Didactic and hands-on education, such as attending wound sessions at the American Academy of Dermatology (http://www .aad.org) or wound healing meetings (http://www.sawc.org) and learning systematic evaluation and management of VLUs (and other chronic wounds) from evidence-based guidelines for chronic wounds (Wound Healing Society; http://www .woundheal.org), is necessary. Dermatologists can assess their practice of treating VLUs through the newly released performance improvement continuing medical education activity provided by the American Academy of Dermatology. In addition, manufacturers of compression bandages create systems to assist in proper application and educate practitioners on application , so use of these systems, as opposed to elastic (acetype) wraps, would provide more standardized care. However, direct monitoring of individual patients for adequate compression is not routine. Recently developed real-time subbandage pressure monitors using fiberoptic force sensors might help change that and ensure that all patients receive optimal compression. Finally, assessment of wound improvement through close tracking of wound size reduction by measurements or photographs is needed, and the use of templates for patient care and procedures can be incorporated into electronic medical records, which can serve as a resource to ensure that all elements of evaluation and management are performed.