Sir.—I certainly enjoyed Dr Steven C. Burns' letter1 concerning Dr McAnarney's2 editorial comment on pediatricians and geriatricians. Never have I seen a clearer castigation of the present family practice training programs. Dr Burns claims that pediatricians should not become good geriatricians in two years, yet he fails to deplore the training of those family practitioners who spend four, or at most six, months in pediatric encounters in a family practice residency and then expect to care properly for children. Certainly, Dr Burns is not the only one who has recognized this deficiency in his or her training. Why do these inadequately trained physicians not rise up as a group and complain that they are not getting what is advertised?