RN Programs & Careers | How to Become an RN (2023)

The American healthcare industry is expanding at a rapid pace, creating an immediate need for medical professionals. Registered nurses (RNs) are currently in high demand for many reasons, including the development of new technology, an aging population, and current nurses retiring.

When viewing all of these factors alongside the satisfaction that comes from helping people, the benefits of becoming a registered nurse have never been better. This guide delves into what it’s like to be a registered nurse, outlines available educational paths, highlights skills needed to succeed, reviews current salaries, and provides an interview with a professional currently working in the field.

What Does a Registered Nurse Do?

RN Career Basics

According to the U.S. Bureau of Labor Statistics (BLS), more than 3 million registered nurses are employed in the United States, and approximately 60%work in hospitals. RNs may also find themselves in clinics, physicians’ offices, home health care settings, critical andlong-term care facilities, governmental organizations, the military, schools, and rehabilitation agencies. The demandfor registered nurses is expected to grow 7% by 2029.

RN Career In-Depth

Duties of a registered nurse vary depending upon where they work, but often include providing direct care to patients, assisting physicians in medical procedures, offering guidance to family members, and leading public health education campaigns. RNs may also operate medical monitoring equipment and administer medications. With concentrated training or certifications, RNs can focus on a medical specialty, such as geriatric, pediatric, neonatal, surgical, or emergency care.

Registered nurses work in shifts that run around the clock, which may be on rotating or permanent schedules. Overtime and emergency hours can also be unpredictable. In addition to passing the NCLEX-RN, registered nurses are required to complete ongoing education to maintain licensure. For those with a nursing diploma or associate degree, returning to school to complete a bachelor’s or master’s level degree will allow them to move into advanced nursing practice roles or health care administration.

An RN’s increased educational and training requirements are significant compared to a licensed practical or vocational nurse, but so is the bump in pay. According to Payscale, a registered nurse makes 50 to 64% more than a licensed practical or vocational nurse.

The increased educational and training requirements of a registered nurse compared to a licensed practical or vocational nurse is significant, but so is the bump in pay. According Payscale, a registered nurse makes about 40 percent more than a licensed practical or vocational nurse.

RN Salaries and Job Outlook

Salary Figures

Registered nurses’ compensation reflects the high demand and advanced levels of training and education required. You may choose to become a nurse for reasons other than financial, but a national average median salary of $75,330 in 2020 does make registered nursing an attractive career if you’re looking at the bottom line.

Geographical location and cost of living also affect nurses’ income. Below is a list of five states with the highest average wage for registered nurses:

  • California
  • Hawaii
  • Massachusetts
  • Alaska
  • Oregon


Registered Nurse Job Projections

The BLS expects tremendous job growth for registered nurses, with a 7% expansion expected between 2019 and 2029. Several reasons for this exist, including an aging population and wider healthcare availability through the Affordable Care Act.

Patients will increasingly need nurses to educate them on and care for their chronic health problems, such as:

  • Arthritis
  • Obesity
  • Dementia

The BLS says that the increased demand for registered nurses will come from facilities other than hospitals, such as outpatient and long-term care centers.

As can be expected, the job growth is not necessarily even across the nation. The below table lists the top 10 states where growth is expected to be the highest from 2018 to 2028.

1. 35%


2. 29.5%


3. 28.2%


4. 24.6%

New York

5. 22.5%


6. 22.3%


7. 21.7%


8. 20.5%


10. 19.9%


Steps to Becoming a Registered Nurse

Step 1 Complete an accredited registered nurse program

In order to become a registered nurse, students must graduate from an accredited program. Several options are available, including nursing diplomas, associate degreesor bachelor’s degrees. An associate degree in nursing typically takes two years to complete, though accelerated programs can shorten thistimeframe. A bachelor’s degree in nursing takes about four years of full-time study, or two years for those in anassociate-to-bachelor’s RN program. Another expedited option is to attend a school that offers a “second degree” program if you already hold abachelor’s degree in a field other than nursing. You may also decide to complete a four-year bachelor’s program at thestart of your education, allowing you to move into roles such as:
  • Administration
  • Nursing consulting
  • Research
  • Advanced nursing
  • Teaching
Bachelor’s degree programs require students to complete general education classes in addition to their nursingcoursework. While many of the same topics taught at the associate level are covered in a bachelor’s degree, a four-yearprogram will provide a more in-depth set of knowledge and skills. As the field of nursing becomes more competitive, moreemployers are requiring newly appointed RNs to hold a bachelor’s degree. Common nursing coursework includes the following topics:
  • Anatomy and Physiology
  • Biochemistry
  • Statistics
  • Chemistry
  • Health care law and ethics
  • Health Care policy
  • Microbiology
  • Nutrition
  • Patient care
  • Psychology
  • Nursing Research
  • Introduction to Professional Nursing

