Featured Research

from universities, journals, and other organizations

Should doctors be involved in the concealed-weapons permit process?

Date:
April 17, 2013
Source:
University of North Carolina School of Medicine
Summary:
Experts have discussed the medical, ethical, and legal concerns about physician involvement in concealed weapons permits. They argue that standards, protocols and new policies are needed for physicians to adequately assess a patient’s physical or mental competency in concealed-weapons permitting.

In the wake of recent mass shootings such as the one in Newtown, Conn., physicians are increasingly being called on to pass judgment in the permitting process on whether their patient is physically and mentally competent to safely have and use a concealed weapon.

But most physicians have no medical training in weapons or how to make a determination of competence to use a weapon, and there are few if any established standards in place to help guide them, according to a new perspective article in the New England Journal of Medicine. The article was written by Adam Goldstein, MD, MPH, of the University of North Carolina School of Medicine, with colleagues from UNC and Duke University.

"The Newtown and other mass shooting incidents have permanently changed the conversation regarding regulations and policies about gun ownership and gun violence in this country," said Goldstein, a professor in the UNC Department of Family Medicine. "This horrific event has raised significant questions as well for the medical community, particularly when we are now requested to assist law enforcement in assessing our patient's competency to carry or safely use a concealed weapon."

In their perspective article, Goldstein and colleagues urge that "moving forward, we must consider all of the ethical, legal and policy issues." This includes the development of a universally standard assessment of mental and physical competency for using concealed weapons, usually handguns, in this permitting process, medical training for physicians who are being called upon to make such assessments, the role of physician choice based on personal ethics in the participation of assessments, and the legal implications regarding current patient privacy laws and tort liability.

"When are patients with insomnia, seizures, prior strokes, severe arthritis, frequent alcohol use, chronic pain, depression and many other conditions competent for safely using concealed weapons? Reasonable physicians may disagree about competency in the absence of standards. Unfortunately, such decisions may be based on s personal view of gun ownership rather than safety standards" says Goldstein.

Further, "What happens if someone is granted a concealed-weapon permit based on limited medical and psychological background information and then goes out and kills or injures others, or even commits suicide? When physicians are asked and then sign off on permits, do they share in the responsibility and the liability when deaths occur?" asks Goldstein.

The current environment has brought up many questions about how to handle gun ownership and ultimately gun violence. "The United States has an obligation to protect its citizens from gun violence and to prevent whenever possible the increasing harm that comes from guns. Congress is wrestling with bipartisan solutions. The role of physicians is growing and important.

"Physicians will continue to have a role in concealed-weapons permitting processes and many other areas linked to gun violence and its prevention. Medical educators should examine curricula for teaching about guns and gun violence to students and physicians, and policy-makers should examine whether new restrictions should occur over the carrying of concealed weapons into all health care facilities," said Goldstein.

Co-authors of the article from UNC are Kathleen K. Barnhouse, MD and Anthony J. Viera, MD, MPH, both from the Department of Family Medicine. Co-authors from Duke University are James A. Tulsky, MD, from the School of Medicine, and Barak D. Richman, JD, PhD, from the School of Law.


Story Source:

The above story is based on materials provided by University of North Carolina School of Medicine. Note: Materials may be edited for content and length.


Journal Reference:

  1. Adam O. Goldstein, Kathleen K. Barnhouse, Anthony J. Viera, James A. Tulsky, Barak D. Richman. Assessing Competency for Concealed-Weapons Permits — The Physician's Role. New England Journal of Medicine, 2013; 130417140008006 DOI: 10.1056/NEJMp1302795

Cite This Page:

University of North Carolina School of Medicine. "Should doctors be involved in the concealed-weapons permit process?." ScienceDaily. ScienceDaily, 17 April 2013. <www.sciencedaily.com/releases/2013/04/130417185537.htm>.
University of North Carolina School of Medicine. (2013, April 17). Should doctors be involved in the concealed-weapons permit process?. ScienceDaily. Retrieved April 23, 2014 from www.sciencedaily.com/releases/2013/04/130417185537.htm
University of North Carolina School of Medicine. "Should doctors be involved in the concealed-weapons permit process?." ScienceDaily. www.sciencedaily.com/releases/2013/04/130417185537.htm (accessed April 23, 2014).

Share This



More Science & Society News

Wednesday, April 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

High Court to Hear Dispute of TV Over Internet

High Court to Hear Dispute of TV Over Internet

AP (Apr. 22, 2014) The future of Aereo, an online service that provides over-the-air TV channels, hinges on a battle with broadcasters that goes before the U.S. Supreme Court on Tuesday. (April 22) Video provided by AP
Powered by NewsLook.com
Is North Korea Planning Nuclear Test #4?

Is North Korea Planning Nuclear Test #4?

Newsy (Apr. 22, 2014) South Korean officials say North Korea is preparing to conduct another nuclear test, but is Pyongyang just bluffing this time? Video provided by Newsy
Powered by NewsLook.com
Iowa College Finds Beauty in Bulldogs

Iowa College Finds Beauty in Bulldogs

AP (Apr. 22, 2014) Drake University hosts 35th annual Beautiful Bulldog Contest. (April 21) Video provided by AP
Powered by NewsLook.com
Sorry, Guys, Only Women Can Make Their Voices Sound Sexier

Sorry, Guys, Only Women Can Make Their Voices Sound Sexier

Newsy (Apr. 21, 2014) According to researchers at Albright College, women have the ability to make their voices sound sexier, but men don't. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins