Emergency Physician Survey on Firearm Injury Prevention

Where Can We Improve?

David A. Farcy, MD; Nicole Doria, MD; Lisa Moreno-Walton, MD, MS, MSCR; Hannah Gordon, MD, MPH; Jesus Sánchez, PhD; Luigi X. Cubeddu, MD, PhD; Megan L. Ranney, MD, MPH


Western J Emerg Med. 2021;22(2):257-265. 

In This Article

Materials and Methods

A cross-sectional survey, adapted from the previously published American College of Surgeons' Committee on Trauma (ACS-COT),[23,24] was endorsed and distributed by the American Academy of Emergency Medicine (AAEM), the Resident Student Association (RSA/AAEM) and the US Council of Residency Directors in Emergency Medicine (CORD-EM). The questionnaire was sent via email and online newsletters to a convenience sample of ~6000 US resident and attending EPs using an online survey tool (SurveyMonkey, San Mateo, CA); the exact number of recipients is unknown, due to unknown overlap between survey lists. The survey opened on June 26, 2019 and remained open until August 31, 2019.

A consensus panel of experts in emergency medicine (EM) developed the survey items based on a 2017 survey from the ACS-COT.[23,24] The final survey is available in Appendix 1. All authors reviewed, tested, and edited multiple iterations of the survey prior to approving the final version. No identifiers were incorporated to ensure the privacy of the respondents, and no individuals were identified in the analysis or written results. No incentives were awarded for completion of the survey.

Descriptive statistics were expressed as the number of observations, percentages, means ± standard error of the mean (SEM), and 95% confidence intervals (CI). For ease of analysis and presentation, some questions with four or five category outcomes were collapsed into a dichotomous variable (e.g., "always or almost always" vs "neutral, rarely, never"; or "strongly agree or agree" vs "neutral, disagree, or strongly disagree"). We conducted chi-square tests of association to examine the association between reporting owning a gun or having a firearm in the home, and an array of study participants' characteristics, beliefs, knowledge, and attitudes. SPSS version 26 (IBM Corp., Armonk, New York) was used for statistical analysis.

The study was given exempt status by the Institutional Review Board at Mount Sinai Medical Center, Miami Beach, Florida. This research was conducted without grant funding or support from any public, commercial, or non-profit source.