In this paper we examine The Geriatric Rotational Education & Training (GREAT) Project, funded by The John A. Hartford Foundation. Created as a bi-regional consortium located in Central and Northern parts of one state, the project was designed to expose social work students to the diversity among older persons, the complexity of their health care issues, and the continuity of care. Consortium members included the state's Geriatric Education Center (GEC), 12 organizations recognized for leadership in geriatric care, and the Institute for Social Services Training Activities (ISSTA). Lessons learned in the planning process were: (1) planning for continuity is a major challenge given changes in the current environment; (2) careful assessment of one's existing system prior to project development is crucial; (3) methods for motivating students and receiving their ongoing feedback must be developed; (4) meaningful incentives for field instructors must be identified; (5) insights gained from the emergence of a philosophy may reveal educational commitments that are currently unsubstantiated by research; and, (6) it is essential to recognize what is realistic for sustainability.
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