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Gause EL, Conrick K, Moore M, Rowhani-Rahbar A, Rivara FP. Survey of Washington Clinicians’ Willingness to Use and Preferences Related to Extreme Risk Protection Orders. Prev Med Rep 2022; 28:101883. [PMID: 35855924 PMCID: PMC9287355 DOI: 10.1016/j.pmedr.2022.101883] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 06/28/2022] [Accepted: 07/01/2022] [Indexed: 11/16/2022] Open
Affiliation(s)
- Emma L. Gause
- Firearm Injury and Policy Research Program, University of Washington, United States
- Corresponding author at: Box 359960, 325 Ninth Avenue, Seattle, WA 98104, United States.
| | - Kelsey Conrick
- Firearm Injury and Policy Research Program, University of Washington, United States
- School of Social Work, University of Washington, United States
| | - Megan Moore
- School of Social Work, University of Washington, United States
| | - Ali Rowhani-Rahbar
- Firearm Injury and Policy Research Program, University of Washington, United States
- Department of Epidemiology, University of Washington, United States
| | - Frederick P. Rivara
- Firearm Injury and Policy Research Program, University of Washington, United States
- Department of Epidemiology, University of Washington, United States
- Department of Pediatrics, University of Washington, United States
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Shultz BN, Tolchin B, Kraschel KL. The "Rules of the Road": Ethics, Firearms, and the Physician's "Lane". THE JOURNAL OF LAW, MEDICINE & ETHICS : A JOURNAL OF THE AMERICAN SOCIETY OF LAW, MEDICINE & ETHICS 2020; 48:142-145. [PMID: 33404307 DOI: 10.1177/1073110520979415] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Physicians play a critical role in preventing and treating firearm injury, although the scope of that role remains contentious and lacks systematic definition. This piece aims to utilize the fundamental principles of medical ethics to present a framework for physician involvement in firearm violence. Physicians' agency relationship with their patients creates ethical obligations grounded on three principles of medical ethics - patient autonomy, beneficence, and nonmaleficence. Taken together, they suggest that physicians ought to engage in clinical screening and treatment related to firearm violence. The principle of beneficence also applies more generally, but more weakly, to relations between physicians and society, creating nonobligatory moral ideals. Balanced against physicians' primary obligations to patient agency relationships, general beneficence suggests that physicians may engage in public advocacy to address gun violence, although they are not ethically obligated to do so. A fourth foundational principle - justice - requires that clinicians attempt to ensure that the benefits and burdens of healthcare are distributed fairly.
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Affiliation(s)
- Blake N Shultz
- Blake N. Shultz is a sixth-year medical student at Yale School of Medicine and a third-year law student at Yale Law School in New Haven, CT. He is also a fellow at the Solomon Center for Health Law and Policy at Yale Law School. He received his B.A. from Cornell University (2015) in Ithaca, NY. Benjamin Tolchin, M.D., M.S., is an Assistant Professor of Neurology at Yale School of Medicine and an Attending Physician at Yale New Haven Hospital and at the West Haven VA Medical Center. Katherine L. Kraschel, J.D., is the Executive Director of the Solomon Center for Health Law and Policy as well as a Lecturer in Law, Clinical Lecturer in Law, and Research Scholar in Law at Yale Law School. She received her J.D. from Harvard Law School, and her B.A. from Mount Holyoke College
| | - Benjamin Tolchin
- Blake N. Shultz is a sixth-year medical student at Yale School of Medicine and a third-year law student at Yale Law School in New Haven, CT. He is also a fellow at the Solomon Center for Health Law and Policy at Yale Law School. He received his B.A. from Cornell University (2015) in Ithaca, NY. Benjamin Tolchin, M.D., M.S., is an Assistant Professor of Neurology at Yale School of Medicine and an Attending Physician at Yale New Haven Hospital and at the West Haven VA Medical Center. Katherine L. Kraschel, J.D., is the Executive Director of the Solomon Center for Health Law and Policy as well as a Lecturer in Law, Clinical Lecturer in Law, and Research Scholar in Law at Yale Law School. She received her J.D. from Harvard Law School, and her B.A. from Mount Holyoke College
| | - Katherine L Kraschel
- Blake N. Shultz is a sixth-year medical student at Yale School of Medicine and a third-year law student at Yale Law School in New Haven, CT. He is also a fellow at the Solomon Center for Health Law and Policy at Yale Law School. He received his B.A. from Cornell University (2015) in Ithaca, NY. Benjamin Tolchin, M.D., M.S., is an Assistant Professor of Neurology at Yale School of Medicine and an Attending Physician at Yale New Haven Hospital and at the West Haven VA Medical Center. Katherine L. Kraschel, J.D., is the Executive Director of the Solomon Center for Health Law and Policy as well as a Lecturer in Law, Clinical Lecturer in Law, and Research Scholar in Law at Yale Law School. She received her J.D. from Harvard Law School, and her B.A. from Mount Holyoke College
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