To the Editor In their Research Letter published in a recent issue of JAMA Internal Medicine, Teno and colleagues1 present important new information on the extent of medical practice in US nursing homes (NHs). Teno and colleagues1 refer to clinicians who submit Medicare claims under nursing home codes as “SNF-ists.” This terminology could be misleading because the “ist” implies that these individuals possess a high degree of subspecialty training akin to organ-specific specialists (ie, cardiologists, gastroenterologists). An important distinction is that a practitioner is not trained to provide highly specialized care simply by virtue of practicing extensively in a single care setting.
Gillespie SM, Levy CR, Katz PR. What Exactly Is an “SNF-ist?”. JAMA Intern Med. 2018;178(1):153–154. doi:10.1001/jamainternmed.2017.7212
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