Step 2: Take and pass the NCLEX-RN examinatio

Registered nursing programs should help prepare you topass the NCLEX-RN examination. Upon graduation, you should register with the National Council of State Boards of Nursing to sign up for the exams.Candidates will receive an Authorization to Test notification when it is time to sign up for the examination. This computerized test has an average of 119 questions and must be completed within six hours. Those who do notpass must wait at least 45 days to retake the exam. The national average NCLEX-RN passage rate is around 70-75%.

Step 3: Obtain a state license

Every US state and territory, as well as the District of Columbia,requires employed registered nurses to have proper licensure. Mandates vary by state, so you should contact your stateboard of nursing to see if there are any additional steps, such as a background check.

Step 4: Obtain employment as a registered nurse

Registered nurses are in high demand, so recent graduatesfrom RN programs often have multiple options when it comes to deciding where they would like to work. Remember that muchof what it takes to be a registered nurse or any other medical professional is learned with actual experience.

Step 5: Pursue additional training or education

If a registered nurse decides to become an advancedpractice registered nurse and specialize their knowledge, they will need a master’s degree. After completing thiseducation, you can apply for roles including:
  • Certified nurse specialist
  • Nurse practitioner
  • Nurse anesthetist
  • Nurse midwife
If you want to go further, you might choose to enter a doctoral program. DNP or PhD programs are appealing to thoseaspiring to positions as scientific researchers or university professors in the nursing sciences. You may also undertakefurther certifications in areas such as critical care, acute care, or nursing management.

Understanding RN Programs

In order to become a registered nurse, you must obtain a degree or nursing diploma, with the most common avenues being associate or bachelor’s programs.

A nursing diploma is less popular due to the fact that it still takes two years to complete but does not provide a degree upon completion. Additionally, many nursing organizations and associations are calling for the diploma to be phased out completely, encouraging aspiring nurses to opt for a bachelor’s degree.

A master’s degree in nursing is also available, and registered nurses who wish to specialize their knowledge or take the first step in receiving a doctorate level nursing degree usually obtain them.

Nursing Diploma

Nursing diplomas are hospital-based programs providing intensive hands-on training alongside nursing coursework. The program also requires co-requisite classes in areas such as anatomy, biology, and psychology at a traditional educational institution.

This experiential style of learning provides you with knowledge of basic nursing care. You will also receive a supplementary education in math and science topics. The chart below provides a snapshot of a typical nursing diploma curriculum.

Anatomy and Physiology

Basics of human systems will be covered, as well as identification of human body components. Areas include cell metabolism and the circulatory, nervous, and muscular systems.

Skills & Knowledge Gained

Basic understanding of human anatomy and how parts work together Familiarization with proper names and wording for bodily processes and parts Developed vocabulary of medical terminology


Students will be introduced to the basic principles of the human mind and behavior. Topics include personality, motivation, learning, perception, and mental disorders

Skills & Knowledge Gained

Awareness of methodologies used to study and treat the human mind Understanding of human psychology Ability to effectively diagnose and treat patients

Theoretical Foundations in Nursing

Teaches fundamentals of the nursing profession by introducing students to theories forming the basis for patient assessment, laboratory testing, and medical safety.

Skills & Knowledge Gained

Ability to apply theoretical frameworks to clinical settings Development of basic medical care skills, including taking vital signs and providing assessments

Transition into Practice

Through clinical practice, students will demonstrate their nursing competencies, study nursing and medical literature, and explore future trends in the field.

Skills & Knowledge Gained

Refinement of nursing skills Awareness of nursing trends and issues and how to effectively handle them

Associate Degree in Nursing

While the curriculum of an associate degree in nursing shares similarities with vocational nursing and nursing diploma programs, the breadth and depth of material covered is significantly different.

General education requirements of an associate degree provide a more holistic educational experience, while advanced nursing classes and additional clinical experience equip graduates with a nuanced understanding of the field. The table below reviews common classes and highlights how topics covered translate to nursing practice.

Microbiology and Immunology

This course involves the study of microorganisms and how they affect human health.

Skills & Knowledge Gained

Understanding of how microorganisms work and how they affect humans Awareness of infection and immunity principles

Nursing Care of Patients with Complex Needs

Students learn about the nursing care process and how it is used to treat patients throughout their lives. Special emphasis is placed on increasingly complex medical issues seen in patients, such as obesity, heart disease and diabetes.

Skills & Knowledge Gained

Experience in clinical settings Ability to provide treatment with lessened supervision, especially for patients with complex issues

Nursing Management of Patient Care

Patient management techniques will be covered, preparing students to effectively serve patients with a wide range of medical issues while maintaining a high level of care.

Skills & Knowledge Gained

Development of patient advocacy skills Understanding of how to collaborate with other health professionals to provide holistic care

Professional Issues in Nursing

Students will be exposed to recurring and potential nursing issues, such as legal and ethical dilemmas, healthcare leadership conflicts, and healthcare policies.

Skills & Knowledge Gained

Students will be exposed to recurring and potential nursing issues, such as legal and ethical dilemmas, healthcare leadership conflicts, and healthcare policies. Development of leadership strategies Ability to resolve legal and ethical issues arising during care provision

Bachelor of Science in Nursing

A bachelor’s degree in nursing builds on the associate degree curriculum by exposing you to an even wider range of nursing and healthcare-related concepts and theories. Emphasis is placed on research and related medical concepts, equipping you with a broader theoretical foundation.

If you already hold a non-nursing undergraduate degree, you can undertake an accelerated program to earn a bachelor’s degree in nursing. Another popular option allows professionals already working in a nursing position to obtain their bachelor’s degree in less time by taking into account existing experience and education.

Examples of classes often found in a bachelor’s program are listed below.

Health Care of Women

Commonly encountered issues in women’s health are addressed in this course, with added emphasis on reproductive concepts and pregnant patients.

Skills & Knowledge Gained

Familiarity with common female health issues, including pregnancy complications and menopause

Introduction to Nursing Research

Research related concepts and practice methods are covered. Topics such as scientific methods and statistical analysis will be explained.

Skills & Knowledge Gained

Development of critical analyzing skills for health research data Ability to identify specific methods used while conducting medical research

Public Health Nursing

This course focuses on the delivery of medical care to communities and to different populations. Public health and nursing theories will also be discussed.

Skills & Knowledge Gained

Awareness of best practices for studying population-based health issues Understanding of preventative care provisions

Chemistry and Physics for Nurse Anesthesia

The basic scientific principles for effective nurse anesthesia will be taught in this course. Chemistry and physics concepts forming the basis of anesthesiology will also be reviewed.

Skills & Knowledge Gained

Knowledge of physical laws of fluid, matter, gas, and electricity and how they apply to anesthetics Understanding of how anesthesia is administered to patients

The MSN Degree

A master’s degree in nursing allows RNs to specialize in a particular area or take the first step in achieving a nursing degree at the doctoral level. While undergraduate degrees and programs prepare students to be registered nurses, master’s level degrees emphasize a nursing specialty. Below is a brief list of skills students can expect to possess upon graduation.

Understanding of health care policy

During the course of their studies, students will develop a complex understanding of how and why medical care is provided in a certain way. They will know learn why specific medical techniques or treatments are used over others, with consideration given to prevailing societal, cultural, political, and business influences.

Use of specialized medical technology

A major reason many nurses choose to pursue a master’s degree is to learn a specialization. The use of medical tools and techniques specific to that concentration will be taught at the graduate level. For example, a registered nurse specializing in pediatric care will develop a detailed understanding of incubators found in neonatal intensive care units.

Implementing advanced research methods

Many medical care technologies and methodologies originated from historical research and subsequent discoveries, and recent medical developments always revolve around research. Graduate level nurses learn about a spectrum of research methods with great depth, allowing them to effectively analyze data or design and undertake independent research projects.

