Candidates for the program should have a prior three-year experience in general internal medicine and be eligible for the American Board of Internal Medicine examination in internal medicine. The training program will consist of a two-year period of combined clinical endocrinology and endocrinology research activities. During the program, the trainee will learn to diagnose and manage the full spectrum of endocrine and metabolic disorders and complications. He/she will maintain his/her competence in general internal medicine, particularly those states leading to endocrine complications and those medical problems arising from primary endocrine diseases. At the completion of the program, the trainee will be qualified to enter the practice of general internal medicine with a subspecialty interest in endocrinology, the full-time practice of clinical endocrinology, or as an endocrinologist in academic medicine. The trainee also will be eligible for the subspecialty examination in endocrinology and metabolism offered by the American Board of Internal Medicine.