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)

Discusses the Compression of Morbidity hypothesis, which maintains that the age of onset of significant disability may be moved upward by postponement of chronic illness. Objections to the thesis are examined, a series of qualitative and quantitative confusions are discussed, and predictions for the future offered. (Author/JAC)

To successfully practice geriatrics, one must keep up-to-date with rapidly evolving knowledge, recognize heterogeneity among older people, seek answers through longitudinal studies, and accept no symptoms nor loss of function as being simply old age. Functional loss must be the focus and thus rehabilitation is essential to good geriatric care.…

Notes that low Medicare reimbursement rates are already causing some mental health professionals to turn away elderly patients. Considers baby boomer cohort who, unlike elders today, have high rates of psychiatric illness and are more likely to seek mental health services. Projects increasing gap over next 25 years between need and availability of…

Debates the effect of relocation on elderly patients in a critique of an earlier study and a rebuttal by the original author. Questions whether patient mortality is related to the stress of moving or a simple function of age, health status, or choice. Additional evidence on relocation effects is needed. (JAC)

Outlines a framework for organizing discussions of quality of life for elderly persons with disabilities, reviews relevant empirical research, and develops a framework for understanding the different interpretations of quality of life as it is used in communication among health care providers, elderly patients, and their families. New models of…

Reviews a set of five studies reevaluating the "myth of relocation trauma" and supporting a no effect conclusion. Fallacies and sources of unreliability are discussed and general issues of relocation research are raised. The second article is a response to the first and defends the assertions made. (JAC)