Value of experience of general practice in geriatric medicine

This is a review of lessons learned during thirteen years in general practice and experience of caring for elderly patients in three different types of practice. Attitudes and relationships with general practitioners as a consultant geriatrician are described. There is comment on the future training of general practitioners in geriatric medicine, the value of prophylactic care and the use of geriatric clinics in health centres. The need is stressed for proper management of acute disease, the better use of drugs and of ancillary services and the correct handling of relatives. Death should be regarded as a positive and not a negative end to life.