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I am sorry that Dr Portnoi misunderstands the intent of the teaching nursing home. I do not regard the "institutional setting (hospital and nursing home) as the most important site placements for teaching geriatrics to medical students and senior residents." I do regard it as essential that both ambulatory and institutional settings be available for teaching and research to advance our knowledge about the care of older patients.
Butler RN. Teaching Geriatrics-Reply. JAMA. 1981;246(23):2679. doi:10.1001/jama.1981.03320230012010