Renee Butkus, BA; Robert Doherty, BA; Sue S. Bornstein, MD; for the Health and Public Policy Committee of the American College of Physicians *
Financial Support: Financial support for the development of this position paper came exclusively from the ACP operating budget.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-1530.
Corresponding Author: Renee Butkus, BA, American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001.
Current Author Addresses: Ms. Butkus and Mr. Doherty: American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001.
Dr. Bornstein: Texas Medical Home Initiative, 3111 Beverly Drive, Dallas, TX 75205.
Author Contributions: Conception and design: R. Butkus, R. Doherty, J.D. Lenchus, J. Quinton.
Analysis and interpretation of the data: R. Butkus, R. Doherty, J.K. Carney, T.L. Henry.
Drafting of the article: R. Butkus, R. Doherty, J. Quinton.
Critical revision of the article for important intellectual content: R. Butkus, R. Doherty, S.S. Bornstein, J.K. Carney, T. Cooney, L. Engel, H.E. Gantzer, T.L. Henry, J.D. Lenchus, B.M. McCandless, J. Quinton, M. Southworth, M.A. Wallace.
Final approval of the article: R. Butkus, R. Doherty, S.S. Bornstein, J.K. Carney, T. Cooney, L. Engel, H.E. Gantzer, T.L. Henry, J.D. Lenchus, B.M. McCandless, J. Quinton, M. Southworth, A. Valdrighi, M.A. Wallace.
Collection and assembly of data: R. Butkus, T.L. Henry.
For more than 20 years, the American College of Physicians (ACP) has advocated for the need to address firearm-related injuries and deaths in the United States. Yet, firearm violence continues to be a public health crisis that requires the nation's immediate attention. The policy recommendations in this paper build on, strengthen, and expand current ACP policies approved by the Board of Regents in April 2014, based on analysis of approaches that the evidence suggests will be effective in reducing deaths and injuries from firearm-related violence.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Paul Franke MD
November 1, 2018
While I strongly support the process of developing policy positions by the ACP, I am very disappointed that the current recommendation on firearm safety does not advocate for the use of “smart gun” technologies. As physicians, we do have the ability to reduce the number of accidental firearm related morbidity and mortality through policy recommendations and in our actual clinical practice. How could we not embrace technology that prevents accidental discharge of a firearm by family members, especially children?These commercially available technologies do not infringe on second amendment rights, and obviates the consistent failures of firearm owners to secure firearms. We need bold solutions to this horrific problem, not more “thoughts and prayers”. Please reconsider adding this recommendation to our policy statement.
Eric J Buenz
Nelson Marlborough Institute of Technology
November 18, 2018
The United States can learn from New Zealand’s proactive gun ownership model
I emigrated from the United States to New Zealand. As my family eats only self-harvested meat and my medical research involves shooting animals (1, 2), I have owned firearms in both countries. The suggestions by Butkus et al (3) to reduce gun violence are welcome, however developing specific policies could be challenging. Perhaps there is a more straightforward route to achieve the same goals through emulating the New Zealand firearms ownership system (4).Obtaining a firearms license in New Zealand requires passing a firearm safety test, a police interview of the applicant, a police interview of a close relative in a location separate from the applicant, a police interview of a self-nominated non-related individual, and inspection of two separate secure storage locations for firearms and bolts/ammunition. Once issued a license an individual can purchase firearms, ammunition and even sound suppressors—gun paraphernalia restricted in the US.After passing my New Zealand firearms test, I saw my instructor and asked about another participant in the course who could not grasp the essential elements of firearm safety, such as remembering to treat every gun as loaded. The instructor told me the other participant would never receive his firearms license in New Zealand because of the checks in place. I thought, “In the United States that individual could have simply walked into a gunshow and walked out armed.” 1. Buenz EJ, Parry GJ. Chronic Lead Intoxication From Eating Wild-Harvested Game. The American journal of medicine. 2018;131(5):e181-e4.2. Buenz EJ. Lead exposure through eating wild game. The American journal of medicine. 2016;129(5):457-8.3. Butkus R, Doherty R, Bornstein SS, Health, Public Policy Committee of the American College of P. Reducing Firearm Injuries and Deaths in the United States: A Position Paper From the American College of Physicians. Ann Intern Med. 2018.4. Government NZ. Arms Act 1983. In: Government NZ, ed. 1983 No 44. Auckland; 2017.
Jose S. Pulido
November 10, 2018
I think that the ACP was very valiant in its actions. We as physicians have a duty to keep people safe and healthy yet we have stayed quiet and cowering in the sidelines too long while people are maimed physically and/ or psychologically or they die. I find it similar to the history of physicians fighting cigarette smoking and the ravages of that. History proved us right then and I think that history will prove you right again. Thank you
Butkus R, Doherty R, Bornstein SS, for the Health and Public Policy Committee of the American College of Physicians. Reducing Firearm Injuries and Deaths in the United States: A Position Paper From the American College of Physicians. Ann Intern Med. ;169:704–707. doi: 10.7326/M18-1530
Download citation file:
Published: Ann Intern Med. 2018;169(10):704-707.
Published at www.annals.org on 30 October 2018
Results provided by:
Copyright © 2018 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use