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继续医学教育与枪支暴力咨询

Continuing Medical Education and Firearm Violence Counseling.

作者信息

Damari Nicole D, Ahluwalia Karan S, Viera Anthony J, Goldstein Adam O

机构信息

A professor in and the chair of the Department of Community and Family Medicine at Duke University School of Medicine in Durham, North Carolina, and an adjunct professor of public health leadership at the University of North Carolina Gillings School of Global Public Health.

A professor in the Department of Family Medicine and the director of departmental advancement at the University of North Carolina School of Medicine in Chapel Hill.

出版信息

AMA J Ethics. 2018 Jan 1;20(1):56-68. doi: 10.1001/journalofethics.2018.20.1.stas1-1801.

Abstract

Firearm violence is a significant and increasing cause of mortality. Although physicians view firearm counseling as their professional obligation, few engage in the practice. This study examines medical education and firearm counseling among physicians in North Carolina. While 65 percent of physicians reported knowing how to counsel patients about gun safety, only 25 percent reported having conversations with patients about firearms or firearm safety often or very often. Physicians reporting continuing medical education (CME) attendance on gun safety, however, were more likely to report providing patients with firearm safety counseling and asking patients with depression about firearms. Increasing availability of and physician participation in firearm violence prevention CME could significantly increase physicians' knowledge of and engagement in firearm counseling.

摘要

枪支暴力是一个日益严重的主要致死原因。尽管医生将枪支咨询视为他们的职业责任,但很少有人实际开展这项工作。本研究调查了北卡罗来纳州医生的医学教育和枪支咨询情况。虽然65%的医生表示知道如何就枪支安全向患者提供咨询,但只有25%的医生报告经常或非常频繁地与患者谈论枪支或枪支安全问题。然而,报告参加过关于枪支安全的继续医学教育(CME)的医生,更有可能报告为患者提供枪支安全咨询,并询问患有抑郁症的患者关于枪支的情况。增加枪支暴力预防CME的可获得性以及医生的参与度,可能会显著提高医生对枪支咨询的了解和参与度。

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