前线医生：了解在经历大规模枪击事件的社区工作的医生的生活体验。
Physicians on the Frontlines: Understanding the Lived Experience of Physicians Working in Communities That Experienced a Mass Casualty Shooting.
机构信息
Kathleen M. O'Neill, M.D., is a general surgery resident at Yale New Haven Hospital. She is currently completing a Ph.D. at the Yale Graduate School of Arts and Sciences in New Haven, CT through the Investigative Medicine Program. She received her BA from Columbia University (2008) in New York City, NY and her M.D. from University of Pennsylvania (2015) in Philadelphia, PA. Blake N. Shultz 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. 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 fourth-year medical student at Yale School of Medicine and a first-year law student at Yale Law School in New Haven, CT. She received her B.A. from University of Pennsylvania (2016) in Philadelphia, PA. 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). 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. Edouard Coupet, Jr., M.D., M.S., is a National Institute of Drug Abuse (NIDA)-sponsored Yale Drug Use, Addiction, and HIV Scholar (DARHS) and Assistant Professor in Emergency Medicine at Yale New Haven Hospital. He received his M.D. from the University of Chicago Pritzker School of Medicine (2012). He received his Master's in Health Policy Research at the University of Pennsylvania Perelman School of Medicine (2018).
出版信息
J Law Med Ethics. 2020 Dec;48(4_suppl):55-66. doi: 10.1177/1073110520979402.
This qualitative study describes the lived experience of physicians who work in communities that have experienced a public mass shooting. Semi-structured interviews were conducted with seventeen physicians involved in eight separate mass casualty shooting incidents in the United States. Four major themes emerged from constant comparative analysis: (1) The psychological toll on physicians: "I wonder if I'm broken"; (2) the importance of and need for mass casualty shooting preparedness: "[We need to] recognize this as a public health concern and train physicians to manage it"; (3) massive media attention: "The media onslaught was unbelievable"; and (4) commitment to advocacy for a public health approach to firearm violence: "I want to do whatever I can to prevent some of these terrible events."
这项定性研究描述了在经历过公共大规模枪击事件的社区中工作的医生的生活体验。对美国八起单独的大规模人员伤亡枪击事件中涉及的 17 名医生进行了半结构化访谈。通过不断的比较分析，出现了四个主要主题：（1）医生的心理创伤：“我想知道我是否已经破碎了”；（2）大规模人员伤亡枪击事件准备的重要性和必要性：“[我们需要]将其视为公共卫生问题，并培训医生来管理它”；（3）大量媒体关注：“媒体的冲击令人难以置信”；以及（4）倡导采用公共卫生方法来解决枪支暴力问题的承诺：“我想尽我所能来防止发生这些可怕的事件。”
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