AFFIRM 2019 Highlights

AFFIRM: STRATEGIC PLAN

Mission

The collective will of medicine will solve the gun violence epidemic.

Values

Evidence must inform medical best practice and community based solutions. 

Purpose

A public health approach to solving firearm injury – regardless of legislation.

Value Proposition

AFFIRM objectively approaches firearm injury as a public health problem.

  1. Drive Research
  2. Develop Education
  3. Build Community

Strategic Objectives

  1. Fund Grants & Research
  2. Develop Relationships & Partners
  3. Educate & Train Health Professionals
  4. Organize a Volunteer Army

Grants Funded

In FY18, AFFIRM Research funded three research studies in firearm injury prevention.

Development of a Consensus-driven Educational Curriculum on Firearm Injury

Supported by: The American Foundation for Firearm Injury Reduction in Medicine (AFFIRM)

Recipients: Jahan Fahimi, MD, MPH, Associate Professor of Clinical Emergency Medicine, University of California, San Francisco; Katherine Hoops, MD, MPH, Assistant Professor of Pediatric Critical Care Medicine, Johns Hopkins Medicine

Description: This project brings together a multidisciplinary group of national experts on firearm injuries from within medicine and public health in order to identify educational and curricular priorities at all levels of medical education.

Notification of Award: February 2019

Project Period: March 15, 2019 – February 28, 2020 (one year)


Rural Emergency Department Firearm Assessment, Screening, and Treatment (FAST) Trial

Supported by: The American Foundation for Firearm Injury Reduction in Medicine (AFFIRM) and the Emergency Medicine Foundation (EMF)

Recipient: Henry Schwimmer BA, Medical Student, Emory University School of Medicine

Mentors: Lauren Hudak MD MPH, Jonathan Rupp PhD; Faculty, Emory University School of Medicine

Description: This phased survey and intervention-based research project will allow investigators to develop and expand effective screening tools as well as create tailored interventions to reduce risk among at-risk patients in rural emergency departments.

Notification of Award: June 2019

Project Period: July 2019 – June 2020 (one year)


Firearm Injuries and Recidivism at St. Louis Level I Trauma Hospitals

Supported by: The American Foundation for Firearm Injury Reduction in Medicine (AFFIRM) and the Emergency Medicine Foundation (EMF)

Recipient: Kristen Mueller MD, Assistant Professor, Department of Emergency Medicine, Washington University-St Louis

Description: This work will estimate the region-wide characteristics of patients with firearm injuries who present to level I trauma hospitals for acute medical care, and will delineate patients at highest risk for recidivism through development of novel predictive modeling of firearm injury recidivism.

Notification of Award: June 2019

Project Period: July 2019 – June 2021 (two years)

Grants Pending

AFFIRM Research has disseminated calls for proposals for the following three FY19 projects.

ACS-COT/AFFIRM Firearm Injury Prevention Clinical Scholar in Residence Program

Summary: Fully-funded two-year onsite fellowship program to provide a mentored research experience to support the career development of surgical investigators interested in injury prevention research and health policy.

Applicants: Open to applicants who have completed a minimum of 2 years of general surgical residency or have finished surgical residency. The applicant must be an Associate member of the American College of Surgeons and in good standing with the College. As the Clinical Scholars work closely with the ACS staff and need to complete coursework, it is required that the Clinical Scholar reside in Chicago for the duration of the fellowship.

Application deadline: December 15, 2019

Notification of appointment: February 3, 2020

Fellowship start date: July 1–August 1, 2020 (flexible; two year period)

More information & how to apply: https://www.facs.org/quality-programs/trauma/firearm-ip-clinical-scholar

EMF/AFFIRM/ENAF Faculty Research Award in Firearm Injury Research

Summary: One year (12-month) support to 1) facilitate innovative, high-quality research that can advance the evidence base on firearm injury prevention; 2) foster development of novel methods that can advance the state of research in this area; 3) support new partnerships between researchers in relevant disciplines; and 4) facilitate the academic growth and development of future leaders in firearm injury prevention research. 

Applicants: Emergency medicine physician/nurse Co-Principal Investigator (PI) team in a Department or Division of Emergency Medicine. The nurse co-principal investigator must be a current Emergency Nurses Association (ENA) member; not have served on the ENA Board of Directors, ENA Foundation Board of Trustees, or ENA Foundation grant review team in the immediate past three years.

Application Deadline: February 7, 2020

Notification of Award: June 2020

Funding Period: July 2020 – June 2021 (12 months)

Funding Amount Per Award: $75,000

More information & how to apply: https://www.emfoundation.org/globalassets/emf-affirm-ena-faculty-firearm-injury-grant.pdf 

EMF/EMRA/AFFIRM Mentored Research Award in Firearm Injury Research

Summary: One year (12-month) mentored grant to 1) facilitate innovative, high-quality research that can advance the evidence base on firearm injury prevention; 2) foster development of novel methods that can advance the state of research in this area; 3) support new partnerships between researchers in relevant disciplines; and 4) facilitate the academic growth and development of future leaders in firearm injury prevention research. 

Applicants: Resident in an ACGME-approved emergency medicine residency training program, a first-year EM graduate, or entering first year EM faculty member. 

Application Deadline: February 7, 2020

Notification of Award: June 2020

Funding Period: July 2020 – June 2021 (12 months)

Funding Amount Per Award: $12,000 ($10,000 for awardee, $2,000 for mentor)

More information & how to apply: https://www.emfoundation.org/globalassets/emf-emra-affirm-resident-firearm-injury-grant.pdf 

The Life and Legacy of Dr. Tamara O’Neal

Dr. Tamara O’Neal grew up in the small town of La Porte, Indiana. She came from humble beginnings and was the first in her family to become a physician. Her strongest desire was to be an Emergency Physician and give back to her community through mentorship, service, and inspiration. After graduating from the University of Illinois Chicago (UIC) Emergency Medicine residency program, she remained in Chicago to give back to the community and work with residents at Mercy Hospital on the Southside of Chicago. Dr. O’Neal was full of grit and advocated for diversity in medicine as well as the advancement of care for the most underserved patient populations. She touched many lives and was an inspiration for young women from all walks of life. On November 19th, 2018, Dr. O’Neal was shot and killed by her former fiance in the parking lot of the hospital where she worked. This tragedy will forever burn in our hearts as one of our dearest loved ones was taken in this manner. Although Tamara has passed on, her spirit and strength remain amongst all who had the fortune of knowing her. We know Tamara would not want to be remembered by the manner in which she died but in the manner that she lived; giving back to others at every opportunity. She would want us to channel our sorrow to invest it into building on her legacy to quell any future incidences of this tragedy of ever occurring again . She would want to make a meaningful impact in the lives of the thousands of women who are at risk of suffering at the hands of domestic violence who may have voices that are suppressed by fear.

The Dr. Tamara O’Neal Memorial Research Fund

Research shows us that intimate partner violence (domestic violence) kills 50 women each month. This is a statistical fact, but we know that it doesn’t have to be this way. Donations to the Dr. Tamara O’Neal Memorial Research Fund will go toward much-needed studies that address the intersectional issues of gun violence and intimate partner violence, especially as it affects people of color. We will honor her memory by understanding warning signs and developing evidence based methods that can aid effective policy to prevent this from happening again. The Tamara O’Neal Memorial Fund is to support underrepresented academic physicians and scientists who, like Dr. O’Neal, have chosen to dedicate their lives to supporting and enhancing communities of color.

Partner Organizations

Education & Outreach

In the last year, AFFIRM has published over 20 blog posts featuring unique perspective pieces and educational content on topics ranging from domestic violence, to spinal cord injuries, to what a massive transfusion protocol is used for. The range of topics covered is a testament to the breadth of experience AFFIRM supporters have with firearm injury prevention. Read them here on our website, and contact us if you are interested in contributing your voice. 

Monthly educational social media campaigns featuring a series of infographics were developed in 2019, and will be expanded upon in 2020. Various topics related to firearm injury were covered, including safe storage, suicide awareness, and domestic violence prevention. A resource center with downloadable content from these campaigns (and more) is currently in development. 

Events

In February 2019, AFFIRM held its first Retreat in Chicago, graciously hosted by our partner the American Medical Association. At this gathering of thought leaders, we discussed the AFFIRM strategic plan and efforts going forward.

Chair of the AFFIRM Research Council Dr. Emmy Betz hosted an AFFIRM Across America (AAA) event in Denver in conjunction with ACEP in October.

On December 9th, 2019 AFFIRM CEO Dr. Chris Barsotti led Reframe: Changing the Approach to Firearm Injuries in America at Berkshire Medical Center in Massachusetts, a community event to discuss suicide prevention for interested citizens, healthcare providers, police, teachers, social workers, service providers, faith-based community groups, community leaders, and leadership from the National Shooting Sports Foundation (NSSF). This event is the first of many to come! Contact us know if you are interested in holding one in your community, related to any topic related to firearm injury.

