Within this page, you will find Industry Perspective blogs written by the UCA Corporate Support Partners (CSP); Insights from UCA Chief Executive Officer Lou Ellen Horwitz; Practice Management blogs to help you better manage center operations; and bonus UCA education in Educational Insights.


EDUCATIONAL INSIGHTS: UCA2019 Convention Take Home Tactics Dose 5: UTIs/STIs and Putting the Super in Supervisor

Posted: Jun 24, 2019
Comments: 0
Author: UCA Admin

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Catch up. Get ahead. Try something new. When the temperature heats up this summer and you're stuck inside; or if your patient volume has slowed down and you finally have some time to "sharpen the saw", check out the UCA Summer School options. With great discounts and something for everyone, you'll be sure to gain some useful educational content.

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State of the Art Guideline Review: UTIs and STIs

Did you know that the United States has the highest rate of sexually-transmitted infections (STIs) in the industrialized world, with approximately 20 million new cases annually?  Patients are often uncomfortable talking about sex, and providers frequently stumble over what to say.  Ben Silverberg focused on urethritis/cervicitis and dermatologic manifestations of STIs in his state-of-the-art guideline review: how to treat the infection, ask personal questions, and offer thoughtful responses.

Take Home Tactic #1

Patients can sense when you’re nervous. Normalize sensitive topics for you and for them.  Try to make the patient comfortable by using open-ended questions and neutral words that avoid judgement – for example, “what do you do to keep yourself safe when having sex?”  Building rapport and asking questions is important, especially with adolescents.  Questions like, “tell me more” are helpful in opening the door to important conversations.

Take Home Tactic #2

There is substantial overlap in symptoms for STIs and urinary tract infections (UTIs), but infections may also be asymptomatic.  UTIs are typically caused by gram-negative aerobic bacteria (e.g., E. coli), but gram-positive bacteria (e.g., Staph saprophyticus) can also be the culprit. Symptomatic, uncomplicated infections in women can be treated with one of the following regimens:

  • Trimethoprim-sulfamethoxazole (TMP-SMX) 160/800mg (Bactrim DS), 1 tab PO BID x3d
  • Nitrofurantoin (Macrobid) 100mg PO BID x5-7d
  • Fosfomycin 3g PO x1
  • Ciprofloxacin (Cipro) 250mg PO BID x3d
  • Amoxicillin/clavulanate (Augmentin) 500/125mg PO BID x3-7d
  • Cephalexin (Keflex) 500mg PO BID x3-7d

By definition, UTIs in men are considered complicated and must be treated as such. 

Take Home Tactic #3

Recommended treatment may differ based on various factors, and not all professional guidelines agree. When in doubt, consult a specialist. 

Purchase the entire online session of State of the Art Guideline Review: UTIs and STIs HERE.



Benjamin Silverberg, MD, MSc, FAAFP, is a Family Medicine Physician at WVU Medicine in Morgantown, West Virginia. He earned a double BA in Chemistry (with honors) and Dramatic Arts from the University of North Carolina at Chapel Hill (2002) and then completed an MS in Biochemistry (with specialization in Biotechnology) from Georgetown University (2004) and, later, an MSc in Global Health from Duke University (2014). He attended the University of Connecticut for his MD (2009) and the University of Virginia for his residency training in Family Medicine (2012). He joined the medical faculty at West Virginia University as an Assistant Professor in 2016, where he holds a dual appointment in the Departments of Emergency Medicine and Family Medicine, and works in Student Health, Travel Medicine, and Urgent Care. In 2018, he also took on the role of Medical Director for the new Physician Assistant training program at WVU. In his free time, Ben enjoys dining out, social dance, listening to music, and watching Bollywood films with his husband and 2 cats.





Putting the Super in Supervisor: Developing Outstanding Clinic Supervisors

Overseeing or developing new clinic supervisors can be a daunting task. Helping new supervisors manage and prioritize their daily activities, manage their roles and responsibilities, or simply grow into their new position can be difficult without having some basic tools in place. Creating training and systems can be a lifesaver for the manager of a growing organization. This lecture/workshop gives you the tools to develop a management structure to help you have everything under control.

Take Home Tactic #1

Creating a DWM (Daily, Weekly, Monthly) task list can help the clinic supervisor stay on assignment and better successfully complete their role. 

This calendar will serve as a physical reminder of what needs to be covered and can also be used as an accountability tool.  You’ll notice a return on the investment of time in a well-run and more efficient facility!

Take Home Tactic #2

Creating a training program for your clinic supervisor(s) will help assure that they are being provided tools, resources and expectations in order to have a better understanding of their role and responsibilities.  It should be specific to those new to a management role but also an opportunity to retrain on topics

Offer your supervisors the tools to set them up for success such as goal setting with action plans; the ability to conduct patient and employee rounding; recruitment opportunities; annual learning opportunities and more.  The more you invest in your staff, the better the result for the supervisor and their team.

Take Home Tactic #3

Utilizing in-house staff for training, those with prior experience or expertise in a specific area, not only provides an excellent resource for the supervisor/trainee but also reinforces staff appreciation and growth. 

This is an excellent opportunity for your more seasoned staff to share anecdotal stories and information about leadership and what it has meant to them.

Purchase the entire online session of Putting the Super in Supervisor: Developing Outstanding Clinic Supervisors HERE.



Patrice Pash BSN RN has successfully assisted over 150 urgent care clinics throughout the United States and abroad go from concept to open for business!  Physicians, non-physicians, investors and health systems alike have all turned to her for valuable insights when it comes to starting an urgent care.  Patrice and her husband of twenty-two years have two teenage sons that are heavily involved in a variety of sports. The family enjoys camping and fishing and she spends her free time gardening, canning, painting and is an avid reader and writer.









Vallary Klempay is a Regional Urgent Care Manager with MultiCare Health System in the Seattle area. She has worked in the Urgent Care setting for the past 15 years starting her career as a Medical Assistant. She currently oversees 6 locations in her region and has 3 Clinic Supervisors that work with her. Vallary and her family enjoy camping in the Pacific Northwest. Their favorite place to visit is Mt. Rainier in the spring and summer where there are great trails and camping.


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