An instrument designed to measure teacher job satisfaction was developed using randomly selected elementary, junior high school, and senior high school teachers in New York City, Nassau, Suffolk, and Westchester Counties. Factor analysis was undertaken as an exploratory technique to help discover underlying factors and as a psychometric procedure for the development and refinement of the instrument (TJSQ). A terminal nine-factor orthogonal varimax solution was accepted using the criterion of Eigenvalues greater than or equal to unity. The internal consistency of the instrument was calculated (coefficient alpha) for each scale and for the total score (.93).

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Objective: Geriatricians are skilled in the recognition of asymptomatic and atypical presentations that occur in the elderly and provide comprehensive medication management including recognizing adverse drug events, reducing polypharmacy, and de-prescribing. However, despite the increasing average age of the U.S. population, with the number of individuals above 65 years old predicted to increase 55% by 2030, the geriatric workforce capacity in the United States has actually decreased from 10,270 in 2000 to 8,502 in 2010. Method: We describe physiologic changes in older adults, historical trends in geriatric training, and propose solutions for this looming crisis. Results: Many factors are responsible for the shortage of skilled geriatric providers. Discussion: We discuss the historical context of the lack of geriatricians including changes to the training system, describe the impact of expert geriatric care on patient care and health system outcomes, and propose methods to improve recruitment and retention for geriatric medicine.