Clinical trial NCT06241937: Medical Student Firearm Safety Counseling Follow-Up Study
Official title: A Prospective, Longitudinal Study of a Revised Firearm Safety Curriculum for Pre-Clinical Medical Students
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Medical Student Knowledge of Firearm Violence Epidemiology
Medical Student Knowledge About Firearm Safety Procedures
Medical Student-initiated Clinical Firearm Safety Counseling
Keywords: Firearm
Firearm Safety Counseling
Suicide Prevention
Medical Education
Lead sponsor: University of California, Los Angeles
Sponsor class: OTHER
Collaborators: name: University of California, Davis
First posted: 2024-02-05
Enrollment: 176
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Survey responses and student performances during the simulated patient encounter for members of the DGSOM Class of 2027 who consent to study participation will be compared with those of the students in the DGSOM Classes of 2023 and 2024 in the investigators' previous study of firearm safety counseling training, who consented to the future use of their study data (ClinicalTrials.Gov ID: NCT05242627). Surveys and simulated patient encounter scenario will be identical in both studies, to allow for optimal comparison to the historical controls.
Primary purpose: OTHER

Brief summary: The preclinical curriculum related to firearm violence and safety counseling at the UCLA David Geffen School of Medicine (DGSOM) has been expanded for the Class of 2027, informed by the results and conclusions of an initial study of firearm safety counseling by medical students (ClinicalTrials.gov ID: NCT05242627), which was conducted by the present study team. The 1-hour firearm safety counseling training session used in that study will be taught again to first-year medical students in the Class of 2027, but training will be augmented with additional instruction; the Class will receive additional comprehensive instruction on suicide risk assessment and will participate in small group breakout sessions, to facilitate the opportunity for students to discuss issues related to firearm violence as a public health issue and to practice firearm safety counseling with standardized patient actors (SPs). Assessment of access to firearms and firearm safety counseling will be added as a standard component of the Social History that students are taught to obtain from patients during clinical examinations. The goal of the expanded training is to increase the prevalence of medical student counseling when they are conducting a history and physical examination in a simulated patient encounter with an SP 6 months after the initial training session, when compared to results from the initial study. The scenario provided to the SP will be identical to that used in the initial study and is a situation in which firearm safety counseling is warranted.

Students will participate in a survey to ascertain their knowledge of firearm violence and their attitudes about physician counseling about firearm safety, prior to formal instruction. Informed consent will be obtained from students to use their responses in educational research. Following the didactic and small group sessions, students will be asked to complete a post-training survey that is similar to the original survey, as a means of assessing knowledge gained and any change in attitudes about physician counseling. The simulated patient encounter will occur approximately 6 months later, after which students will complete another survey to determine retention of knowledge and their experience during the simulated patient encounter. Students will not be told before the encounter that they will be evaluated regarding firearm safety counseling. The SP will identify which students did and did not raise the issue of firearm safety. Videos recorded of each students' sessions (routinely obtained for grading purposes) will be viewed by investigators for those students who provide informed consent, to determine the quality of counseling, if it was conducted.

Results from this follow-up study will be compared to the results of the initial study as a historical control, to determine whether augmentation of firearm safety counseling training above a 1-hour didactic session increases firearm safety counseling by medical students in a clinical setting and whether it improves retention of knowledge about firearm violence.


Eligibility criteria: Eligibility Criteria is limited to being a member of the DGSOM Class of 2027.

Primary outcomes:
measure: Prevalence of medical student screening for access to firearms and counselling about firearm safety.
timeFrame: 1 Day
measure: Medical Student Knowledge about Firearm violence and Attitudes about Physician Counseling.
timeFrame: 6 months
measure: Firearm Safety Counseling
timeFrame: 1 Day
Secondary outcomes:
Other outcomes:
Locations:
city: Los Angeles
country: United States
facility: David Geffen School of Medicine at UCLA
state: California
Study officials:
References: