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Understanding the Role of Law in Reducing Firearm Injury through Clinical Interventions
Blake N Shultz1, Carolyn T Lye1, Gail D'Onofrio1
1Blake N. Shultz is a sixth-year medical student at Yale School of Medicine and a third-year law student at Yale Law School, in New Haven, CT. He is also a fellow at the Solomon Center for Health Law and Policy at Yale Law School. He received his B.A. from Cornell University (2015) in Ithaca, NY. Carolyn T. Lye is a fifth-year medical student at Yale School of Medicine and a second-year law student at Yale Law School in New Haven, CT. She received her BA from University of Pennsylvania (2016) in Philadelphia, PA. Gail D'Onofrio, M.D., M.S., is Professor and Chair of Emergency Medicine at Yale School of Medicine and Professor in the School of Public Health. She is also the Chief of Emergency Services for Yale New Haven Hospital. Abbe R. Gluck, J.D., is Professor of Law and the Founding Faculty Director of the Solomon Center for Health Law and Policy at Yale Law School and Professor of Medicine at Yale School of Medicine. Jonathan Miller, J.D., is the former Chief of the Public Protection and Advocacy Bureau at the Office of the Massachusetts Attorney General. Katherine Kraschel, J.D., is the Executive Director of the Solomon Center for Health Law and Policy as well as a Lecturer in Law, Clinical Lecturer in Law, and Research Scholar in Law at Yale Law School. She received her JD from Harvard Law School, and her BA from Mount Holyoke College. Megan L. Ranney, M.D., M.P.H., is an Associate Professor Emergency Medicine at Alpert Medical School and Directof of the Center for Digital Health at Brown University. She is also Chief Research Officer for the American Foundation for Firearm Injury Reduction in Medicine (AFFIRM Research).
Physicians face legal barriers in firearm injury prevention. Understanding these firearm laws and regulations is crucial for effective patient counseling and injury mitigation strategies.
Area of Science:
- Public Health
- Medical Law
- Clinical Practice
Background:
- Firearm injury is a significant public health issue in the U.S.
- Physicians are positioned to play a role in firearm injury prevention.
- Existing laws and regulations complicate physician involvement.
Purpose of the Study:
- To examine the impact of laws and regulations on physician practice in firearm injury prevention.
- To illustrate challenges through clinical scenarios.
- To inform policy and education for healthcare providers.
Main Methods:
- Analysis of clinical scenarios.
- Discussion of legal and regulatory impacts on physician roles.
- Exploration of unintended consequences of firearm laws.
Main Results:
- Laws and regulations significantly affect physician practices like counseling and reporting.
- Physician ability to mitigate harm is constrained by legal frameworks.
- Unintended consequences arise from firearm injury prevention laws.
Conclusions:
- Physicians need enhanced education on firearm laws and injury prevention.
- Policymakers should involve healthcare providers in firearm policy development.
- Nuanced legal understanding is essential for effective clinical intervention.
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