As the population rapidly ages, it is urgent that public and private sectors ditch working in silos to ensure continuity of care.

Generations Today, vol. 44, no. 3 (May-June 2023)
As the population rapidly ages, it is urgent that public and private sectors ditch working in silos to ensure continuity of care.
And it brings many unexpected and powerful human moments.
Stories from the field: One occupational medicine PA on getting people back to work, or not.
Decades in the field haven’t come close to dampening Dr. Freddi Segal-Gidan’s enthusiasm for her work as a PA/Gerontologist.
Lessons from the Louisiana Geriatrics Workforce Enhancement Program.
Details on what Geriatric Workforce Enhancement Programs really do.
Relying upon an intrinsic motivation to work with older adults will not be enough to attract more workers to this field.
Stories from the field: One nurse practitioner’s experience and why it’s so rewarding.
Duke University Health System is on a journey to create a more equitable culture.
Generations Today A bimonthly digital publication covering current trends and people impacting the field of aging through OpEds, feature articles, profiles, and first-person pieces.
Generations Today, vol. 44, no. 3 (May-June 2023)
Like freight trains heading in opposite directions on the same track, two giant forces in the United States are positioned for a head-on collision: the shortage of direct care and healthcare workers and the growing population of older adults who rely upon them for...
If I treat an 80-year-old congestive heart failure patient with a diuretic what is the risk in relation to renal function? What will the effect be in relation to stability and fall risk? What will the effect be in relation to continence? Can the person tolerate a...
I enjoy the older adult population much in the way one enjoys children. Instead of smiling at life anew, I smile at the life well-lived. When it comes to practicing medicine, I consider older adults as a different physiological stage—much in the way that children are...
People work with older adults for many reasons, some due to an influential grandparent, others a school role model. For Dr. Freddi Segal-Gidan, it's because she loved her first job as a nurse's aide in a nursing home. Using a less than delicate term, she said “it was...
Up to 13 million American adults ages 60 and older are living with a mild cognitive impairment. Older adults with MCI have a 10%-20% likelihood of developing Alzheimer's disease or related dementia (ADRD) over a one-year period. The problem is not only that these...
Along with the U.S. population rapidly aging during the next several decades, it also is becoming more racially and ethnically diverse. Considering the shortage in geriatricians and certified geriatric health professionals, the need for healthcare providers prepared...
Older adults often require a team to keep them healthy and well as they age. As older adults experience an increasing number of chronic conditions, care becomes more complex and the healthcare team expands, with a need to coordinate care across primary care clinicians...
I met Eleanor on her 95th birthday in her small, cluttered bungalow tucked away in the Castro district of San Francisco. The home had a few layers of dust and needed a good deep clean. But below the dust and behind the clutter the home told a story. Scattered on...
For all of us in healthcare, the journey toward equity, inclusion and belonging has never mattered more. According to The New England Journal of Medicine: “The murder of George Floyd on May 25, 2020, the killing of six Asian Americans in Atlanta, Georgia, on March 16,...