Ninth, for internal medicine to exert appropriate institutional leadership of a comprehensive aging initiative, it must collaborate widely in teaching, research, and practice, perhaps at the hub of a pan-institutional center on aging. After all, geriatrics is perhaps the first “supraspecialty” (4), demanding cooperation across traditional domains of internal medicine as well as those outside the department (Figure). Such cooperation will especially involve disciplines that focus on the greatest needs of elderly patients, such as family medicine, psychiatry, neurology, and rehabilitation. Collaborations with the surgical subspecialties, gynecology, anesthesiology, and the public health and social sciences (epidemiology, biostatistics, clinical trials, and medical sociology) will also be required. Cooperation will extend well beyond the medical profession to include nursing, pharmacy, dentistry, social work, and other disciplines.