LETTERS TO THE EDITOR

(ESIM 2011), it was encouraging to see the pride that certain EU countries (eg France and Spain) take in becoming a generalist in its purest sense, ie not a geriatrician, not an acute medical physician, but a ‘general internal physician’. This distinction will be essential in shaping an evolving healthcare provision for those with multiple comor-bidities, as will a potential redefining of what constitutes ‘geriatric medicine ’ – an excellent specialty in its own right – in the modern day of longevity of life span. Where would be the arbitrary cut-off for review by a generalist as opposed to a geriatrician? Aged 75 years? Or would a generalist se