Victoria Pittman, MPAP, PA-C
As the role of Urgent Care clinicians continues to expand in the house of medicine and we take on more responsibilities, it’s our job as clinicians to ask ourselves:
How can we be better?
How can we do better?
How can we treat patients better?
In other words, how can we be great Urgent Care clinicians?
To answer these questions, we must start by understanding the unique challenges of working in Urgent Care. The answer to what makes a great Urgent Care clinician comes from understanding how to overcome these challenges.
If you’ve worked a day in Urgent Care, you know it’s a constant juggling of different hats.
There are times when you must put on your emergency medicine hat and think from an acute care mindset to determine if the patient needs a higher level of care. Then there are times when you have to switch gears and put on your primary care hat to bridge the gap between Urgent Care and primary care follow-up. As if that isn’t enough, Urgent Care clinicians also must take on various specialist roles when follow-up appointments for patients are hard to come by.
Juggling all these hats can be hard on even the most seasoned Urgent Care clinicians. And mastering any of them is even harder to do when working in a fast-paced setting.
Many Urgent Care centers are resource-limited, especially in comparison to emergency departments. While X-ray capability, point of care respiratory viral and strep testing, and phlebotomy services are standard, other tests or supplies can be lacking in Urgent Care centers. This makes caring for certain patients or medical conditions challenging.
With this information in mind, what can we do to become great Urgent Care clinicians?
For example, imagine you need to get a urine sample from a feverish infant to evaluate for a possible UTI. If your center doesn’t stock pediatric straight catheters, you can try the Quick Wee method or the Bladder Stimulation Technique to collect a clean catch urine. Evaluating a patient with chest pain but don’t have a point of care troponin? Use the HEAR score to risk stratify patients that need a higher level of care.
In all honesty, this can feel overwhelming, but there are so many ways to stay informed. Listen to podcasts or subscribe to newsletters that help direct you to the most pertinent journal articles. You could even start a journal club at your work and talk about what you’re reading and listening to with your colleagues.