Nursing management

Providing effective medical care is a team effort, and successful nurses understand how to balance providing excellent care to multiple patients while working with a variety of healthcare professionals. A master’s degree in nursing offers guidance to help nurses provide more efficient care, move into leadership roles, and manage others.

Areas of Concentration for Registered Nurses

Most registered nurses choose to specialize in one particular area of healthcare, such as emergency care, geriatrics, informatics, or neonatal. The following table highlights numerous concentrations available to registered nurses.

Critical Care Midwifery Research Anesthesia Informatics
I want to work with the critically ill and patients who are at high risk for life-threatening conditions, diseases, and health problems.
I want to work with pregnant women, those trying to get pregnant, or patients who have just given birth.
I would like to help patients reduce or manage pain and keep them as comfortable as possible during their medical care.
I like working with computers as much as I like working with people. I would also like to help run computer and information systems that monitor and manage patient care.
I like numbers, statistics, and the development of new medical discoveries that help patients.

Online RN Programs

Though the majority of RN classes were administered through traditional campus-based programs in the past, today, a large number of institutions offer online nursing degrees at undergraduate and postgraduate levels.

In most cases, you should expect online programs to be equally as rigorous and respected as those being taught at brick-and-mortar institutions. When researching potential online programs, look for a few specific components, including:


What is the school’s reputation, especially at local hospitals and medical facilities? Does the online degree have brand recognition on a regional or national level? Depending on future goals, the marketability of a nursing degree may be a serious factor to consider.

Quality of Faculty

The quality of a degree depends not only on the level of student commitment, but also the effectiveness of their professors. Teachers with terminal degrees in their specialty, recent clinical experience and a widely published oeuvre are much more likely to be dynamic and knowledgeable educators.

NCLEX-RN Licensure Prep

Before students can become active registered nurses, they must first pass the NCLEX-RN examination, so selecting a program that properly equips graduates is a crucial step. Does the school offer adequate preparation for students? Outside of logistical and financial considerations, a school’s ability to groom students for successful licensure is the most important factor when selecting an RN program.

NCLEX-RN Passage Rates

Another crucial factor in selecting a program is its licensure passage rate. Most schools will list these statistics on their website, but they can also be accessed by calling the school’s admissions department. The national average is around 70-75 percent; a school posting results lower than these figures should be carefully researched to understand the reason.

Components of a Successful Nursing Career


The most successful registered nurses possess a wide spectrum of clinical and administrative skills. Critical thinking is crucial, as nurses often work in emergency situations requiring snap decisions. Communication also plays a vital role when forming a proper diagnosis and conveying treatment plans to other medical staff. Attention to detail can mean the difference between life and death: forgetting to add a decimal point in the correct location on a patient’s record could mean providing a very incorrect dosage of medicine.


Aside from passing the NCLEX-RN examination, there are numerous other credentials or certifications available to registered nurses. The American Nurses Credentialing Center provides many certification programs, some of which are listed below:

  • International Board Certified Lactation Consultant
  • Acute Care Nurse Practitioner
  • Gerontological Nursing
  • Pediatric Nursing
  • Ambulatory Care Nursing
  • Neonatal Pediatric Transport
  • Cardiac-Vascular Nursing
  • Public Health Nursing, Advance
  • Nurse Executive

Depending on the certification and the organization that offers it, most must be renewed after a certain period of time, usually every few years.

Tools and Technology

Registered nurses use a wide range of tools and technologies in the course of their work. A few of the most common types are reviewed below:

Medical Instruments Stethoscope, pulse oximeter, syringes and lancets, thermometer, defibrillator, forceps, hemostats, medical suction equipment, catheters, blood pressure monitor, and automated IV pumps
Medical software IDX Systems database software, Misys Healthcare Systems medical software, Microsoft Word, Microsoft Excel, and Kronos Workforce Timekeeper, Drug reference guides
Protective gear Disposable gloves, disposable protective masks, disposable gowns, hair covers, and shoe covers.

Spotlight Career Interview

Mary A. Osborne, BA, BSN, RN, and award winning author of Alchemy’s Daughter has provided the following insight into what it’s like to be a registered nurse.

What led to your decision to become a registered nurse?

As a first-time college student I had no definite career path in mind, but I wanted a job that would allow me to make a positive difference in people’s lives.With the thought of working as a health care professional in some capacity, I earned my first my first bachelor’s degree in chemistry while also pursuing studies in creative writing. As my love for writing grew, I ultimately came to the conclusion that becoming an RN would lead to a solid career path while also allowing me the flexibility to pursue my artistic ambitions.

