Journal of Urgent Care Medicine

Testicular Torsion: The Case of the Dancing Testicle

Urgent message: The differential diagnosis for unilateral testicular pain includes testicular torsion; this is a ”must not miss” diagnosis, as delayed diagnosis can cause significant morbidity both physically and psychologically. Jeannette Vaughn-Dotterer, PA-C CASE PRESENTATION ML is a 47-year-old male who developed left-sided testicular pain after getting out of bed 2 hours prior. He states that his left testicle appears to be “dancing” and seems to be riding higher than his right testicle. ML states …

What’s the Best Policy for Unlocking an Urgent Care’s Doors when a Provider isn’t Present?

Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Senior Editor, Practice Management of The Journal of Urgent Care Medicine. Urgent message: Whether an urgent care must have a provider on-site during all operating hours comes down to the operator’s risk tolerance. As a matter of patient safety, many urgent care centers have adopted a policy that if no provider is on-site, they must lock the doors and refuse entry of any …

Developing a Reimbursement Policy for CME and Other Employee Expenses

Urgent message: Every urgent care center should have a clear policy outlining which employee expenses, including CME-related expenses, it reimburses and how reimbursement occurs. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Managers, owners, and supervisors in nearly every field need to be familiar with the process of reimbursing employees for costs incurred while doing company business. Whether …

A 38-Year-Old Man with Chest Pain

Urgent message: When a relatively young patient presents to urgent care with chest pain, there may or may not be a “typical” cause. Prompt evaluation and accurate assessment of risk factors are essential to efficient care and, often, the patient’s survival. Max Palatnik, MD Case Presentation A 35-year-old male presented at 21:59 with a chief complaint of chest pain; at 22:03, we noted the following: Temp: 98.9 Pulse: 103 Resp: 16 Syst: 122 Diast: 69 …

Southwest Conference Offers Interactive Education for Operators, Staff, and Clinicians

Urgent care clinicians, operators, and staff will gather in Houston at one of the larger regional urgent care conferences in the country later this month. The 2-day Southwest Urgent Care Conference offers both a Clinical Track and a Leadership track in deference to the unique makeup of the industry, with clinicians often also being business owners and corporate leaders. The clinical curriculum was also designed with consideration for the fact that nurse practitioners and physician …

UCA Webinar: Tips on Employee Discipline and Termination

Conversations involving discipline—or, especially, termination—are uncomfortable for all parties involved. If you’re a manager or supervisor, though, rest assured they’re in your future (if they’re not already in your past). However, responding to poor performance or misconduct the right way can leave you feeling empowered and confident that you’re doing what you can to protect your workplace as well as other employees. Vance Daniels, senior human resources advisor for G&A Partners, will offer advice on …