With the increase in the number of biomedical equipment technicians (BMET's), there has been a corresponding need for opportunities for their career growth. California State University, Sacramento, is developing a ``career ladder'' program designed to meet this need. This program has been initiated in conjunction with Napa College. By carefully selecting college-level electives in the BMET program, following the mathematics sequence which includes calculus, granting credit for certain required lower division (freshman and sophomore) engineering courses, and providing the opportunity for credit by examination, we have initiated a career ladder program requiring 5 semesters beyond the two year terminal degree. This program retains the technical content of a standard engineering curriculum while also emphasizing the course work and experience of the BMET.