The US healthcare industry is facing uncertain times, and many dermatology offices around the country have been impacted by COVID-19. Lack of patients, nervious staff, and government shutdowns have forced hundres of dermatology practices to either temporarily shut down or limit patients to telemedicne or urgent cases only. More unsettling is that nobody know how long this situation will last . The global pandemic has left small dermatology medical practice owners wondering if they will be able to keep their business afloat and left employed phusicians, advanced practice providers, and ancillary staff wondering if they will have a job to come back to.