Reviews the present status of geriatrics in academic medicine and suggests that an understanding of academic medicine is needed in order to secure the institutionalization of geriatric medicine. Offers some predictions on the future of geriatric medicine. (JAC)

Focuses on the supports and impediments inherent in the provision of geriatric medical care by family physicians. Addresses providing a good educational program for medical students and residents who will be caring for the elderly and developing uniform access to quality care for the elderly, the community, and community institutions. (Author/ABB)

Summarizes recommendations of a subcommittee of the American Geriatrics Society's Education Committee concerning core competencies for physicians caring for older patients. Competencies are organized into those concerned with attitudes, knowledge (basic science and clinical), and skills. (DB)

Suggests alternatives to the medical education model for teaching geriatrics. Proposes geriatric learning that shows interdisciplinary care, stresses wellness over illness, and demonstrates examples of care, support, independence, and limited maintenance away from nursing homes and hospitals. (Author/ABB)

Suggests using the paradigm of qualitative research, consistent with the bio-psycho-social perspective, rather than the "rule out" decision-tree method of diagnosis for training in geriatrics. Argues that this paradigm would provide clinicians with the broadest picture of the presented problem. (Author/ABB)

Forces acting on medical education and compelling a reexamination of current approaches include cost containment, competition and price sensitivity, new technologies, the physician surplus, and a rapidly expanding, politically assertive aging population. (MSE)

The challenge of geriatric medicine in an era of limited resources is addressed. Focus is on containing the costs of health care in several neglected areas of geriatrics: stroke, long-term care, patient and family counseling, and death. (JMD)

Evidence is presented to support the development of the nursing home as a required clinical educational site. Analogies and differences between the nursing home and the hospital in medical education are explored as a means of understanding the potential and limits of the nursing home's role in medical education. (Author/MLW)