF UNKNOWN ORIGIN: A CASE REPORT OF BABESIOSIS INFECTION Batsheva R. Sholomson, DO; Danielle Langan, DO; Abbas Husain, MD; Shorok Hassan, DO Urgent Message: With … Read More INTRAORAL ANGIOEDEMA AFTER OLANZAPINE OVERDOSE: A CASE REPORT Urgent Message: Patients may present to an urgent care facility with intraoral angioedema, a life-threatening emergency … Read More EXPANDING THE DIFFERENTIAL OF THUNDERCLAP HEADACHE BEYOND SUBARACHNOID HEMORRHAGE: A CASE REPORT Urgent Message: Cerebral venous thrombosis is a serious cause of headache that can present in a … Read More HEALTH LAW CHANGING AN EMPLOYEE FROM FULL-TIME TO PART-TIME STATUS Urgent message: Whether due to reduced staffing needs or employee preference, some employees in urgent care … Read More ARE URGENT CARE PROVIDERS LIABLE IF THEY DON’T TEST PATIENTS FOR COVID? Click Here to download the PDF. Urgent message: As the severity of newer strains of SARS-CoV-2 … Read More WHO CAN TAKE X-RAYS IN AN URGENT CARE CENTER? Urgent message: Given that x-ray is a differentiating feature of “urgent care” and the current challenges … Read More WHAT QUALIFIES SOMEONE TO TAKE X-RAYS IN THE URGENT CARE CENTER? IT ALL DEPENDS ON WHERE YOU’RE LOCATED X-rays are high on the list of services patients expect urgent care centers to provide when … Read More AVOIDING DEFAMATION LAWSUITS IN URGENT CARE Urgent message: People are unlikely to trust their healthcare to a provider with a sullied reputation, … Read More JUCM CAREER CENTER Associate Ultrasound Director - Physician - Emergency Medicine - Jefferson Health Northeast Philadelphia, PA Undisclosed OP-Only FM in Charming Andalusia, AL with Student Loan Assistance! Andalusia, AL ScionHealth Northeast Georgia Physicians Group is seeking the nation's brightest and most innovative Family Medicine Physicians to help us deliver the highest level of primary care to our patients! Gainesville, GA Northeast Georgia Health System RWJBarnabas Health is seeking an Emergency Medicine by the Jersey Shore in Lakewood, NJ! Lakewood, NJ RWJBarnabas Health Family Medicine Physician for Residency Program in Northern California, $50,000 Sign-on Bonus Davis, CA Sutter Health Postdoctoral Fellow in Emergency Medicine Health Services Research Palo Alto, CA Stanford School of Medcine Primary Care Physician - Monticello, GA Monticello, GA VillageMD Consultant Emergency Medicine Physician Wellington Health New Zealand - Te Whatu Ora - Capital, Coast & Hutt Valley Medical Assistant - Urgent Care - Per Diem Pasadena, CA UnitedHealth Group Medical Assistant - Urgent Care - Per Diem Covina, CA UnitedHealth Group View All Jobs * Urgent Care Physician – Allegheny Health Network (AHN) – Erie, PA January 11, 2020 * Physician to join an Accredited Urgent Care Center – Westmed Medical Group – NY January 9, 2020 * $15K Sign-On Bonus - Urgent Care Physician – Main Line HealthCare January 6, 2020 * URGENT CARE PHYSICIANS – HealthPartners - Minneapolis/St. Paul, MN December 20, 2019 * Urgent Care Opportunity w/ Signing bonus – Watson Clinic - Florida, United States December 20, 2019 DOWNLOAD PAST ISSUES July/August 2024: Avoiding Long-Term Complications of Scaphoid Fractures * June 2024 * May 2024 * April 2024 * March 2024 VIEW ISSUES ARCHIVE CLINICAL CHALLENGES 29-YEAR-OLD WITH CHRONIC HIP PAIN A 29-year-old man presents to urgent care complaining of chronic right hip pain with movement and exercise. He’s an avid … Read More 70-YEAR-OLD WITH FATIGUE AND EDEMA A 70-year-old male with a history of atrial fibrillation presents to urgent care for 1 week of fatigue