Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Gun violence and the limits of human performance

Anonymous
Physician
January 30, 2017
Share
Tweet
Share

So let’s step outside our traditional arguments when discussing the health care problem of gun violence in this country. We all know the entrenched opinions of both sides: The second amendment is inviolable vs. there are over 30,000 deaths from guns per year in this country, and why on earth does anyone need an assault weapon? But the city with the strictest gun laws, Chicago, has the most gun deaths, so clearly, based on this n of 1, gun laws do not work. Right? Confused? You should be.

Instead, let’s talk about the limits of human performance and how this should influence our policy on guns. To illustrate this point look no further than the African-American caregiver in Florida last summer who was lying next to his autistic patient, on his back with his hands up, telling the police in a clear and calm voice, “He (my patient) has a toy truck in his hands.”  Shortly thereafter, a highly trained officer, himself a member of a minority community in this country, shot the caregiver in the leg. To be sure there was some confusion introduced over the radio by his commanding officer. In a fraction of a second, in spite of all of his training, that officer made a mistake.

For those familiar with human the limits of human performance this outcome is expected and will happen predictably at a certain rate.

About 11 years ago, I was at a lecture on the very subject of human performance and how it relates to decision-making during Surgery. The lecturer was Manfred Mueller, a lead aviation safety officer at Lufthansa. His critical point: If you give a person a simple task, train them to do it, and have them repeat it, they will make a mistake every 5 minutes. If you give them a complex task and have them repeat it, they will make a mistake every 90 seconds. Add stress to that complex task, and they will make a mistake every 30 seconds. These are the limits of all humans.  Manfred Mueller and Lufthansa have repeated this experiment 4 times a year on all the highly trained pilots in their airline for decades, and the needle never moves!

I am not using the above scenario to pick sides in the blue vs. black lives matter debate. I do not condone that those police in Florida left a man, handcuffed and lying on the hot pavement for 20 minutes with a leg wound from which he could have exsanguinated. I am not saying bias had no role in the decision to shoot. I am simply pointing out that an officer, even with the best of training and the most conscientious decision-making will make an error at a set rate because he is engaged in a complex task, under significant stress. And mind you we are talking about individuals who are continually being trained for these complex, stressful scenarios.

Now knowing the data about the limits of human performance, can anyone really make a reasonable argument that the solution to crime and violence in this country is unfettered access to guns? If you accept the zetabytes of data on the limits of human performance, the answer is no.  Unleashing an armed population with zero or minimal training in complex, stressful scenarios involving weapons will result in a higher rate of errors than we are currently seeing with the police. And don’t think for a minute that having a weapon will serve as a deterrent to an armed criminal.  The data on that is overwhelming as well.  If you carry a weapon, the likelihood of getting in a gunfight goes up nearly 100 fold.

To be clear, this is not a screed arguing that we roll back the second amendment. That is a different debate. This is not a judgment on whether carrying a gun determines what kind of human being you are. This is simply a statement that if you carry a gun, and are in a situation where you may decide to use it you will be prone to a very high rate of error in the moment of decision. If you go under extensive training to mitigate that risk, you will still have a significant rate of making errors although at a lower rate. So ask yourself whether unleashing an army of untrained gun owners on our streets, in our universities is really the answer to crime in this country of if it is going to result in many more unnecessary deaths.

The author is an anonymous physician.

Image credit: Shutterstock.com

Prev

Medicine is not destroying your marriage

January 29, 2017 Kevin 2
…
Next

This is how doctors evolve

January 30, 2017 Kevin 1
…

Tagged as: Primary Care

Post navigation

< Previous Post
Medicine is not destroying your marriage
Next Post >
This is how doctors evolve

ADVERTISEMENT

More by Anonymous

  • When the white coats become gatekeepers: How a quiet cartel strangles America’s health

    Anonymous
  • Graduating from medical school without family: a story of strength and survival

    Anonymous
  • Why young doctors in South Korea feel broken before they even begin

    Anonymous

Related Posts

  • A physician’s personal experience with gun violence

    Farah Karipineni, MD, MPH
  • Gun violence in America is a national emergency

    Hussain Lalani, MD and Justin Lowenthal 
  • Fight gun violence with science

    Jamie Coleman, MD
  • It’s time to seriously study gun violence

    Michael B. Bagg
  • Approach the gun violence epidemic like we do with coronavirus

    Charles Nozicka, DO
  • Let’s share our stories about gun violence

    Barbara Meyer, MD, MPH

More in Physician

  • Why the heart of medicine is more than science

    Ryan Nadelson, MD
  • How Ukrainian doctors kept diabetes care alive during the war

    Dr. Daryna Bahriy
  • How women physicians can go from burnout to thriving

    Diane W. Shannon, MD, MPH
  • Why more doctors are choosing direct care over traditional health care

    Grace Torres-Hodges, DPM, MBA
  • How to handle chronically late patients in your medical practice

    Neil Baum, MD
  • How early meetings and after-hours events penalize physician-mothers

    Samira Jeimy, MD, PhD and Menaka Pai, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 10 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Gun violence and the limits of human performance
10 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...