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Comment & Response
January 2018

What Exactly Is an “SNF-ist?”—Reply

Author Affiliations
  • 1Cambia Palliative Care Center of Excellence, University of Washington, Seattle
  • 2Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island
JAMA Intern Med. 2018;178(1):154. doi:10.1001/jamainternmed.2017.7218

In Reply Gillespie and colleagues correctly note that health care providers who mostly practice in the nursing home may not necessarily have completed specialty training in geriatrics or care of persons in the nursing home setting. Our use of the term “SNF-ist”1 (ie, physicians, nurse practitioners, and physician assistants concentrating their practice in the nursing home or skilled nursing facility [SNF] setting) classified health care professionals exclusively based on their volume and site of practice. In our Research Letter,1 we do not make any assertions about SNF-ist level of training, board certification, or their quality of care.

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