This article is based on a symposium held online at the Wounds UK annual conference on 9th November 2020, sponsored by Urgo Medical. The symposium introduced the 3D framework, a new educational framework to improve clinical outcomes and quality of care for patients living with leg ulcers (Bianchi et al, 2020). Caroline Dowsett and Joanne Nichols introduced the principles of the framework and provided guidance for translating evidence-based theory into practice.