In the United States, almost 40% of all inpatient procedures are performed on patients aged 65 and older; at MGB trauma centers over 50% of injured patients are older adults, the majority of whom are frail. To prepare our healthcare system to care for growing numbers of older adults who have increasing medical and psychosocial complexity, front line clinicians including Advanced Practice Providers (APPs), surgical trainees, nurses, and surgical attendings urgently need more training in geriatric syndromes and the 5 pillars of Age-Friendly care (Medication, Mobility, what Matters, Mentation and Multicomplexity). This training will address the needs of the growing number of geriatric patients, and avoid hazards of hospitalization such as delirium, falls, infections, and loss of function, and reduce caregiver strain. These issues are particularly relevant in surgery and trauma where mortality, complications, and other adverse outcomes are consistently higher for older patients than their younger counterparts. Moreover, national stakeholders including CMS and the American College of Surgeons are setting standards for geriatric surgical care that clinicians must be prepared to meet. Evidence suggests that geriatric-focused clinical pathways can reduce delirium, ICU stays, length of stay, and readmissions in older surgical patients. Clinicians will benefit from in depth training in geriatric care to enable the implementation of structures and processes to improve outcomes.