Clinicians and Firearms 1.0: A Curriculum on Firearm Injury Prevention in Medical Practice

Friday, August 5, 2022, 12:00 AM - Sunday, November 2, 2025, 11:59 PM, On Demand

Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Department of Medicine at Stanford University School of Medicine.

Currently, in the United States, there are more guns than citizens. This fact, combined with some of the worlds least stringent firearms ownership laws, means that firearms often affect many aspects of American life, including traumatic injury and death caused by these weapons. The goals of this course are to give health care providers an understanding of the factors that contribute to firearms injuries and skills to prevent injuries in their patients. The course includes modules on 1) the epidemiology of firearms injury, 2) firearms and the injuries they produce and 3) actions providers can take to prevent firearms injury.

  Release Date: August 05, 2022
  Expiration Date:  November 02, 2024
  Estimated Time to Complete:  1.0 hour
  Registration Fee: Free

View revised course HERE. Click Begin (at the top) to learn more about how to enroll in the course. 

 

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

1. Describe the epidemiology and scope of firearm injuries and violence in the United States.
2. Identify common types of firearms and their uses in private ownership in the US.
3. Explain why and how a provider could address firearms safety concerns.
4. Identify strategies you can utilize to prevent firearm injury in your patients.
5. Discuss the laws regarding gun violence prevention relevant to physicians.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact [email protected].

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography

Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System (WISQARS). Centers for Disease Control and Prevention website. Accessed July 10, 2019. www.cdc.gov/injury/wisqars

Faiz Gani, MBBS and Joseph K. Canner, MHS. (2018). “Trends in the Incidence of and Charges Associated With Firearm-Related Injuries Among Pediatric Patients, 2006-2014”  JAMA Pediatrics

Parker K, Horowitz JM, Igielnik R, Oliphant B, Brown A. America’s complex relationship with guns: An in-depth look at the attitudes and experiences of U.S. adults. June 22, 2017. Pew Research Center’s Social & Democratic Trends Project. https:// pewrsr.ch/2txQZSP.

Centers for Disease Control and Prevention. All Victims Death Counts and Rates per 100, 000, 2010–2015 All Intents, Mechanism: Firearm, All Races, Both Sexes, All Ages. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; Web-based Injury Statistics Query and Reporting System (WISQARS) [dataset] https://www.cdc.gov/ncipc/wisqars

Centers for Disease Control and Prevention. About underlying cause of death, 1999-2016. December 2017. Accessed at http://wonder.cdc.gov/ucd-icd10.html on 17 January 2018.

Corinne A. Riddell, PhD; Sam Harper, PhD; Magdalena Cerda, PhD; and Jay S. Kaufman, PhD. (2018). “Comparison of Rates of Firearm and Nonfirearm Homicide and Suicide in Black and White Non-Hispanic Men, by U.S. State.” Annals of Internal Medicine.

Grinshteyn, Erin and Hemenway, David. “Violent Death Rates: The US Compared with Other High-income OECD Countries, 2010.” The American Journal of Medicine 129, no. 8 (2016): e141.

David Hemenway and Sara J. Solnick. (2015). “Children and Unintentional Firearm Death.” Injury Epidemiology. 

Bradley R. Herrin, Julie R. Gaither, John M. Leventhal, James Dodington. (2018). “Rural Versus Urban Hospitalizations for Firearm Injuries.” Pediatrics.

Scott R. Kegler, Linda L. Dahlberg, James A. Mercy. (2018). “Firearm Homicides and Suicides in Major Metropolitan Areas – United States, 2012-2013 and 2015-2016.” CDC. https://www.cdc.gov/mmwr/volumes/67/wr/mm6744a3.htm. 

“Morbidity and Mortality Weekly Report (MMWR).” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 26 July 2018, www.cdc.gov/mmwr/volumes/67/wr/mm6729a4.htm?s_cid=mm6729a4_w.

Miller, Matthew, et al. “Firearm storage practices and rates of unintentional firearm deaths in the United States.” Accident Analysis & Prevention 37.4 (2005): 661-667.

Parikh, Kavita, et al. “Pediatric firearm-related injuries in the United States.” Hospital pediatrics (2017): hpeds-2016.

Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. Economic trends in tobacco. Centers for Disease Control and Prevention website. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/economics/econ_facts/index.htm

U.S. Congress Joint Economic Committee. A State-by-State Examination of the Economic Costs of Gun Violence. https://www.jec.senate.gov/public/_cache/files/b2ee3158-aff4-4563-8c3b-0183ba4a8135/economic-costs-of-gun-violence.pdf. Published September 18, 2019. Accessed September 19, 2019. 

Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2016 (GBD 2016) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2017. Available from http://ghdx.healthdata.org/gbd-results-tool.

Alpers P, Picard M. United States – Gun Facts, Figures and the Law. Sydney School of Public Health, The University of Sydney, GunPolicy.org website. https://www.gunpolicy.org/firearms/region/united-states. Published January 29, 2019. Accessed July 16, 2019. 

Karp A. Civilian firearms holdings, 2017. In: Karp A. Estimating global civilian-held firearms numbers. Small Arms Survey. Published June 2018. Accessed November 30, 2019. 

U.S. Department of Justice. Bureau of Alcohol, Tobacco, and Firearms. ATF Guidebook – Importation and verification of firearms, ammunition, and implements of war. ATF website. https://www.atf.gov/firearms/docs/guide/atf-guidebook-importation-verification-firearms-ammunition-and-implements-war/download. Published April 26, 2018. Accessed July 16, 2019. 

Adapted from: Fackler ML. What’s wrong with the wound ballistics literature, and why. Wound Ballistics Rev 2001;5(1):37-47.

Adapted from: Tintinalli JE, Stapczynski JS, Ma OJ, Cline DM, Cydulka RK, Meckler GD. (Eds.) Tintinalli’s Emergency Medicine: A comprehensive study guide. 7th ed. New York, NY: McGraw-Hill Education; 2012. 

Adapted from: Parents Against Gun Violence. One caliber, many bullets. http://www.parentsagainstgunviolence.com/wp-content/uploads/2013/01/Bullet_SizesINFO4s.jpg. Published January 27, 2013. Accessed July 16, 2019. 

American College of Surgeons, The Committee on Trauma. Gun safety and your health: A proactive guide to protect you and those around you. https://www.facs.org/quality-programs/trauma/advocacy/ipc/firearm-injury. Published 2018. Accessed July 16, 2019.

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     Email: [email protected]

For CME general questions, please contact 
     Email: [email protected]

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Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education.

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity.