The purpose of this study was to identify family physicians' firearm s
afety counseling beliefs and behaviors. A survey was mailed to a rando
m sample of 600 members of the American Academy of Family Physicians.
A three wave mailing technique was used to maximize the response rate
and yielded 271 usable surveys (55% response rate). Outcome measures i
ncluded training experience in firearm safety counseling, the prevalen
ce of firearm safety counseling by family physicians, and their percep
tions regarding such counseling. The majority (78%) of family physicia
ns lacked formal training on how to counsel patients about firearm saf
ety and 49% believed more time should be spent in residency programs o
n firearm safety counseling. The majority (84%) of respondents never o
r rarely counseled patients on firearm safety and 50% believed firearm
safety counseling should be a low priority in their delivery of prima
ry care. The majority of respondents did not regularly counsel patient
s about firearm safety, did not believe firearm safety counseling shou
ld be a priority, and did not believe firearm safety counseling would
be effective in reducing firearm-related trauma.