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Consensus-Driven Priorities for Firearm Injury Education Among Medical Professionals
Abstract
Purpose: Firearm injury is a leading cause of morbidity and mortality in the United States. However, many medical professionals currently receive minimal or no education on firearm injury or its prevention. The authors sought to convene a diverse group of national experts in firearm injury epidemiology, injury prevention, and medical education to develop consensus on priorities to inform the creation of learning objectives and curricula for firearm injury education for medical professionals. Method: In 2019, the authors convened an advisory group that was geographically, demographically, and professionally diverse, composed of 33 clinicians, researchers, and educators from across the United States. They used the nominal group technique to achieve consensus on priorities for health professions education on firearm injury. The process involved an initial idea-generating phase, followed by a round-robin sharing of ideas and further idea generation, facilitated discussion and clarification, and the ranking of ideas to generate a prioritized list. Results: This report provides the first national consensus guidelines on firearm injury education for medical professionals. These priorities include a set of crosscutting, basic, and advanced learning objectives applicable to all contexts of firearm injury and all medical disciplines, specialties, and levels of training. They focus on 7 contextual categories that had previously been identified in the literature: 1 category of general priorities applicable to all contexts and 6 categories of specific contexts, including intimate partner violence, mass violence, officer-involved shootings, peer (nonpartner) violence, suicide, and unintentional injury. Conclusions: Robust, data- and consensus-driven priorities for health professions education on firearm injury create a pathway to clinician competence and self-efficacy. With an improved foundation for curriculum development and educational program-building, clinicians will be better informed to engage in a host of firearm injury prevention initiatives both at the bedside and in their communities.
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“Firearm fatalities increased by 34.9% from 2010 to 2020, [42] accounting for 400,000 deaths and 1.2 million emergency room visits.”
From A Moving Target: Firearm Deaths, Mental Health, and the Role of Physicians (2024) · cites this paper as [42]
In the citing paper
“However, few clinicians have received education on even basic firearm epidemiology, risk factors and prevention.”
From A Moving Target: Firearm Deaths, Mental Health, and the Role of Physicians (2024) · cites this paper as [42]
In the citing paper
“Initial national healthcare costs following firearm injury are estimates of over $700 million, followed by another $100 million related to readmissions within 6 months.”
From A Moving Target: Firearm Deaths, Mental Health, and the Role of Physicians (2024) · cites this paper as [42]
In the citing paper
“Many medical professional associations have identified firearm injury and death as a public health issue, and there is good evidence to support clinician involvement in firearm injury prevention [42, 43].”
From A Moving Target: Firearm Deaths, Mental Health, and the Role of Physicians (2024) · cites this paper as [42]
In the citing paper
“Evidence has shown that when a clinician engages in firearm safety discussions with patients, they are effective in improving families’ safe storage behaviors [42, 43].”
From A Moving Target: Firearm Deaths, Mental Health, and the Role of Physicians (2024) · cites this paper as [42]
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Cited by
A Moving Target: Firearm Deaths, Mental Health, and the Role of Physicians
Soliman, L., Baines-Waiz, O., Rozel, J. S., Blankenship, K., & Rachal, J. (2024) · Current Psychiatry Reports · doi:10.1007/s11920-024-01569-2 · Cited by 1
Self-citation
Metadata
- Authors
- Hoops, K., Fahimi, J., Khoeur, L., Studenmund, C., Barber, C., Barnhorst, A., Betz, M. E., Crifasi, C. K., Davis, J. A., Dewispelaere, W., Fisher, L., Howard, P. K., Ketterer, A., Marcolini, E., Nestadt, P. S., Rozel, J., Simonetti, J. A., Spitzer, S., Victoroff, M., Williams, B. H., Howley, L., & Ranney, M. L.
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-07-06
- Volume
- 97
- Issue
- 1
- Pages
- 93-104
- ISSN
- 1040-2446
- Cited by
- 35
- References
- 8
- Language
- en
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