The Integrated Training Program in Diabetes, Endocrinology and Metabolism (DEM) at the University of California, San Francisco is aimed primarily at training physicians who ultimately plan to pursue a career in academic medicine. This fully ACGME-accredited program consists of one exclusively clinical year, followed by two years of postdoctoral experience with scientific investigation. The program provides the qualifications for specialty board certification in Endocrinology, Diabetes and Metabolism and sufficient research experience for pursuit of a career in academic medicine. The majority of the trainees go on to careers in academic medicine or in the pharmaceutical or biotechnology industry. Our record of placing graduates in highly competitive positions has been excellent. In general, preference for acceptance into the program is given to those qualified applicants who wish to follow a career in academic medicine.