
Protecting Patients and Preventing Harm: ERPOs as a Clinical Tool
The Massachusetts Medical Society and Boston Medical Center are pleased to offer this educational program on Extreme Risk Protection Orders (ERPOs). Currently, there is no dedicated ERPO training in Massachusetts tailored to physician and clinician knowledge or the filing process. This program seeks to fill that gap by equipping licensed Massachusetts clinicians with the tools and information needed to use ERPOs as an immediate and effective means of preventing suicide, mass shootings, and other forms of gun violence.
In a staggering 32% of shootings in the United States where four or more people were killed, the shooter exhibited at least one warning sign beforehand. ERPO laws are designed to address precisely these scenarios by temporarily restricting access to firearms for individuals who may be in crisis or who have made threats of harm to themselves or others. This program emphasizes the critical role clinicians can play in identifying warning signs and filing ERPOs as a clinically informed, life-saving intervention.
This activity supports suicide prevention efforts and the broader prevention of firearm injuries by integrating ERPO education with suicide risk screening and clinical practice. Data from clinicians at a Massachusetts safety net hospital reveal a significant knowledge gap regarding the state’s ERPO laws, as well as uncertainty around when and how to file, and perceived barriers to the process. This training serves as a vital resource to help clinicians overcome those challenges, enhance their readiness, and increase the effective use of ERPOs in appropriate clinical scenarios.
Research Survey
This grant-funded initiative is supported by the Massachusetts Attorney General’s Office through the Public Health Models for Gun Violence Prevention Grant Program. As part of the program, participants will be asked to complete a short survey before and after the activity, as well as a follow-up surveys three months nad one year later. We kindly ask for your participation in all surveys—they take only a few minutes and are essential to helping us evaluate the impact of this effort and further improve ERPO education and implementation.
Target Audience
This activity is designed for physicians, physicians-in-training, and other health care leaders, professionals and students.
Learning Objectives
Upon completion of this activity, learners should be able to:
- Define what an Extreme Risk Protection Order (ERPO) is and describe the legal framework in Massachusetts.
- Describe ethical and legal considerations when engaging with ERPO-related cases.
- Identify and effectively communicate with patients and their families at risk of harming themselves or others with firearms.
- Help prevent potential firearm suicides, mass shootings, and other firearm-related events.
Disclosure of Support:
This project is supported by the Massachusetts Attorney General’s Office Public Health Models for Gun Violence Prevention Grant.
Format & Estimated Time to Complete: This activity features 1.25 hours of video recordings, resources, voluntary pre and post activity research surveys, and a brief activity evaluation.
Activity Evaluation: Completion of a brief activity evaluation is required to receive AMA PRA Category 1 Credit™.
Activity Term:
Original Release Date: September 22, 2025
Review Date(s): N/A
Termination Date: September 21, 2028
Activity Director/Faculty
Tracey A. Dechert, MD, FACS
Chair, Massachusetts Committee on Trauma
Chief of Acute Care and Trauma Surgery, Boston Medical Center
Associate Professor of Surgery, Boston University Chobanian & Avedisian School of Medicine
Tracey A. Dechert, MD, is Chief of Acute Care and Trauma Surgery at Boston Medical Center (BMC). She is also an associate professor of Surgery at the Boston University Chobanian & Avedisian School of Medicine. Appointed Chief in 2022, Dr. Dechert is the first woman to be named Surgical Trauma Chief at a Level 1 adult trauma center in Massachusetts. She is a graduate of Bloomsburg University in Bloomsburg, PA and Temple University School of Medicine in Philadelphia, PA. Dr. Dechert completed her residency in General Surgery at the Medical College of Virginia in Richmond, VA and her fellowship in the Department of Traumatology and Surgical Critical Care at the Hospital of the University of Pennsylvania in Philadelphia, PA.
Dr. Dechert’s research interests include injury prevention; health services research including social determinants of trauma, surgical equity and advocacy; and surgical education. In 2014, Dr. Dechert’s passions and interests led her to create Socially Responsible Surgery (SRS), an organization which identifies opportunities and fosters engagement in leadership, research and collaboration in the training, development and promotion of surgeons committed to surgical equity. The topic of surgical equity falls under a broader recognition that social responsibility and social accountability need increased attention in medicine. This includes equal access to surgical care, eliminating healthcare disparities and increasing patient advocacy. SRS is committed to their local community as well as advocating for change in underserved communities nationally and internationally. SRS also empowers medical students, residents, and faculty to combine their interest in surgery with this commitment. Since its founding, SRS has expanded to include chapters at institutions across the country.
Actors
Anne K. Buck, MS
Doctoral Candidate, Department of Health Law, Policy & Management, Boston University School of Public Health
Anne K. Buck, MS, is a doctoral candidate in the Department of Health Law, Policy & Management at the Boston University School of Public Health. Her research sits at the intersection of trauma surgery and social justice, with a focus on firearm injury prevention and gun policy at both the state and national levels. She serves as the Resident Advocacy Chair for the founding chapter of Socially Responsible Surgery at Boston Medical Center and is completing her dissertation on the expansion of Massachusetts’ red flag laws to include clinician petitioners—a project funded by the Massachusetts Attorney General’s Office. Anne earned her BA in Philosophy with a concentration in Bioethics from Georgia State University and her MS in Clinical Research from the BU Chobanian & Avedisian School of Medicine, where she is now the Academic Program Manager for the MSCR program and an instructor in research ethics.
Matthew S. Goldfinger, DO
Pediatric Neurologist, Boston Children's Hospital
Matthew S. Goldfinger, DO is a Child Neurologist at Boston Children's Hospital and Instructor at Harvard Medical School. He completed his pediatrics training in Texas and child neurology training in Boston. He now specializes in adult and pediatric behavioral neurology and brain-mind-body disorders. In addition to his medical career, Dr. Goldfinger is a stage actor and director, blending his clinical expertise with a passion for performance and communication.
Rajapillai Pillai, MD, PhD
Neurodevelopmental Disabilities Fellow, Boston Children's Hospital
Rajapillai (Raja) Pillai is in his final year of training in Neurodevelopmental Disabilities at Boston Children's Hospital. His clinical and research interests involve the intersection between neurologic and psychiatric illness in people with intellectual and developmental disabilities who have difficulty expressing themselves. He is the current chair of the Massachusetts Medical Society Committee on Violence Intervention and Prevention, having joined in 2021 with the goal of helping to address trauma in minimally verbal individuals.
Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Massachusetts Medical Society and Boston Medical Center. The Massachusetts Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
AMA Credit Designation Statement
The Massachusetts Medical Society designates this enduring material for a maximum of 1.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity meets the criteria of the Massachusetts Board of Registration in Medicine for risk management study.
National Commission on Certification of Physician Assistants (NCCPA)
Physician Assistants may claim a maximum of 1.25 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.
Available Credit
- 1.25 AMA PRA Category 1 Credit™
- 1.25 Risk Management
- 1.25 Participation
To participate in this CME activity:
(1) review the learning objectives, disclosure statement, and accreditation statements;
(2) navigate through all course pages and/or view video(s);
(3) complete exams/assessments and evaluation;
(4) be sure to CLAIM your credit; and
(5) view/print certificate.
If you need to stop in the middle of a course, you may return to the course at any time to finish.
Required Hardware/software
This platform works with most modern web browsers (e.g., Chrome, Internet Explorer, MS Edge, Safari).
A PDF reader, such as Adobe Acrobat Reader, will be required to participate in some courses.