Ohio's initiative in geriatric education shows that the federal government need not be the initiator in charting new directions. Diversity of medical education and practice can be an asset. The Ohio model provides a replicable means of transition and holds great promise for other states. (Author)

This paper describes the Portage County, Ohio community hospice program, emphasizing the linkages between family life specialists, health professionals, volunteers, and students. Hospice service is defined as a specialized, home-based program for the management of pain and other symptoms of terminal illness, with the family as the unit of care.…