10 A 2014 baseline needs assessment survey of University of Michigan pediatric residents found <20% always asked about firearms. Here, we describe a web-based asynchronous curriculum that includes firearm injury epidemiology, safe storage, and injury prevention counseling to improve residents’ ability to provide firearm safety anticipatory guidance during WCEs.Ĭurriculum development utilized an adapted-Kerns approach. Many suburban residency programs have less exposure to pediatric firearm violence/injury, and residents may benefit from more comprehensive training. 8 One previously published curriculum has been developed/tested 9 however, this was implemented in an urban residency program where baseline knowledge was high. 7 Many programs do not provide this training. There is a need to develop comprehensive firearm injury prevention education for residents. 6 Pediatricians with higher perceived self-efficacy in discussing such techniques are more likely to discuss these topics with families. 5 Screening/counseling barriers include time constraints, concerns about effectiveness of screening/counseling, and inadequate training in counseling methods and technical aspects of firearm injury prevention (i.e., storage/locking mechanisms). While brief physician-counseling interventions can increase safe storage practices, 4 a minority of pediatricians regularly counsel on safe firearm storage/temporary removal during high-risk periods at well-child visits (WCEs) (23% and 16%, respectively). 2 The American Academy of Pediatrics encourages physician counseling on firearm safe storage as an effective injury prevention measure. 1 One in three US households contains at least one firearm and among these households with children, ~20% store firearms unsafely, increasing risk for firearm injury. Firearms are the second leading cause of death among children and adolescents.
0 kommentar(er)
