dr. wireman. was surprised to learn from your testimony that the diagnoses and treatment of patients with dementia is not a routine part of the clinical training for most health care providers. if you look at the trajectory of alzheimer's and other dementias and the number of people and their families that are going to be affected in the near term, we hope we'll have a cure or means of prevention or effective treatments for long term. that lack of training really surprises me. is that changing now in your judgment? why do you think there isn't much emphasis put on that training? >> there has been a lot more emphasis in the last few years as far as setting milestones for medical education all the way up through residency training. i think we've made headway in the medical community. i think it's incredible variable when different individuals go to different programs what they get. most get training in older adults but not specifically in cognitive impairment and working with dementia. what they get