Media

  • Drs. Ranney and Betz authored a piece on how doctors can help prevent gun violence in the Harvard Business Review
  • AFFIRM was featured on CBS Sunday Morning in a segment called “Guns and public health: Applying preventive medicine to a national epidemic” that clearly articulated our mission. 
  • Dr. Ranney gave a TEDx Talk in Providence, RI on how the public health approach can solve gun violence. 
  • AFFIRM was featured in TIME Magazine, where we illuminated the harm and inaccuracy of blaming gun violence on mental illness. 
  • Dr. Ranney appeared in a live segment on Democracy Now about gun violence on mental illness as well.
  • Dr. Mitchell represented AFFIRM on MSNBC Morning Joe.

Affirm Members and Staff

Board of Directors

Michael J. Dell
Erin Reedy
Ronald M. Stewart, MD, FACS
Megan L. Ranney, MD, MPH, FACEP – Chief Research Officer
Christopher Barsotti, MD, FACEP, FAAEM – Chief Executive Officer
Douglas Younger III, MBA – Executive Director

Advisory Board

Nikita K. Joshi, MD – Director of Education
Tracy Hauver, MPH – Director of Public Health Outreach
Charlotte Lawson, MD – Chair of AFFIRM Across America
Stephanie Bonne, MD – Chair of the Speakers Bureau, representative to ACS, AMWA
Ameera Haamid, MD
Andrea Austin, MD
Arabia Mollette, MD, FACEP
Cheryl Wills, MD, DFAPA – representative to APA
Coy A. Flowers, MD, FACOG – representative to ACOG
Dara Kass, MD
David Rosmarin, MD
Dean Winslow, MD – representative to SAFE
Evie G. Marcolini, MD, FAAEM, FACEP – representative to AAEM
Fatimah Loren Muhammad, MS – representative to HAVI
Gita Pensa, MD
Harrison J. Alter, MS, MD
Iris Borowsky, MD, PhD – representative to AAP
Julie K. Wood, MD, MPH, FAAFP – representative to AAFP
Louise Wilson, MS, NCSN, RN, BSN – representative to NASN
Mighty Fine – representative to APHA
Patricia Kunz Howard, PhD, RN, CEN, CPEN, TCRN, NE-BC, FAEN, FAAN – representative to ENA
Regina Royan, MD, MPH – representative to EMRA
Robin Cogan, MEd, RN, NCSN
Ryan DesCamp, MD, MPH – representative to AAEM-RSA
Sarabeth Spitzer, MD – representative to SAFE
Sue Bornstein, MD, FACP – representative to ACP
Torree McGowan, MD, FACEP
Willie Underwood III, MD, MSc, MPH – representative to AMA

Research Council

Emmy Betz, MD, MPH – Chair, Research Council
Ali Rowhani-Rahbar, MD, MPH, PhD
Cynthia A. Singh, MS – representative to ACEP
Darren Taichman, MD, PhD – representative to Annals of Internal Medicine
Deborah A. Kuhls, MD, FACS, FCCM – representative to ACS
Eileen Bulger, MD, FACS – representative to ACS
Eric Goralnick, MD, MS – representative to MMS
Frederick P. Rivara, MD, MPH
Garth Walker, MD
Jill Harkavy-Friedman, PhD – representative to AFSP
Lynn Olson – representative to AAP
Matthew Miller, MD, MPH, ScD
Michael Anestis, PhD – representative to AAS
Patrick Carter, MD
Rochelle A. Dicker, MD – representative to ACS
Roger A. Mitchell Jr., MD – representative to NMA
Sandy McKay, MD
Steve Hargarten, MD, MPH
Thea James, MD

Staff & Volunteers

Anita Knopov, MD – Medical Resident Intern
Betty Czitrom – Public Health Intern
Kristen Morgan, MPH – Project Manager
Makini Chisolm-Straker, MD, MPH – Editor
Nick Gabinet – Editor
Taylor Goodstein, MD – Medical Resident Intern
Rosemary Burk, MA – Fellow
Gabby Mujal, MHA – Fellow
Hunter Bragg – Fellow
Samantha Palmieri – Fellow
Marcelo Palmieri – Fellow
Doug Alexander – Fellow
Gil Roberts – Fellow
Edwin Buechler – Fellow
TAKE A STAND. STAND AFFIRM

For information on joining our network, opportunities with AFFIRM, and all media inquiries, please connect with us via email, phone, or the contact form.

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