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Course Reviewer

Karen Schoelles, MD, SM, FACP

Target Audience

The target audience for this learning activity includes specialists, primary care physicians (PCPs), family medicine physicians, physician assistants, allied health professionals, health educators, case managers, occupational and physical therapists, nurse practitioners, nurses, pharmacists, case managers, and health educators.

Overall Learning Purpose/Goal

The goal of the monograph is to review important patient safety practices for evidence of effectiveness, implementation, and adoption of interventions aimed at preventing in-facility pressure ulcers.

Learning Objectives

At the conclusion of this activity, participants will be able to:

  1. Describe some of the risk factors for developing pressure ulcers and accurately identify pressure ulcers.
  2. Discuss the effectiveness of different interventions used in acute care settings to prevent pressure ulcers.
  3. Discuss the effectiveness of different interventions used in long-term care settings to prevent pressure ulcers.
  4. Identify barriers and potential solutions to implementing pressure ulcer prevention programs in acute and long-term care settings.
    • For Pharmacists: Provide accurate and appropriate counsel as part of the treatment team.
    • For Registered Nurses: Provide appropriate care and counsel for patients and their families.

Credit Available

  • Case Managers – maximum of 1.0 clock hours
  • Certified Health Education Specialists – maximum of 1.0 contact hours
  • Nurse Practitioners – maximum of 1.0 contact hours
  • Registered Nurses – maximum of 1.0 contact hours
  • Pharmacists – maximum of 1.0 contact hours
  • Physicians – maximum of 1.0 AMA PRA Category 1 Credit(s)
    • & MOC Part II CME Activity
      • Family Medicine

Faculty & Credentials

Karen Schoelles, MD, SM, FACP
Evidence-based Practice Center (EPC) Director at the ECRI Institute

Dr. Karen Schoelles is the Evidence-based Practice Center (EPC) Director at the ECRI Institute. Dr. Schoelles is responsible for assuring the clinical relevance of ECRI Institute's EPC projects and Health Technology Assessment Group's work products. She is also the Project Director for the AHRQ Healthcare Horizon Scanning System.

Dr. Schoelles has over 20 years of clinical experience in internal medicine, with particular expertise in geriatrics. A clinical instructor at Harvard Medical School for 9 years, Dr. Schoelles has lectured to diverse audiences on geriatric assessment, preventive health measures in the elderly, and primary care of the older patient. She participated in the development of a geriatric assessment tool for use by primary care physicians at Harvard Pilgrim Health Care, and developed a clinical program within which a model of geriatric care was developed and evaluated at Hebrew Rehabilitation Center for Aged.

Dr. Schoelles has held professional and clinical positions at numerous hospitals and health care organizations in the Boston area. For 7 years she was both the Associate Director of the Internal Medicine Residency Program and the Director of the Ambulatory Care Clinic at Salem Hospital. She subsequently entered private practice as a solo practitioner, caring for over 1,400 Medicare patients in their homes, in the office, in an acute care hospital, and in long-term care facilities. Dr. Schoelles later joined Harvard Community Health Plan as an internist at the Wellesley Center, served as an attending physician at Brigham and Women's Hospital, and helped to form the extended care facilities program for Harvard Pilgrim Health Care and Harvard Vanguard Medical Associates. While pursuing education in health policy at Harvard School of Public Health, Dr. Schoelles led systematic review projects at MetaWorks, Inc., in Medford, MA. As Associate Medical Director at MetaWorks, Inc., Dr. Schoelles served as the principal investigator on numerous systematic review projects concerning topics such as bladder management following spinal cord injury, impact of bariatric surgery on obesity-related conditions, satisfaction with treatment among individuals with diabetes, and the efficacy and safety of recombinant human growth hormone for HIV wasting.


Physician Continuing Medical Education
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and Hayes, Inc. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Postgraduate Institute for Medicine designates this activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Pharmacist Continuing Education
Postgraduate Institute for Medicine is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Postgraduate Institute for Medicine designates this continuing education activity for 1.0 contact hour(s) (0.1 CEUs) of the Accreditation Council for Pharmacy Education. (Universal Activity Number - 0809-9999-15-163-H01-P) Type of Activity: Knowledge 

Nursing Continuing Education
This educational activity for 1.0 contact hours is provided by Postgraduate Institute for Medicine. Designated for 0.0 contact hours of pharmacotherapy credit for Advance Practice Registered Nurses.

Postgraduate Institute for Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Nurse Practitioner Continuing Education
Hayes, Inc. is approved as a provider of nurse practitioner continuing education by the American Association of Nurse Practitioners: AANP Provider Number 140928. This program has been approved for 1.0 contact hours of continuing education. This program was planned in accordance with AANP CE Standards and Policies and AANP Commercial Support Standards.

Certified Health Education Specialists Continuing Education
Sponsored by Hayes, Inc., a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.0 total Category I continuing education contact hours. Maximum entry-level continuing education contact hours available are 1.0.

Case Manager Continuing Education
This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers.

If you have questions about the presentation, please e-mail us at: Educationservices@hayesinc.com.


  • This educational activity has been funded by AHRQ.
  • There has been no outside commercial support for this activity.
  • Presenter(s) and planning committee members have no conflicts of interest, relevant financial relationships, or sponsorships to disclose.

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy.  PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

Criteria for successful completion 

  • Each participant must complete an evaluation and must successfully pass the posttest with a grade of 75% or higher to obtain the CE credit.
  • For Pharmacists: Upon receipt of the completed activity evaluation form, transcript information will be available at www.mycpemonitor.net within 4 weeks

Required Hardware/Software

AHRQ requires a modern web browser (Internet Explorer 7+, Mozilla Firefox, Apple Safari, Google Chrome). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, and Real Networks Real One Player.