Utilization of Geriatric Consultation and Team-Based Care Joseph F. Sucher, MD a, *, Alicia J. Mangram, MD b , James K. Dzandu, PhD c INTRODUCTION Age is an issue of mind over matter. If you don’t mind, it doesn’t matter. —(anonymous government researcher c. 1968) The segment of the American population 65 years and older is expected to nearly double from 37 million people in 2005 to more than 70 million by 2030. 1 The effect is already seen with the percent of inpatient admissions for those older than 65 in the United States having increased “from 43% (2000) to 50% (2013) among all acute Disclosure: The authors have nothing to disclose. a Valley Surgical Clinics and Acute Care Surgical Specialists, HonorHealth Deer Valley Hospital, 19841 N 27th Avenue, MOB Suite 200, Phoenix, AZ 85027, USA; b Valley Surgical Clinics and Acute Care Surgical Specialists, HonorHealth John C Lincoln Hospital, 250 E. Dunlap, Phoenix, AZ 85250, USA; c HonorHealth John C Lincoln Hospital, 250 E. Dunlap, Phoenix, AZ 85250, USA * Corresponding author. E-mail address: Joseph.Suchermd@honorhealth.com KEYWORDS  Geriatric consultation services  Geriatric wards  Geriatric multidisciplinary teams  G60 trauma  Comprehensive geriatric assessment  Acute care for elderly  Geriatric evaluation and management KEY POINTS  People in the United States are living longer and, therefore, are at increased risk for adverse events in the acute care setting compared with their younger counterparts.  Elderly patients’ risk of adverse outcomes can be attenuated by early definitive, aggres- sive, and effective surgical strategies combined with a multidisciplinary team that is focused on the unique needs of the geriatric patient.  There are multiple models of assessment and delivery of care for geriatric surgical pa- tients. In this review of the literature, and in the authors’ unique experience with geriatric trauma care (G60 trauma), the authors believe that a surgeon leader working with a multi- disciplinary team provides optimal care with the greatest efficiency and utilization of resources. Clin Geriatr Med - (2018) -–- https://doi.org/10.1016/j.cger.2018.08.003 geriatric.theclinics.com 0749-0690/18/ª 2018 Elsevier Inc. All rights reserved.