Author(s): Odierna E, Zeleznik J
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Abstract 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.
This article was published in Adv Skin Wound Care
and referenced in Journal of Community Medicine & Health Education