In many states, a physician's assessment of competency to carry a concealed weapon is required before a permit is issued. In a survey of North Carolina physicians, the majority reported that they could not adequately assess patients' ability to safely use a concealed weapon. To the Editor: Every U.S. state allows people to carry concealed weapons within certain limits and after varied approval processes.1,2 Although many states require physician participation to help determine competency, it is not known whether physicians are capable of assessing a patient's competence to carry a concealed weapon.3 We designed a survey to assess physician attitudes, beliefs, and behaviors with regard to concealed weapons. Physician attitudes were assessed on the basis of itemized responses to questions in four categories; their answers ranged from “strongly agree” to “strongly disagree.” Respondents disclosed information on demographics, practice type, and gun ownership. The . . .