Pressure Ulcer Knowledge in medical residents: An opportunity for improvement

Jeffrey M. Levine, Elizabeth A. Ayello, Karen M. Zulkowski, Joyce Fogel

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


With the aging population and increasing complexity of patients with pressure ulcers (PrUs), as well as regulatory requirements, PrUs have become an important concern for physicians. Although there are some studies that measure nurses' knowledge of PrUs, there is a paucity of literature about physician knowledge of PrUs. Given that the Centers for Medicare & Medicaid Services is holding physicians accountable for documenting PrU status on admission to hospitals and the increased need for collaboration with revisions to long-term-care documentation MDS 3.0: Skin Condition, physicians' knowledge regarding PrUs takes on new urgency. This study reports on PrU knowledge of physicians using 2 tools: the Pieper Pressure Ulcer Knowledge Tool and a wound photograph test. Physicians' mean scores of 69% on the Pieper Tool were well below average scores of nurses' 76%. Physicians had greatest difficulty identifying suspected deep tissue injury and unstageable ulcers. Pressure ulcer content, including prevention, identification, staging, and treatment, needs to be included in physician education.

Original languageEnglish
Pages (from-to)115-117
Number of pages3
JournalAdvances in Skin and Wound Care
Issue number3
StatePublished - Mar 2012
Externally publishedYes


  • Medical residents
  • Pressure Ulcer Knowledge
  • Pressure ulcers


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