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)

Training of direct care workers (DCWs) varies depending upon the setting in which they work and the state in which they are trained. Evidence points to the importance of adequate training as critical to DCW job satisfaction and reduction in turnover. Several approaches have been taken to enhance the training of DCWs with the objective that as job…