They're looking for the wrong smoking gun, this research suggests.
Pediatricians are much more likely to ask about functional smoke alarms than about household gun safety, according to a new research letter published in the journal JAMA Pediatrics. What’s more, pediatric residents become increasingly less likely to inquire about gun safety following a mass shooting, researchers found.
The second leading cause of death among U.S. children and teens aged 1 to 19 in 2016 was gun-related injuries, coming in behind motor-vehicle crashes, according to 2018 research published in the New England Journal of Medicine. In the present study, Stipelman and her co-authors analyzed data from 16,576 regular pediatric visits involving 77 pediatric residents and 26 faculty members from January 2017 through June 2018, a stretch of time that included the deadly Oct. 1, 2017 Las Vegas music-festival shooting and Feb. 14, 2018 Parkland, Fla., school shooting. They supplemented the screening with safety questions about working smoke alarms and gun storage.
Stipelman’s interpretation as to why her team found this pattern among residents rather than faculty: “With more experience, doctors learn how to continue to function professionally in the context of a traumatic event.” A younger, less experienced doctor may be more sensitive to a recent trauma, she added, and be more likely to give in to the instinct to avoid.
But medical school doesn’t prepare doctors-in-training to ask about guns in a non-intrusive way, Stipelman said, nor does it equip them with practical knowledge of gun-locking devices that they could pass along to gun-owning parents. “We need to develop curricula to teach them,” she said.
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