TY - JOUR
PY - 2023//
TI - A resident-led firearm curriculum for pediatrics residents improves safe storage counseling
JO - Journal of pediatrics
A1 - Hollon, Hannah
A1 - Thacker, Leroy
A1 - Wolf, Elizabeth
A1 - Dinov, Darina
A1 - Risney, Scott
A1 - Kamdar, Heemali
A1 - Ferrante, Christopher
A1 - Ryan, Michael S.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: To develop and implement a resident-led firearm safety curriculum delivered to pediatrics residents and evaluate outcomes STUDY DESIGN: A firearm safety curriculum was developed in 2019 - 2020 at a single academic center, using Kern's framework and cognitive load theory. The curriculum was organized using the "Be SMART" firearm safety model. Sessions were led by resident peers. The content included workshops on firearm safety counseling, advocacy training, and a gun lock program in collaboration with the local police department. Content was integrated into existing residency didactic curriculum. Impact was measured by a pre/post-test knowledge assessment and a systematic chart review.
RESULTS: The curriculum was provided to 41/66 (62%) pediatrics residents. Knowledge improved (67% to 77% correct) when comparing pre- with post-intervention. A total of 1,477 charts were reviewed. Compared with a historical cohort, participants more often asked about presence of a firearm (27% vs. 69%, p <.0001) and counseled on firearm safety (9% vs. 25%, p <.0001). In the post-intervention group, 25% of eligible families were provided a gun lock.
CONCLUSIONS: A firearm safety curriculum designed by pediatrics residents and administered to their peers resulted in a statistically significant improvement in inquiries about firearm ownership and safety counseling in an urban tertiary care continuity clinic. These results demonstrate the promising outcomes of a firearm safety program developed by residents and delivered to peers.
Language: en
LA - en SN - 0022-3476 UR - http://dx.doi.org/10.1016/j.jpeds.2023.113680 ID - ref1 ER -