responsible for adult protective services and for child protective services. Dr. Caldwell served as director of the Division of Long Term Care, Health Care Financing Administration (1978–1980) and as executive director of the Gerontological Society of America (1980–1982).

DONALD L.CUSTIS, M.D., is a graduate of Northwestern University Medical School (1943) and both served his residency and was a surgical fellow at the Virginia Mason Hospital/Clinic in Seattle, Washington. He served in several active duty positions in the U.S. Navy from 1944 to 1976 and also conducted a private practice. From 1976–1984, he held positions with the Veterans Administration, the last being chief medical director (1980–1984). Dr. Custis has been with Paralyzed Veterans of America since 1984, most recently serving as senior medical advisor, and continues as a consultant. He is an active member of veterans service organizations and medical societies. Dr. Custis is called upon frequently to testify before Congress on behalf of the health care needs of disabled veterans.

WORTH B.DANIELS, JR., M.D., is a graduate of the Johns Hopkins School of Medicine (1948) and served internships and residencies at Vanderbilt Hospital, Duke Hospital, and Baltimore City Hospitals. He conducted a private practice in internal medicine in the Baltimore area from 1958 to the late 1980s. Since 1977, he has held an associate professor of medicine appointment at Johns Hopkins School of Medicine. Dr. Daniels is an Institute of Medicine member and has served on the IOM Board on Health Promotion and Disease Prevention and the Committee to Revise the IOM Charter. He currently serves as the medical director of Union Memorial Hospital Hospice.

REBECCA D.ELON, M.D., M.P.H., joined the faculty of the Division of Geriatric Medicine and Gerontology, Department of Internal Medicine, Johns Hopkins University School of Medicine in 1991. In 1994, she became medical director of the Johns Hopkins Geriatrics Center. As a recipient of a W.K. Kellogg Foundation National Fellowship Award (1989–1992), Dr. Elon has studied health policy issues related to long term care. She is studying the organization and delivery of medical services in community nursing facilities and has completed a study comparing the current role of nursing facility medical directors to the role outlined in the Joint Commission on Accreditation of Healthcare Organizations’ Long-Term Care Standards Manual. Prior to joining the Hopkins geriatrics faculty, Dr. Elon was medical director of The Washington Home and a faculty member of the George Washington University School of Medicine in Washington, D.C. She received her master’s degree in public health in 1991 from the University of Texas Health Science Center in Houston. Her medical degree, residency in internal medicine, and fellowship



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