TY - JOUR
T1 - Development and Implementation of a Novel Case-Based Gun Violence Prevention Training Program for First-Year Residents
AU - Rickert, Charles G.
AU - Felopulos, Gretchen
AU - Shoults, Benjamin
AU - Hathi, Sejal
AU - Scott-Vernaglia, Shannon E.
AU - Currier, Paul
AU - Masiakos, Peter T.
AU - Sacks, Chana A.
N1 - Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.
PY - 2022/10/1
Y1 - 2022/10/1
N2 - Problem Gun violence results in approximately 40,000 deaths in the United States each year, yet physicians rarely discuss gun access and firearm safety with patients. Lack of education about how to have these conversations is an important barrier, particularly among trainees. Approach A 2-part training curriculum was developed for first-year residents. It included (1) a didactic presentation outlining a framework to understand types of firearm-related violence, describing institutional resources, and reviewing strategies for approaching discussions about firearms with patients, and (2) interactive case scenarios, adjusted for clinical disciplines, with standardized patients. Before and after the training, participants completed surveys on the training's relevance, efficacy, and benefit. Standardized patients provided real-Time feedback to participants and completed assessments based on prespecified learning objectives. Outcomes In June-August 2019, 148 first-year residents in internal medicine (n = 74), general surgery (n = 12), emergency medicine (n = 15), pediatrics (n = 22), psychiatry (n = 16), and OB/GYN (n = 9) completed the training. Most (70%, n = 104) reported having no prior exposure to gun violence prevention education. Knowledge about available resources increased among participants from 3% (n = 5) pretraining to 97% (n = 143) post-Training. Awareness about relevant laws, such as Extreme Risk Protection Orders, and their appropriate use increased from 3% (n = 4) pretraining to 98% (n = 145) post-Training. Comfort discussing access to guns and gun safety with patients increased from a median of 5 pretraining to 8 post-Training (on a scale of 1-10, with higher scores indicating more comfort). Next Steps Delivery of a case-based gun violence prevention training program was effective and feasible in a single institution. Next steps include expanding the training to other learners (across undergraduate and graduate medical education) and institutions and assessing how the program changes practice over time.
AB - Problem Gun violence results in approximately 40,000 deaths in the United States each year, yet physicians rarely discuss gun access and firearm safety with patients. Lack of education about how to have these conversations is an important barrier, particularly among trainees. Approach A 2-part training curriculum was developed for first-year residents. It included (1) a didactic presentation outlining a framework to understand types of firearm-related violence, describing institutional resources, and reviewing strategies for approaching discussions about firearms with patients, and (2) interactive case scenarios, adjusted for clinical disciplines, with standardized patients. Before and after the training, participants completed surveys on the training's relevance, efficacy, and benefit. Standardized patients provided real-Time feedback to participants and completed assessments based on prespecified learning objectives. Outcomes In June-August 2019, 148 first-year residents in internal medicine (n = 74), general surgery (n = 12), emergency medicine (n = 15), pediatrics (n = 22), psychiatry (n = 16), and OB/GYN (n = 9) completed the training. Most (70%, n = 104) reported having no prior exposure to gun violence prevention education. Knowledge about available resources increased among participants from 3% (n = 5) pretraining to 97% (n = 143) post-Training. Awareness about relevant laws, such as Extreme Risk Protection Orders, and their appropriate use increased from 3% (n = 4) pretraining to 98% (n = 145) post-Training. Comfort discussing access to guns and gun safety with patients increased from a median of 5 pretraining to 8 post-Training (on a scale of 1-10, with higher scores indicating more comfort). Next Steps Delivery of a case-based gun violence prevention training program was effective and feasible in a single institution. Next steps include expanding the training to other learners (across undergraduate and graduate medical education) and institutions and assessing how the program changes practice over time.
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U2 - 10.1097/ACM.0000000000004656
DO - 10.1097/ACM.0000000000004656
M3 - Article
C2 - 35320125
AN - SCOPUS:85133608022
SN - 1040-2446
VL - 97
SP - 1479
EP - 1483
JO - Academic Medicine
JF - Academic Medicine
IS - 10
ER -