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The Journal of the American Osteopathic Association April 2013 | Vol 113 | No. 4 activity, and obesity. When you combine the resulting epidemic of chronic diseases with the aging of the US population, it is easy to appreciate the challenges that our health care system will be facing in coming decades. So what does this mean for osteopathic medical education? What can be done to ameliorate the effect of these predictions? What should our educational system be doing to prepare for these circumstances? The rising tide of older patients truly is a new and potentially profession-altering challenge for osteopathic medicine. However, it is not something that has been ignored. The curricula of osteopathic medical schools have been changing to address these developments.3-5 It has never been the expectation that provision of health care to older patients will be relegated to geriatric specialists, who have either pursued residency, fellowship training, or both to achieve these skills, or who have focused their practices along these lines. Today, although the value of geriatric training is recognized, the reality is that all physicians—and other health professionals—need to be trained in providing team-based health care to older patients. In 2011, I drew the following conclusions from the aforementioned trends in health care for the US older adult population, and I believe that they still hold true6:

A Rising Tide of Older Patients: Preparing Future DOs