If you are marketing direct access in a cash based practice (you SHOULD BE doing this already!) you need to be able to identfiy medical red flags when present. This is where medical screening comes in. So you can correctly identify what patients need more diagnostic imaging, referred to a physician or surgeon.
I am making a cash based practice evidenced based medical screening “cheetsheet” with the best likelihood ratios and most sensitive screening tools we can use to help us identify medical red flags that we could see in a direct access cash based setting. I am looking to expand on this list with evidenced based tests and measures to use with high sensitivity and likelihood ratios. Can you add anything else?
Cash Based Medical Screening List
Cancer
Melanoma
Major Depression
Reiter Syndrome
Gout
Fractures
Pre-manipulative cervical screening
Stress Fractures
AAA
CAD
PE
Pancoast Tumor
Horner’s Syndrome
Ankylosing Spondylitis
Canadian C-Spine Rules
Visceral Pain Patterns
Ottowa Ankle Rules
Lumbar Cancer
Vertebral Compression Fracture
Cauda Equina Syndrome
Pittsburgh Knee Rules
DVT – Well’s Criteria