Dr. Sarah Owrey

“What should I expect at my child’s well visit?”

The following are guidelines. At each visit your doctor will assess whether more or less is needed. Recommendations may change as we will always try to be consistent with the best and most current medical practices.

What to Expect … Continue reading


Dr. Jamila Fletcher

FAQ 3: Acute Sick Care

Written by Dr. Jamila Fletcher

“What if my child is sick and needs to be seen today?”

Open Wide

The answer to this question is a big part of what we feel defines the practice of pediatric medicine. No one is able to schedule when their child gets sick and often children get sick in large groups (for example, “flu season”). … Continue reading


Dr. Ben Meares

FAQ 4: After Hours Care

Written by Dr. Ben Meares

“What if I have an urgent, medical concern about my child outside of regular office hours?”

Open web

Care after regular office hours – in the evenings, on weekends and on holidays:

If you have a concern outside of regular office hours that you feel is urgent and can’t wait until the next business day, simply call our regular office number: 919-781-7490.

  • If you have trouble getting through at that number outside of regular office hours, you may call our answering service number as a backup number at 919-831-5526.
  • An RCAM pediatrician is “on call” for after hours care every day (including weekends and holidays). The On-Call Doctor covers our patients’ urgent medical needs that occur outside of regular office hours and manages the care of our newborns at Rex Hospital.

Weekday After Hours:

  • The Weekday After Hours Clinic begins at the close of regular business hours sometime after 5pm.
  • The On Call Pediatrican will see patients in our Duraleigh Office by appointment only.
  • Weekday After Hours On Call Clinic does not end before 7pm.
  • Call to speak to the Nurse working with the On Call Pediatrician to determine if your  child needs to be seen in the Weekday After Hours Clinic

Weekend After Hours:

  • The Weekend After Hours Clinic typically begins on Saturday at 10am and on Sunday at 11am.
  • The On Call Pediatrican will see patients in our Duraleigh Office (by appointment only; there are no walk in appointments)
  • Call anytime if you have an urgent question or concern.
  • If you think your child may need to be seen, try to call early (between 8 and 10am is best on Saturday; between 9 and 11am is best on Sunday). Our answering service will take your information and the Nurse working with the On Call Pediatrician will call you back. The Nurse gives phone advice and schedules patients for the Weekend After Hours Clinic.

Holiday After Hours:

  • Our office observes seven holidays: New Year’s Day (January 1st), Good Friday (Easter), Memorial Day (last Monday in May), Independence Day (July 4th), Labor Day (first Monday in September), Thanksgiving (4thThursday in November), and Christmas Day (December 25th)
  • Christmas Day is the only day of the year that we are unable to see patients in our office.
  • Other than Christmas Day, for holidays we are open for a limited clinic at the Duraleigh Office (by appointment only; there are no walk in appointments)
  • Holiday After Hours Clinic typically operates similar to our Sunday Weekend After Hours clinic (see above; best to call between 9 and 11am but call anytime if you have an urgent question or concern); clinic begins at 11am;

After After Hours?

  • After the After Hours Clinic has ended and we have left our office, our On Call Pediatrician is available by phone for urgent concerns about your child. Just call the number listed above and our answering service will text the On Call Pediatrician who will then call you back.
  • Overnight from 11pm to 8am, messages are sent first to the WakeMed Nurse Phone Triage. Those nurses handle most concerns that come up. The On Call Pediatrician is always available if further concerns arise.

Dr. Rick Gessner

FAQ 5: Scheduling Appointments

Written by Dr. Rick Gessner

“I can just call and make an appointment, right?”

Two Friends

Of course you can, and here are a few tips for scheduling so that your appointment can run as smoothly as possible: … Continue reading


Dr. Jen Long

FAQ 7: Telephone Advice

Written by Dr. Jen Long

“What if I just have a question about my child’s health? Is advice available by phone?”

A FINAL Leslie

Yes, that is one way to get your questions addressed: … Continue reading


Dr. Tom Sena

FAQ 8: Vaccine Policy

Written by Dr. Tom Sena

“Does RCAM have a vaccine policy?”

Yes first and foremost – RCAM recommends timely and thorough vaccination.

To that end, we recommend the vaccine schedule recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) as shown here and below*.

Not only do we recommend this schedule to our patients – we also live it:  it should come as no surprise that this is the same schedule we follow with our own children.

In the circumstance of a parent who chooses a different schedule, RCAM requires all patients to receive the following vaccines as a minimum:

… Continue reading


Dr. Todd Harris

FAQ 9: Health Insurance Plans & RCAM

Written by Dr. Todd Harris

View of the Smoky Mountains from Mount Mitchell State Park

“What health plans list RCAM Pediatricians as providers?”

  • Aetna / Coventry

  • Blue Cross Blue Shield (BCBS)

  • Cigna / Great West

  • Humana / Choice Care

  • Medcost

  • Medicaid (new patients must be 2 months old or younger at time of first visit)

  • NC Healthchoice

  • PHCS / Multiplan

  • United Healthcare

  • UMR

  • Wellpath / First Health


Dr. Todd Harris

PCMH bkgd

Okay, so maybe this isn’t a frequently asked question.

However, the answer to this question will help you to know this:

RCAM doesn’t just say it practices quality pediatric medicine: we have proven it to an independent, nationally recognized board, the National Committee for Quality Assurance (NCQA).

On April 4, 2013, RCAM was recognized by the National Committee for Quality Assurance (NCQA) as a certified Level 3 Patient-Centered Medical Home (PCMH).

More information about that designation can be found here. Criteria for PCMH certification broadly focuses on quality of care.

Medical practices that qualify for PCMH designation have been shown to have a positive impact (has detailed here).

Once this designation is achieved, it has to be maintained and reaffirmed. Keeping PCMH certification – just like keeping a pediatric medical practice relevant – is a work in progress.