Many physicians who treat patients with venous disease also practice in another specialty, such as Family Medicine, Internal Medicine, Dermatology, Obstetrics and Gynecology, etc. The physician's primary specialty may influence which of the various treatment modalities, such as compression, exercise, sclerotherapy, surgery, and laser are incorporated into the practice. Before starting such a practice, sufficient thought should be given to the spectrum of disease as it presents, treatment options, and complications of any treatment undertaken. As with all medical education, appropriate courses should be taken. Hands-on experience is advised.
Education begins with learning the anatomy, physiology, pathophysiology, and differential diagnoses.
All available treatment options, including their short and long term outcomes, should be considered. Seminars and courses in the field of phlebology introduce experienced practitioners to the newcomer and mentorships or periods of observation may be arranged. Staffing for a phlebology practice requires someone to help gather historical and physical information, apply dressings, help with patient education, and facilitate patient flow. This person may be a medical assistant, nurse, or physician's assistant. More flexibility is provided by having a nurse who may participate in sclerotherapy.