What was your educational path?

Two years after earning my BA in chemistry from Knox College, I enrolled at the Rush University College of Nursing.Because I had already completed a bachelor’s degree at Knox, only two additional years of study were required to earn my bachelor’s of science in nursing.

The program at the Rush has changed since I was a student, and now offers a “Direct Entry Masters” program.This program offers non-nurses with a bachelor’s degree from an accredited school the opportunity to earn a master’s degree in nursing and to sit for the NCLEX-RN examination in just two years. The advanced degree offers a clear advantage because employers are looking for nurses who can take on more responsibility in today’s world of complex health care.

What were some of your favorite courses and why?

In nursing school I was fascinated by pharmacology classes. I loved learning the biochemistry or chemical pathways that make drugs work in the specific way that they do in the human body.I also enjoyed the skills lab, where we students practiced our newly learned nursing skills, such as taking blood pressure or listening to lung sounds, on one another or on mannequins, which were forgiving of our early mistakes.

What does your day-to-day work entail?

As a nurse care manager for an eldercare company, I help manage the complex medical care of older adults who wish to remain at home as well as those who are in assisted living or skilled nursing facilities. I conduct nursing assessments to determine the specific needs of our clients, develop professional plans of care, and communicate with physicians.I also supervise and instruct nursing assistants, who help our clients with their activities of daily living. As a per diem nurse care manager, I decide when I am available to work (and when I write my novels).Typically, I provide coverage during busy periods.Per diem nurse jobs are available in a variety of health care settings, such as hospitals, clinics, and rehab centers.

Do you have any advice for students interested in becoming a registered nurse?

Nursing is a rewarding profession that can provide life-long job satisfaction and job security.Nurses with bachelor’s degrees have a wide variety of job opportunities, and master’s prepared nurses have the ability to move directly into leadership roles after graduation.

Similar Healthcare Careers

By now, interested individuals know there are other health care professions related to registered nursing. However, what type of education is required? Is the growth rate expected to be better or worse than that of registered nurses? The table below will help answer those questions.

Licensed practical/
vocational nurse




Education and Training:

Post-secondary non-degree award

Nurse practitioner




Education and Training:

Master’s degree

Nurse midwife




Education and Training:

Master’s degree

Dental Hygienist




Education and Training:

Associate degree

Diagnostic medical




Education and Training:

Associate degree

Physician assistant




Education and Training:

Master’s degree





Education and Training:

Post-secondary non-degree award

Marriage and family




Education and Training:

Master’s degree

Physical therapist




Education and Training:


What Do Similar Careers Make?

There are other careers similar to registered nursing that may be of interest to those looking to work in the healthcare field. The chart below lists a few related occupations as well as their salaries.

Registered Nurse and Related Job Salaries

'\"Subject\";\"10th Percentile\";\"Median Salary\";\"90th Percentile\"\n\"Nurse Practitioners\";64100;89960;120500\n\"LPNs and LVNs\";30970;41540;57360\n\"Registered Nurses\";45040;65470;94720\n\"Nurse Anesthetists\";105810;148160;237056\n\"Nurse Midwives\";62480;89600;119690'

Related Careers at a Glance

RN Programs & Careers | How to Become an RN (1)

Ashlee Tilford

Contributing Writer

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Why do you want to be a nurse answers? ›

Sample Answer 1

I have a heart for helping people. I would like to make a difference in the lives of people. I would like to work in a hospital or in a hospital that offers advanced medical services to patients in need. I believe that a career in nursing will allow me to advance my career in the health care field.

What is the most needed job RN? ›

What are the types of nurses in high demand on the market today?
  • Emergency room nurse. ...
  • Oncology nurse. ...
  • Nurse informatics specialist. ...
  • Nurse manager. ...
  • Nurse educator. ...
  • Nurse anesthetist. ...
  • Nurse midwife. ...
  • Nurse practitioner.

