Urgent Care Symposium – Charleston, SC

How to not get burned.

Improve communication between medical provider and patient to enhance engagement and the quality of services.

• Understand the balance between “patient and customer”
• Review strategies to integrate effective communication skills for enhanced bedside interactions
• Evaluate cognitive errors and common bias traps
• Review pearls of medical malpractice defense
• Documentation and discharge instructions pearls

How to Not Burn Out

• “Remember your essay” Evaluating the reason you got into medicine
• Finding honesty in our limitations and flaws
• Evaluate faith vs fear in the practice of medicine

Abdominal Pain

• Apply a systematic approach to a patient with acute abdominal pain based on AFP guidelines
• Determine and avoid common pitfalls in the assessment of patients with abdominal pain
• Detect and assess high-risk scenarios related to patients with abdominal pain

Chest Pain:

• Differentiate the clinical features of various causes of chest pain
• Identify infectious causes of chest pain based on clinical presentation and evaluation
• Develop an approach to the patient with chest pain based on current AHA/ACC guidelines Calculate the HEART Score of a patient with chest pain
• Employ the ACCF/AHA Guideline based management strategies for chest pain
• Recognize when to refer patients for more advanced cardiac care

Dyspnea:

• Diagnose the 5 most important diseases associated with dyspnea
• Recognize the presentation of CHF for early identification and recommend treatment options based on current AHA/ACC guidelines to improve patient outcomes
• Identify and treat asthma based on current guidelines from the Global Initiative in Asthma

Rashes:

• Review common rashes that are self-limiting
• Evaluate fungal, viral and bacterial rashes
• Review treatment options to common rashes in the urgent care

Addiction/ETOH & Opiates

• Review the evaluation of those presenting for ETOH/Opiate withdrawal
• Review features of addiction and urgent care appropriate intervention
• Stabilization medications review for those in acute withdrawal

Eyes:

• Review the anatomy and physiology of the eye, including visual acuity
• Review common eye complaints, corneal abrasions, conjunctivitis and eyelid lesions
• Evaluate vision threatening injuries and make appropriate referral

ENT:

• Review pathology of ear and external canal.
• Review evaluation and treatment of otitis media
• Evaluate hearing loss and foreign body in external canal
• Evaluate Epistaxis both anterior and posterior
• Evaluate pharyngitis

Emotional Intelligence: AMA (30′)/Speed

1. Communication (APP with EA)
2. Bedside manner optimization
3. Optimizing team dynamics (nurses and consultants)

GU: UTI and Pyelonephritis

• Evaluate dysuria/UTI
• Review treatment of STD diagnosis and treatment

OB/GYN:

• Evaluate for pregnancy and first trimester complications
• Evaluate for ectopic pregnancy

Headache:

• Review life threating headaches (SAH/Temporal arteritis/meningitis)
• Evaluate common headaches and treatments (cluster/migraines/tension)
• Review urgent care treatment of head aches

Ortho:

• Review radiographic presentations of urgent care orthopedic injuries
• Head to toe review of common orthopedic fractures
• Review splinting, stabilization and pain management in orthopedic injuries

Wound care:

• Review wound healing physiology
• How to assess a wound for nerve, tendon and vascular compromise
• Review the closure techniques of tape, adhesive, sutures and staples
• Evaluate wound complications – stellate, bites and crush injuries

Infectious Disease:

• Review of the common infections in urgent care medicine
• Review efficiency in the clinical evaluation of infectious disease
• Review appropriate empirical antimicrobial selection