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Evolution of Geriatric Medicine: Midcareer Faculty Continuing the Dialogue

We read the article by Tinetti 1 and accompanying editorial by Kane and colleagues with great interest. During our careers as Geriatricians, these and other remarkable dedicated physicians drew us into this challenging field and continue to motivate us as clinicians, educators, mentors, and scientists. Close colleagues and friends for almost 2 decades since we met through the American Geriatrics Society (AGS) Junior Faculty Research Career Development Special Interest Group, the four of us meet at the annual meeting of the AGS, doggedly united in our hope that, when we retire, we will be able to say that the lives of older people have improved because of the work we did. So when Dr. Tinetti wrote ‘to stop whining’, it caught our attention and inspired us. James Macgregor Burns, a historian and a political scientist famously said: “Transformational leadership occurs when one or more persons engage with others in such a way that leaders and followers raise one another to higher levels of motivation and morality.” Motivated by Dr. Tinetti’s article and after many heartfelt e-mail and telephone conversations, we feel compelled to contribute our thoughts from “midcareer.” We agree with Dr. Tinetti that Geriatrics is a ‘metadiscipline’, we do not market ourselves well and Geriatricians are elite. However, we disagree with the notion that our field should be narrowed to be considered experts in multimorbidity and complex medicine.