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Educational programs in Medical Informatics and Telemedicine offered at the Politecnico di Milano are described. At present they refer to the (five-year) Laurea degree, the (three-year) Diploma Universitario degree, the post-Laurea (three-year) Doctoral degree, the (one-year) post-Laurea Master's degree, and a continuing education program. The general aim of the educational efforts is to enable the students to become information and communication technology experts in whom the physician believes. The success in student attendance and in after-graduation company acceptance is remarkable. Nevertheless, in Italy, the universities are now starting considerable reform of all educational engineering programs.