What is the easiest RN job? ›

Easiest Nursing Jobs Availability
  • Clinic Nurse. ...
  • Traveling Nurse. ...
  • School Nurse. ...
  • Summer Camp Nurse. Average Annual Salary: N/A. ...
  • Nurse Administrator. Average Annual Salary: $68,000. ...
  • Public Health Nurse. Average Annual Salary: $56,000. ...
  • Researcher Nurse. Average Annual Salary: $62,000. ...
  • Home Health Nurse. Average Annual Salary: $64,000.
Dec 23, 2021

What is the hardest part of being a registered nurse? ›

Here are eleven of the hardest parts about being a nurse.
  • Seeing the death of their patients. ...
  • Dealing with judgmental opinions about their occupation. ...
  • Long, arduous shifts. ...
  • A lack of respect from other people in the healthcare industry. ...
  • Having to deal with hospital politics. ...
  • Not having time to even pee during shifts.
Mar 18, 2020

What is your greatest skill as a nurse? ›

The key to being a successful nurse is communication.

Communication skills are one of the most important requirements of a nurse's job—both following directions and communicating with patients and families. Patients who are sick or suffering often are not in a position of strength to speak up for themselves.

What are the 10 most common interview questions and answers for nurses? ›

Common nursing interview questions
  • Do you work well with other nurses, doctors and staff? ...
  • How would you handle a difficult patient? ...
  • How do you handle workplace stress? ...
  • What do you do if your replacement does not arrive? ...
  • How would you handle a disagreement with a doctor? ...
  • Describe how you manage a busy workload.

Which type of nursing is best? ›

The certified registered nurse anesthetist consistently ranks as the highest paid nursing career. That is because Nurse Anesthetists are advanced and highly skilled registered nurses who work closely with medical staff during medical procedures that require anesthesia.

How many types of RN are there? ›

Nurses can fall within three fields: non-degree (CNA), degree (BSN RN), and advanced degree (NP).

What is the most common type of nurse? ›

A registered nurse (RN) is the most common type of nurse.

What is the most relaxed nursing job? ›

9 Lower-stress nursing jobs
  1. Nurse educator. Nurse educators are medical professionals who train nurses and aspiring nurses. ...
  2. Long-term care nurse. ...
  3. Nurse administrator. ...
  4. Clinical research nurse. ...
  5. School or summer camp nurse. ...
  6. Clinic nurse. ...
  7. Nurse informatics. ...
  8. Lactation consultant nurse.
Dec 2, 2019

Who are the happiest nurses? ›

The Best Specialties for Nurses During the Pandemic
  • Nurse Educators. Nurse educators reported the highest satisfaction ratings of any other type of nurse, with 33% reporting that they were happy where they are in their current role. ...
  • Home Health Nurses. ...
  • Nurse Managers. ...
  • OR-Perioperative Nurses. ...
  • Pediatric Nurses.
Feb 7, 2022

Is RN nursing hard? ›

Nursing programs have a demanding credit load, and many nursing students stack challenging courses during the same term in order to fast-track their degrees. That could mean multiple critical exams falling on the same day or week. However, as long as you take the time to study and prepare, you should be okay.

Why do nurses leave nursing? ›

The foundation said that when asked why they are considering leaving the profession, the top reasons nurses cited were insufficient staffing and work negatively affecting their health and well-being.

How do you handle difficult patients? ›

7 Tips for Handling Difficult Patients
  1. Don't Get Defensive. ...
  2. Watch Your Body Language. ...
  3. Let Them Tell Their Story and Listen Quietly. ...
  4. Acknowledge the Situation. ...
  5. Set Boundaries. ...
  6. Administer Patient Satisfaction Surveys. ...
  7. Be Proactive.
Jul 8, 2019

Why did you choose nursing as a career? ›

The nursing profession entitles you to bring a light of hope to people's lives and make them happy, healthy, and mentally fit. No matter in which facility you work, either in a hospital or rehabilitation center. In both areas, you can get a definite yet positive change in someone's life.

Why do you choose nursing as a career essay? ›

Personally nursing has always been the right choice as a career. Nursing allows me to have the contact with a number of patients, enabling me to make a different in their treatment. Additionally, I have always looked forward to being part of the health care system, as a responsible first-line in a patient's stay.

Why do I want to be a nurse essay? ›

Why I want to be a nurse essay is written to convince and persuade the admission committee that you are the best candidate for the course. You have to state in detail why you love nursing and why It suits you. The examiners, in this case, are looking for unique stories which show why you love the profession.

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