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A Simulation-Based Prospective Cohort Study on Teaching Best Practices in Firearms Safety.

Andrew R Ketterer1, Jason J Lewis, Joshua C Ellis

  • 1From the Department of Emergency Medicine (A.R.K., J.J.L., J.C.E., M.M.H., E.A.U., N.M.D.), Beth Israel Deaconess Medical Center, Boston, MA, and Clinical Research Center (R.A.), Soroka University Medical Center, Ben-Gurion University of the Negev, Beersheba, Israel.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|July 24, 2020
PubMed
Summary

Medical students improved firearm safety skills after a simulation-based training on handling guns found in clinical settings. This intervention enhances provider safety and preparedness for firearm encounters in healthcare environments.

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Area of Science:

  • Medical Education
  • Public Health
  • Emergency Medicine

Background:

  • Gun violence is a critical public health issue in the U.S.
  • Healthcare providers face risks from firearms in the workplace.
  • There's a need for formal training on firearm safety for medical professionals.

Purpose of the Study:

  • To evaluate a simulation-based educational intervention for medical students on safe firearm handling.
  • To assess the impact of training on students' ability to manage firearms encountered in clinical settings.

Main Methods:

  • Prospective cohort pilot study involving third- and fourth-year medical students.
  • Simulation-based training included pre- and post-intervention assessments of firearm removal skills.
  • An 8-item checklist evaluated critical actions in safe firearm handling.

Main Results:

  • Significant improvement in median checklist scores from pre-intervention (5) to post-intervention (7) (P < 0.001).
  • Students demonstrated enhanced performance in key safety steps, including safe firearm handling and removal from patient areas.
  • The intervention effectively improved critical actions related to firearm safety.

Conclusions:

  • This is the first educational intervention to formally teach safe firearm handling in clinical spaces.
  • The low-cost, transferable pilot project offers a model for training centers.
  • The training enhances preparedness for healthcare providers encountering firearms.