**1. Introduction**

Five generations are currently living together on the planet, and each generation is of the age to have formed their own opinions and expectations. The different generations include the Traditional Generation [>1945], the Baby Boomers [1945–1965~], then Generations X [1965–1980~], Generation Y- "Millennials" [1980–2000~], and Generation Z [2000–2010s~] [1]. Each generation has special characteristics brought out by the times in which they have lived, which in turn has affected the way they communicate in both reception and expression of information. The following chapter looks at key differences between the generations in the United States and discusses their application to medical education and patient engagement.

To better understand health professions students, educators need first to understand themselves. Everyone views the world through the lens of their own personal histories. Each generation will have a brief synopsis of characteristics followed by suggestions for health profession teachers and communication recommendations for learners. This chapter aims to improve communication between educators, learners, health professionals, and their patients. While this chapter focuses on generational differences in the United States, much of the content can be extrapolated to other parts of the world as well. People worldwide may experience history differently and, therefore, may have different characteristics. Using the information in this chapter, one can be mindful of the past and perceptions of the people around them and use that information to better relate and connect with others.
