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Blending Occupational Medicine and Urgent Care: The Best of Both Worlds

The American Academy of Urgent Care Medicine (http://aaucm.org/) reports that since 2008 the number of urgent care centers in the United States has increased from approximately 8,000 to 9,300 and between 50 and 100 new clinics are likely to open annually for the foreseeable future. Furthermore, the Urgent Care Association of America’s (www.ucaoa.org/) 2012 benchmarking survey found that in 2011, the average number of patients per day per location was 51— up from 45 or 13% in 2008. As occupational health programs continue to add prevention and wellness services to their model, it makes sense for the two entities to merge.

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Suboxone in Commercial Drivers

I was wondering about the patients who currently take Suboxone. I practice in an area where drug abuse is epidemic. I know methadone users are disqualified but was also wondering about Suboxone. I am uncomfortable with the thought of any of these substances being taken by drivers….but also don’t want to be prejudicial. I can’t find any information on this particular substance.

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Skill Performance Examinations (SPE)

I am confused on the SPE testing. I understand that it is for a fixed
physical problem and cannot be used for a progressive disorder or disease
but how often is it necessary to perform for a driver? Is it specific for
first time testing on a PE or is it used at every certification for that
driver? Thanks

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