Considerations for Urgent Care to ED ReferralsFrom November 2019, Who's The Black Sheep?
The role that urgent cares play in the house of medicine continues to grow and evolve. While there may be some inevitable growing pains most issues that arise between the UC and the ED can be prevented by establishing clear channels of communication.17min 23Josh Russell, MD and Matthew DeLaney, MD
Urgent Care: The Misfit in our Healthcare Delivery SystemFrom November 2019, Who's The Black Sheep?
Rebecca and the Matts discuss how Urgent Care providers are answering the needs of patients for acute care in a system that is often too expensive, unavailable, and inconvenient. Urgent Care provides quality health care that is faster, easier, and cheaper than what has previously been available to …14min 5Rebecca Trotzky, MD, MS, Matthew DeLaney, MD, and Matthieu DeClerck, MD
MetadataFrom September 2019, Off The Cuff
Anytime we use a computer we create metada which essentially leaves an electronic record of all of our keystrokes. Increasingly metadata is being used by lawyers in malpractice cases.9min 21Matthew DeLaney, MD
Smart Phone ApplicationsFrom August 2019, Disabilities Matter
We think of using our own smartphones (medical apps, etc) to improve patient care, but we can utilize our patient’s own phones too. Dr.Repanshek teaches us how the smartphone camera is a powerful tool that almost every patient will have on them, and can be a powerful tool that patients can use to …8min 41Zack Repanshek, MD and Matthieu DeClerck, MD
Shared Decision Making (SDM)From July 2019, The Half Somersault
Andy and Josh discuss the shift from informed decision making model to a shared decision making model, and how this positively impacts patient care. Shared decision making includes patients’ risk tolerance, personal values and also their understanding of their disease itself.17min 57Matthew DeLaney, MD, Josh Russell, MD, Andy Barnett, MD, and Mizuho Morrison, DO
Patient ComplaintsFrom June 2019, ID Killers
Patient complaints may reveal medical errors and may escalate to litigation. Be sure whatever process you have in place has been developed in conjunction with your risk management department or insurance carrier. This allows for an “early warning” system to be in place for your malpractice …22min 37Mizuho Morrison, DO and Sam Ashoo, MD
Patient SatisfactionFrom April 2019, April Showers, Syncope & Sprains
Patient satisfaction can have negative connotations to it. More importantly considering the patient’s experience in our clinical setting is important. Dr. Hope shares with us her insights on more than just patient satisfaction scores and why we should be interested.22min 7Matthieu DeClerck, MD, Jaime Hope, MD, and Neda Frayha, MD
Scribes In The Urgent CareFrom March 2019, Bun (Not) In The Oven
The use of scribes in medical practices has been around for decades. They have been utilized in emergency departments, primary care practices, inpatient medical teams, and specialty practices. The use of scribes in the urgent care can be a big improvement to the practice if the implementation is …20min 34Neda Frayha, MD and Sam Ashoo, MD
Medication AdherenceFrom January 2019, Can't We All Just Get Along?
There are many barriers to patients compliance with prescriptions. Mike sits down with Bryan Hayes to discuss what are the issues, and also practical solutions to increase patient adherence to medications.15min 34Mike Weinstock, MD
ED Referrals - Can’t We All Just Get Along?From January 2019, Can't We All Just Get Along?
Miz and Mike talk to Josh Russell about the best way to have a healthy respectful ED to UC relationship.13min 56Mizuho Morrison, DO and Josh Russell, MD
Decision FatigueFrom December 2018, Head, Shoulders, Knees and Toes
If you haven’t heard the term decision fatigue, you need to familiarize yourself with it. In the psychology literature, decision fatigue refers to the reduction in quality of decisions made by a person after long periods of decision making. It is an interesting phenomenon. There are descriptions of …15min 9Sam Ashoo, MD and Neda Frayha, MD
What Would I Do Next? | Urgent Care Follow UpFrom November 2018, Breaking Bad - Insulin Pumps and Mandibles
A considerable portion of patients have difficulty establishing prompt follow-up care after being seen in the ED or urgent care. • Patients with medicaid have the lowest rates of follow up while those with private commercial insurance have the highest rates. • Statistically patients are less …14min 19Matthew DeLaney, MD and Charles Khoury, MD
Antibiotic Prescribing In the Urgent CareFrom October 2018, You'll Shoot Your Eye Out!
A study recently published in JAMA Internal Medicine by Palms et al, demonstrated that urgent cares are overprescribing antibiotics more than any other clinical setting. We need to do a better job of antibiotic stewardship, and Mike and Miz tackle HOW.14min 13Mizuho Morrison, DO and Mike Weinstock, MD
Paper Chase #5 | Patient Navigators for ED SuperusersFrom December 2017, Lucy In The Sky With Diamonds
Bottom Line: The use of a trained patient navigator may reduce ED use and costs among superutilizers over a 1-year period.5min 57Nate Finnerty, MD and Brett Ebeling, MD
Imposter SyndromeFrom August 2017, Game of Imposters
Miz and Declerk speak to two experts regarding imposter syndrome and how it can affect your clinical practice and career path. •14min 30Neda Frayha, MD, Arlene Chung, MD, Mizuho Morrison, DO, and Matthieu DeClerck, MD
Paper Chase 5 - Free-Standing EDs…A More Expensive Alternative?From June 2017, A Disposition Conundrum?!
Though freestanding emergency departments are on the rise in many areas, there is considerable overlap in diagnoses treated when compared to urgent care centers though prices for care provided were nearly 10x higher. •6min 50Mike Weinstock, MD and Nate Finnerty, MD
Patient SatisfactionFrom May 2017, Pain in the Neck!
Discuss why patient satisfaction matters to both patients and physicians. Review data on patient satisfaction specific to the UC setting. Identify key interpersonal skill sets that make it imperative to deliver good patient care. •22min 2Mizuho Morrison, DO and Matthew DeLaney, MD
Task InterruptionsFrom April 2017, Defend Yourself - Nightstick Fractures
Matt Delaney MD discusses the role that task interruptions have on our everyday workflow in the UC. The pressures on us during any given shift and how to mitigate the issues at hand. •18min 47Matthew DeLaney, MD and Mizuho Morrison, DO
The Urgent Care RAP Hot Sheet: March 2017From March 2017, The Urgent Care RAP Hot Sheet: March 2017
Andrew discusses the effects of Social media on a physicians’ well being & sense of isolation, and new findings for the potential treatment of MRSA. •5min 30Andrew Buelt, DO
The Discharge Paperwork Conundrum, Part 2From February 2017, The Barky Cough Conundrum
Three elements that should be present in all discharge instructions are follow-up (who and what time period), return instructions and a discussion about prescriptions. • Patients often do not understand pre-printed discharge instructions and studies have not shown benefit.When you discharge a …13min 5Matthew DeLaney, MD, Mizuho Morrison, DO, and Mike Weinstock, MD
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