Blog

When I was welcomed into the medical community at the White Coat Ceremony on my first day of orientation at the New York University School of Medicine, a single piece of advice stood out and I remember it to this day: always listen to the nurses! It was some of the most sound professional guidance I’ve ever received, and I’ve followed it my entire career.

When President John F. Kennedy established Older Americans Month in 1963 there were just 17 million Americans over the age of 65. Today, that number is 54 million, and growing rapidly. Then as now, the needs of older Americans are too often not fully appreciated or acted upon.

To fulfill its vision to achieve the highest level of health and well-being and to eliminate disparities in health care quality and access for all they serve, the Centers for Medicare & Medicaid Services’ (CMS) supports a range of initiatives designed to provide equitable, cost-effective, and person-centered care. This vision is ambitious, but achievable if all within the extended care team – and the organizations that support them – collectively embrace initiatives that meet the medical and nonmedical needs of beneficiaries in cost-effective ways. 

Time has a special meaning in geriatrics, for both patients and the geriatricians like me that treat them. Older patients are focused on maintaining their function and independence so they can enjoy every day-week-month as happily and healthily as they can. Geriatricians know that to achieve those goals, we need time to connect with patients on both a personal and professional level. Doctors have traditionally been lucky to spend even 15 minutes with their patients — just enough time to cover the chief complaint and maybe some chronic disease basics.