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November 24, 1989


Author Affiliations

Duke University Medical Center Durham, NC

Duke University Medical Center Durham, NC

JAMA. 1989;262(20):2834. doi:10.1001/jama.1989.03430200078019

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In Reply. —  We acknowledge Dr Young's corrections regarding the wording of our lead paragraph and apologize for any confusion we may have caused. However, in our statement regarding the significance of the certifying examination we did not necessarily refer to the actual certificate wording. Indeed, the latter uses the phrase added qualifications. We did use the term accreditation to refer to the fellowship programs. We intended no slight to family medicine, and we certainly acknowledge the important role this major specialty has played in the development of geriatrics in this country.We disagree with Dr Young's dissatisfaction with our use of the word specialty. We meant the word to imply a discipline in American medicine with an acknowledged (by both boards) unique body of knowledge, defined by the (accreditation council) training programs by which certification can be achieved. Though geriatrics may not be a "recognized independent" specialty by Dr