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07/06/2020 Steven Kravitz, DPM
Which area of your practice has been MOST adversely affected by the pandemic?
The recent PM News poll reflected that wound care was by far the least impacted aspect of podiatric practice by the current COVID-19 pandemic. Surgery was affected nearly 60%, routine foot care nearly 30% affected, but wound care less than 2% affected. Additionally, I continue to have numerous contacts with multiple podiatrists in private practice and wound healing centers throughout the country.
My personal general impression is that the majority report 75 to 80% of the pre-COVID-19 patients returning, and an increasing number indicating the return approximating 100%. Most recently a new funding is that some practices are reporting is much as 120% pre-COVID-19 because they picked up patients from surrounding practices have been closed or otherwise patients referred to them.
These observations exclude demographic areas heavily hit by COVID-19 with stay-at-home orders etc.
A number of podiatrists are now considering adding wound healing to their practice or becoming involved in wound healing center. I have embraced wound healing patients for more than 30 years and have always found it extremely rewarding. But those new to this consideration should also consider that it’s more than likely that one year from now the impact from COVID-19 for podiatric practice will hopefully have passed and practices will be booming with patients that previously did not have care and have increased problems. This includes surgery, biomechanics, general foot care and all aspects of the doctor’s practice. So close consideration is due before making this jump into wound healing.
I’m not discouraging but do keep in mind the fact that wound care patients require special appointments; they often have odor, and this affects other patients or the office. It is best to have special patient scheduling accordingly. Hours are demanding with call for ER and OR 24/7. There are many aspects the podiatrist needs to investigate before they get involved.
In short, don’t simply decide on a “knee jerk” response due to a decrease in current income and reflected patient volume. But think about total practice, the years that you intend to maintain involved and the general type of practice you currently have before jumping into wound care. Last but not least, visit wound healing centers and definitely join a wound healing society.
Steven Kravitz, DPM, Winston-Salem, North Carolina
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