Pediatric Vomiting and Dehydration: When to Hydrate and When to Transfer

Pediatric vomiting is one of those classic urgent care visits that can look completely harmless or quietly concerning. The moment you walk into the room, you are already calculating hydration status, the likelihood of tolerating oral fluids, and whether this is a “treat here” situation or a “transfer now” one. Fortunately, most kids do extremely well with oral rehydration therapy when we choose the right candidates and set them up with a...

By Sarah Warren, PA-C on

March 02, 2026

Legionnaires’ Disease and the Cluster Outbreak in NYC: Guidance for Clinicians

You're midway through a busy day when a patient walks in with “just another pneumonia” — fever, cough, perhaps shortness of breath. They mention recent travel to NYC. That should immediately raise the question: Could this be Legionnaires' disease?

By Erin Pressley, PA-C on

March 02, 2026

Pediatric Coding Tips: How to Maximize Payment for Everyday Visits

By Karen Hovav, MD on

February 24, 2026

Vasectomy in the Post-Roe Era: Vas Deferens or Vas Defiance?

In the wake of the Supreme Court's decision to overturn Roe v. Wade, the landscape of reproductive healthcare in the United States has shifted dramatically. One unexpected consequence? A surge in interest in vasectomy—a safe, effective, and underutilized form of male contraception.

By Matt Zeitler, MD on

February 24, 2026

Revolutionizing Opioid Use Disorder Treatment: Long-Acting Injectables

The opioid crisis continues to strain healthcare systems nationwide, with millions struggling with opioid use disorder (OUD) each year. As the epidemic evolves, so do the tools available to combat it. One of the most promising advancements? Long-acting injectables (LAIs). These medications are changing the game—providing consistent dosing, minimizing diversion risk, and helping patients maintain recovery without the daily reminder of a...

By Michael Baca-Atlas, MD, FASAM on

February 20, 2026

Demystifying the Peds PE

Whether you’re in primary care, urgent care, or the ED, the pediatric physical exam can be challenging. Adult vitals make sense. Adults generally cooperate. But kids? They squirm, scream, and sometimes can’t even tell you where it hurts. The pediatric exam isn’t just smaller, it’s a different beast altogether.

By Geoff Comp, DO on

February 18, 2026

What NP Education is Getting Right

January was for reflection and honesty about the current state of Nurse Practitioner education; a plea to steer the ship in a different direction. Now, let's talk about what NP education is getting right. From community medicine collaborations with EMS to post-graduate fellowships, clinicians and institutions across the country are working to move our profession forward and better serve patients in an increasingly complex healthcare system.

By Matthew Hall, CRNP on

February 06, 2026

IV Lidocaine for Renal Colic

Early in my career, I encountered a patient with severe renal colic who also had a history of opioid use disorder, now with several years of sobriety. Our initial treatment options with the usual non-narcotic medications and IV fluids had offered some initial relief, but his pain had returned with a vengeance. His battle with opioids had been hard fought, and he was adamant that he would only resort to opioids if we had exhausted every...

By Matthew Hall, CRNP on

February 05, 2026

IM Epi, Meet Your Match: Why Intranasal Epinephrine Might Be a Game Changer

It’s every clinician’s nightmare: a pediatric patient in full-blown anaphylaxis, your team scrambling to find the epinephrine vial, draw it up, calculate the pediatric dose, triple-check the concentration — oh, and do it all in a resource-limited setting.

By Tiffany Proffitt, DO on

February 04, 2026

Fellowships Unlocked: Why Primary Care Fellowships Might Be Your Next Move

In primary care, we often describe ourselves as “jack-of-all-trades” clinicians — experts in breadth and advocates for the patient as a whole person. Yet for many of us, there comes a point when we crave more depth, new purpose, or a different kind of impact. That’s where primary care fellowships can open doors.Whether you’re a resident contemplating what’s next or a seasoned clinician feeling the pull toward growth, post-residency...

By Michael Baca-Atlas, MD, FASAM on

February 03, 2026

Sound Check: Newborn Hearing Screening Best Practices & Follow-Up

A baby passes their hearing screen — great. But what if they don’t? Or what if they pass, but there’s still risk for hearing changes down the line?

By Parul Bhatia, MD on

February 02, 2026

The Plague: What You Need to Know

Whena person in northern Arizona died of the plague in July 2025, we wondered if we had time-traveled back to the medieval era. The last time most of us thought about the plague was likely in school, studying for our boards.

By Neda Frayha, MD on

February 02, 2026