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June 13, 1990

Medical Care in the Nursing Home

Author Affiliations

University of Alabama School of Primary Medical Care Huntsville

University of Alabama School of Primary Medical Care Huntsville

JAMA. 1990;263(22):3023. doi:10.1001/jama.1990.03440220045021

To the Editor.—  We were interested in the review entitled "Medical Care in the Nursing Home" by Dr Ouslander.1 He did a superb job in describing the problems and recommending solutions for the care of patients in our nursing homes. But we would like to take exception to his statement that "the majority of primary care physicians do not participate in the care of nursing home residents."2Our recent survey of all the graduates of the family practice residency at the University of Alabama in Huntsville/ Huntsville Hospital since 1976 showed that 75% made monthly visits to nursing homes, with an average of 16 patients seen per month. We believe that all students and residents who are interested in primary care should be exposed to nursing home patients during their educational process and that this approach should be added to Dr Ouslander's lists of strategies to improve medical