and edema … Read More 56-YEAR-OLD WITH CANCER AND DEVELOPING RASH A 56-year-old woman presents to urgent care for a rash that developed on her hands, ears, and nose over the … Read More 60-YEAR-OLD WITH ANNOYING COUGH A 60-year-old man presents to urgent care complaining of an annoying cough for several months. He states that he frequently … Read More 15-YEAR-OLD GASPING FOR AIR A 15-year-old male with no significant past medical history presents after he was noted to be gasping for air and … Read More OCCUPATIONAL MEDICINE DOES CONCENTRA’S NEW ACQUISITION FORESHADOW A NEW ERA FOR UC AND OCC MED? On the surface, it seems like the kind of event that has become commonplace in urgent care: A large, national … Read More UPDATE: THE COVID-19 VACCINE MANDATE FOR MANY BUSINESSES IS OFF—AGAIN Just when you thought you had clarity on the Occupational Safety and Health Administration’s mandate to vaccinate workers at businesses … Read More THAT VACCINE MANDATE FOR PRIVATE BUSINESSES THAT WAS CALLED OFF? IT’S ON AGAIN—AND THE CLOCK IS TICKING The Occupational Health and Safety Administration’s plan to require employers with 100 or more workers to institute a COVID-19 vaccine … Read More YOUR OCC MED CLIENTS NEED YOUR SUPPORT WITH THE NEW COVID-19 ETS—IMMEDIATELY The Occupational Safety and Health Administration just issued an Emergency Temporary Standard intended to protect workers from getting infected with … Read More MORE PEOPLE ARE TRUDGING OFF TO WORK ON SITE. DO YOU KNOW WHO’S AT GREATEST RISK FOR COVID-19? While some employers are content to maintain remote or hybrid work situations for their workers, either because of strong stances … Read More REVENUE CYCLE MANAGEMENT WHAT DID WE LEARN FROM THE CHANGE HEALTHCARE OUTAGE? Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Nearly all of us in the healthcare ecosystem were impacted by the cyberattack on … Read More CONTRACTING: PRIMARY CARE VERSUS URGENT CARE Heather Rothermel When considering contracting for your clinic, it will be important to know how you plan to market your … Read More WHY DOES START-UP CONTRACTING TAKE SO LONG? Heather Rothermel Consider this scenario: You’ve decided to open an urgent care center. You’ve secured funding, found the perfect location, … Read More WHAT IS A FALSE CLAIM? Benjamin Barlow, MD; Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC The False Claims Act (FCA) is a federal statute enacted in … Read More NINE RECURRING CODING PITFALLS FOR URGENT CARE CLINICIANS TO AVOID Brad Laymon, PA, CPC, CEMC Over my career as a physician assistant, I have delved extensively into the intricacies of … Read More DEVELOPING DATA PATIENT ARRIVAL TIMES IN URGENT CARE The table above shows the percentage of patients within an average day who arrived during each hour of operations, based … Read More CATEGORIZATION OF CODES MOST FREQUENTLY USED IN URGENT CARE International Classification of Disease (ICD) codes—maintained by the World Health Organization and published in the United States by the Centers … Read More PRESCRIPTION DURATION FOR URGENT CARE PATIENTS Whereas primary care is focused on prevention and management of chronic conditions, urgent care has historically been defined as episodic … Read More URGENT CARE DE NOVO GROWTH BY OPERATOR SIZE, 2022-2023 A compilation of 2022 and 2023 de novo urgent care center data shows a 7% decline in new locations: from … Read More HOW URGENT CARE IS BECOMING MORE CORPORATIZED In 2023, the urgent care industry added 1,057 de novo locations—new sites that did not previously exist. But these new … Read More ABSTRACTS IN URGENT CARE ABSTRACTS IN URGENT CARE – JULY/AUGUST 2024 Use of NEXUS II Clinical Decision Tool for Blunt Head Injuries in Elderly Patients Take Home Point: Older patients with … Read More ABSTRACTS IN URGENT CARE – JUNE 2024 Using AI to Detect Myocardial Infarction Take Home Point: The use of an occlusive myocardial infarction (OMI) artificial intelligence (AI) … Read More ABSTRACTS IN URGENT CARE – MAY 2024 Encouraging Shorter Course Antibiotic Prescribing Take Home Point: In this quality improvement project, both education with performance feedback in combination … Read More ABSTRACTS IN URGENT CARE – APRIL 2024 Rehabilitation in Post-Acute Anterior Shoulder Dislocation Take Home Point: This study suggests that routinely referring patients to a program of … Read More ABSTRACTS IN URGENT CARE – MARCH 2024 Omicron versus Flu & RSV – Which is Most Dangerous for Children? Take Home Point: In this study, hospitalization rates … Read More LETTER FROM THE EDITOR-IN-CHIEF ‘AS LITTLE AS NECESSARY…’– A MANTRA FOR URGENT CARE “Do as little as necessary, not as much as possible.” This is the mantra I recite throughout every urgent care … Read More OUR SUCCESS IN URGENT CARE IS DEFINED BY HOW WE PLAY OUR ‘GREATEST HITS’ Recently one evening, I meandered into a bar on iconic 6th Street in Austin, Texas— America’s epicenter for live music … Read More ‘WHAT HAPPENS IF WE DO NOTHING?’ IS STILL THE RIGHT QUESTION Joshua Russell, MD, MSc, FACEP, FCUCM “It only hurts right here,” Rich told me, pointing to a tender spot on … Read More BROADER ISSUES SURROUND ‘WORK NOTE SEEKING’ Joshua Russell, MD, MSc, FCUCM, FACEP Who among us has worked a single urgent care (UC) shift without at least … Read More WHAT HAPPENS IF WE DO NOTHING? Joshua Russell, MD, MSc, FCUCM, FACEP In its most modern form, medicine revolves around action. We are trained as clinicians … Read More LOGIN Username Password Remember Me * Lost Password SIGN UP FOR THE JUCM NEWSLETTER Urgent care clinical, practice management, and curated news stories - delivered to your inbox - every Friday and some Tuesdays. ABOUT US The Journal of Urgent Care Medicine® (JUCM) is the official journal of the Urgent Care Association (UCA). Each issue contains a mix of peer-reviewed clinical and practice management articles that address the distinct clinical and practice management needs of those who are working in today’s busy urgent care centers. JUCM’s reach of over 42,000 includes qualified clinicians, business and administrative professionals working in urgent care facilities nationwide QUICK LINKS * About Us * Advertise * Subscribe * Submit An Article * Careers * Contact Us JUCM IS THE OFFICIAL JOURNAL OF ©2024 - The Journal of Urgent Care Medicine - All Rights Reserved Please log-in/sign-up to download these issues. * News * Research * Clinical ▼ * Clinical Feature Articles * Case Reports * Orthopedic Case Report * Clinical Image Challenges * Web Exclusive Images Challenges * Abstracts in Urgent Care * JUCM Webinars Archive * Practice Mgmt ▼ * Letters from the Editor-in-Chief * From the UCA CEO * Practice Management Articles * Perspectives * Health Law * Occupational Medicine * Revenue Cycle Management * Developing Data * Web Exclusive Articles * Get CME * Buyer’s Guide * Jobs * Authors ▼ * Author Bios * Author Instructions * Submit An Article * About Us ▼ * About Us * Advertise * Contact Us * Archives ▼ * Individual Articles * Full Issue PDFs Login Username Password Remember Me Lost your password? 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