There are challenges and opportunities when teaching in an integrated elementary and special education (ELEM/SPED) dual certification program. Infusing special education in general education courses and collaborating with general education colleagues to create a truly integrated program is imperative. In this article, we provide a case study of four ELEM/SPED education dual certification programs, focusing on coursework and field requirements. We emphasize that the implementation of an effective ELEM/SPED dual certification program requires collaboration, support, inclusion, patience, advocacy, and education.