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Elevated TSH in Children: When to Treat Subclinical Hypothyroidism

Jen Janocha, PA-C
By Jen Janocha, PA-C on
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The 2026 CME Audit: A Mid-Year Check-in

It’s June, which means we’re halfway through 2026 (cue the shock!). While most of us are looking forward to summer vacations and poolside relaxation, the calendar moves fast. Before we know it, the "back to school" rush will hit, followed by the holidays, and suddenly it’s time to submit year-end CME.

Ashley Greer PA-C
By Ashley Greer PA-C on
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Check Out Hippo Education Badge Buddies

Impactful knowledge when you need it

If you are a physician, nurse, or advanced practice clinician working in a hospital setting, chances are you have been handed numerous additions to your ID badge with limited value. In the case of an actual fire in the hospital (71% occur in the kitchen), you simply need to look down at your badge mid-inferno to remind you to RACE and PASS.

Matthew Hall, CRNP
By Matthew Hall, CRNP on
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Pediatric Procedural Sedation: Practical Pearls for Keeping Kids Safe, Calm, and Still

Few situations in pediatric emergency medicine require as much preparation, adaptability, and situational awareness as procedural sedation.

Solomon Behar, MD
By Solomon Behar, MD on
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Let’s Talk About the Frozen Shoulder

It’s the middle of a busy shift when you walk into the room and find your patient cradling their shoulder, equal parts uncomfortable and frustrated. There’s no trauma, no clear inciting event, just a story that starts with mild pain a few weeks ago and has quietly progressed to the point where they can’t reach overhead, can’t get dressed without help, and can’t quite understand what went wrong. You run through the usual differential —...

Kelly Heidepriem, MD
By Kelly Heidepriem, MD on
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The “Test for Everything”? A Real-World Look at Multi-Cancer Early Detection (MCED) Tests

Multi-cancer early detection (MCED) tests are emerging blood-based screenings designed to detect multiple cancers by analyzing cell-free DNA and methylation patterns. While these tests are already available (despite lacking FDA approval), current evidence shows high specificity (~99%) but relatively low sensitivity (~40%), meaning false reassurance from negative results is a real concern. Additional challenges include lengthy diagnostic...

Micaela Bowers, MD
By Micaela Bowers, MD on
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Hemorrhoid Help in Urgent Care: What to Recommend When Your Patient Can’t Sit Comfortably

We’ve all been there. A patient shifts uncomfortably on the exam table, hesitating before admitting what brought them in: “I think I have…hemorrhoids.”

Brett Murray, MD
By Brett Murray, MD on
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A Practical Approach to Memory Loss: Differentiating Dementia, MCI, and Normal Aging

It happens at the worst possible time. You’re wrapping up a visit, already running behind and just as your hand reaches for the doorknob, your patient says:

Micaela Bowers, MD
By Micaela Bowers, MD on
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Same Injury, Different Rules: How State Laws Can Change Patient Care in Workers’ Comp

Erin Pressley, PA-C
By Erin Pressley, PA-C on
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Early Lessons for New Nurse Practitioners (Part 1)

Regardless of your specialty or setting, there is a mountain of knowledge to take in during your first year of practice that goes far beyond medicine. Whether you work in-patient or clinic, ICU or dermatology, there is a unique culture that you are stepping into. Hopefully, it is a culture of teamwork, grace, and growth. But wherever you find yourself, there are a few universal lessons that all NP’s need to learn during this crucial...

Matthew Hall, CRNP
By Matthew Hall, CRNP on
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Helping Patients Sleep: Practical, Non-Pharmacologic Insomnia Strategies

Insomnia and I are very well acquainted with one another. Like 10% of the population, I experienced chronic insomnia for years. And like nearly one-third of adults, I still experience insomnia from time to time. Through my own history, as well as years of research into the literature and undergoing cognitive behavioral therapy for insomnia (CBT-I), the gold standard for treatment of chronic insomnia, I have developed a helpful, informal...

Neda Frayha, MD
By Neda Frayha, MD on
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Sore Throat? Try McIsaac first before grabbing that swab!

It’s 9 a.m. in urgent care, and your next patient is here for a sore throat. They want a rapid strep test and antibiotics. But we all know that most sore throats are viral, and antibiotics won’t help. That’s exactly why clinical decision tools, such as the Centor and McIsaac criteria, matter. They guide testing decisions, help us avoid unnecessary antibiotics, and keep care efficient on a busy shift.

Tiffany Proffitt, DO
By Tiffany Proffitt, DO on
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