Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


  1. Odierna, Elizabeth MD
  2. Zeleznik, Jomarie MD


OBJECTIVE: To assess the educational experiences of geriatric fellows on the subject of pressure ulcers and to begin validation of a survey that assesses pressure ulcer content knowledge of physicians in training.


DESIGN: Pilot study using a prospective survey


PARTICIPANTS: 42 geriatric fellows in New York State


MAIN OUTCOME MEASURES: Likert scale ranking for self-reported feeling of preparation to manage geriatric patients with pressure ulcers and to teach other clinicians about the subject; knowledge test scores using a multiple choice, single-best-answer format.


RESULTS: Geriatric fellows in New York State who participated in the survey felt "adequately" prepared to lead a team and teach about pressure ulcers. Sixty-nine percent reported having teaching responsibilities. Sources of information included bedside rounds (79%), nurses (71%) lectures (67%), textbooks (67%), and geriatric attendings (60%). Educational settings were nursing homes (86%) and hospital units (64%). Forty-eight percent of geriatric fellows surveyed correctly identified the Braden Scale as a screening tool. Sixty-seven percent identified a description of a Stage I pressure ulcer and 52% identified a description of a Stage IV pressure ulcer. The mean score on the knowledge test for the cohort was 58 +/- 18% (SD) correct (range, 20% to 80%); the range for the fellowship programs was 36% to 62% correct.


CONCLUSIONS: Geriatric fellows need to improve their knowledge and confidence with regard to pressure ulcer care to become competent as clinicians and educators for this condition. Specific curricular guidelines and a validated knowledge assessment instrument on pressure ulcers are needed to improve the educational effectiveness of a geriatrics fellowship.