I naively assumed when I began my journey in the field of Geriatric Medicine, that I would be followed over time by hordes of other physicians, given the impending increase in aging populations. While the population of seniors has nearly doubled, the number of physicians with Geriatric Medicine training has diminished. Less than 5% of the current California healthcare workforce is certified in geriatrics. Moreover, the California Census Bureau projects a rate of growth of the age 65 plus population that far exceeds the other age groups, particularly among the 85 plus group, and among the non-White populations. The percentage of filled first year geriatric fellow positions dropped from 91% in 1998 to 45% in 2017. Currently, the American Geriatric Society estimates that there are 3,590 full-time practicing geriatricians, out of a total pool of less than 7,000 board-certified geriatricians. A professional colleague recently commented that if things continue to progress as they are, American geriatricians will become a historical footnote.