Table 3. Healthcare professionals response to patient scenario number 6.

For a highly functioning, independent 61-year-old working woman with poorly controlled type 2 diabetes but no previous complications present to your clinic. She has a 1 cm × 2 cm ulcer, which appears to be deep, on the left plantar surface at the interphalangeal joint of the hallux. You note 1.5 cm of surrounding cellulitis. Your clinic notes reveal that she saw a podiatrist 5 months ago with no abnormalities reported by the consulting podiatrist at this visit. The woman reports that the ulcer has been there for a couple of weeks. It is not giving her any discomfort and she has been washing it in salty water and putting bandaids on it regularly. She is afebrile, with normal blood pressure and heart rate and her most recent HbA1c was 8.1% (65 mmol/mol).

Priority	Percentage
Refer to other specialist (e.g. vascular surgeon, orthopedic surgeon, infectious diseases physician)	62.2%
Assess and dress the wound	32.0%
Assess the wound and refer to another healthcare professional to dress it (e.g., general practitioner, primary care nurse, or podiatrist)	29.3%
Conduct full foot assessment (neurological, pulses, risk rating)	27.5%
Continue regular review and wound care within primary care Refer to specialist diabetic foot clinic (multidisciplinary high-risk foot service)	27.0%
Swab the wound and send swab to pathology	24.8%
Refer to general practitioner for assessment and management	19.4%
Commence antibiotics	18.9%
Refer to other healthcare professional to conduct full foot assessment (e.g., general practitioner, certified diabetes educator, primary care nurse, private community podiatrist)	17.1%
Assess diabetes self-management, e.g., blood glucose levels	17.1%
Refer to hospital emergency department	5.0%
Refer to endocrinologist	4.1%