2024 Best Nursing Degree Programs Ranking in San Francisco, CA

What can I expect from a Nursing degree in San Francisco, CA?

Pursuing a nursing degree in San Francisco, CA, offers a dynamic and enriching educational experience that prepares students for a rewarding career in healthcare. Students can expect the following key elements from their nursing programs:

• Comprehensive Curriculum: Nursing programs in San Francisco emphasize critical thinking and clinical judgment. Graduates often recall how their coursework at institutions like San Francisco State University or the University of San Francisco included rigorous studies in medical terminology and healthcare practices. One graduate shared how mastering the operation of medical equipment during lab sessions made them feel confident during clinical rotations.
• Diverse Clinical Experience: Clinical rotations are a cornerstone of nursing education, typically commencing midway through the first semester. Students often recount their experiences at local hospitals and clinics, where they applied theoretical knowledge in real-world settings. A graduate from a well-known nursing program described how working in a busy emergency room not only honed their technical skills but also taught them the importance of teamwork and communication in high-pressure situations.
• Academic Challenges: The academic rigor of nursing programs is significant. Students should be prepared for extensive reading and research assignments. One graduate noted that adjusting study habits was crucial; they formed study groups that fostered collaboration and support, making the demanding workload more manageable and enjoyable.
• Licensure Preparation: Graduates must pass the NCLEX to obtain their nursing license, and many programs provide tailored resources for exam preparation. A recent graduate mentioned how their program offered mock exams and review sessions, which alleviated anxiety and built confidence leading up to the test.
• Promising Career Prospects: The job market for nurses in San Francisco is robust, with a projected need for 3.6million new nurses by 2030. Graduates often express excitement about the diverse job opportunities available in hospitals, clinics, and community health organizations. One graduate highlighted how the connections made during their clinical rotations led to job offers even before graduation.

These elements collectively create a supportive and enriching environment for nursing students in San Francisco, fostering both personal and professional growth.

Where can I work with a Nursing degree?

Graduates with a nursing degree in San Francisco, CA, can expect to find a wealth of employment opportunities across various healthcare settings, each offering unique experiences and challenges. The city's diverse healthcare landscape provides a fertile ground for nursing professionals to thrive. Here are some typical job settings for nursing graduates:

• Hospitals: Many graduates find themselves in renowned institutions like UCSF Medical Center or California Pacific Medical Center. Here, they engage in critical patient care across departments such as emergency, surgical, and intensive care units. One graduate shared how working in the pediatric unit allowed them to combine their passion for nursing with a love for children, making every day fulfilling.
• Outpatient Clinics: Clinics and physician offices throughout the city are also popular choices. Nurses in these settings assist with patient evaluations and health education. A graduate recounted their experience in a community clinic, where they felt a deep sense of purpose helping underserved populations manage chronic conditions.
• Public Health: San Francisco's focus on public health initiatives opens doors for nurses to work in community health programs. Graduates have described their roles in outreach programs, emphasizing preventive care and education, which allowed them to make a tangible impact on community health outcomes.
• Telehealth: The rise of telemedicine has transformed nursing roles, enabling graduates to provide remote care. One graduate noted how telehealth allowed them to connect with patients from the comfort of their homes, making healthcare more accessible.
• Corporate Sector: Opportunities in the corporate sector, particularly within pharmaceutical and medical device companies, are also available. Graduates have transitioned into roles that leverage their clinical knowledge in sales and product development, finding satisfaction in bridging the gap betweenhealthcare and business.
• Research and Academia: For those inclined towards education, nursing programs at institutions like San Francisco State University prepare graduates for roles as nurse educators or clinical researchers. One graduate expressed how teaching future nurses has been one of the most rewarding aspects of their career.

These varied pathways reflect the versatility of nursing training and the growing demand for healthcare professionals in San Francisco. Each graduate's journey is unique, shaped by their experiences and the vibrant healthcare community in the city.

How much can I make with a Nursing degree in San Francisco, CA?

Graduates with a Nursing degree in San Francisco, CA, can expect competitive salaries that reflect the high demand for healthcare professionals in the region. For instance, Registered Nurses, a common career path for nursing graduates, earn an average annual wage of $89,010, translating to approximately $42.80 per hour. This salary can vary based on experience, specialization, and the type of healthcare facility.

• Registered Nurses: Average annual wage of $89,010; hourly wage of $42.80.
• Operating Room Nurses: For those who specialize, the average annual wage is significantly higher at $124,680, or about $59.94 per hour.

Many graduates from local institutions, such as the University of San Francisco and San Francisco State University, have shared their experiences regarding the financial prospects post-graduation. One graduate noted that after completing their degree, they quickly secured a position in a local hospital, where they were able to negotiate a starting salary above the average for Registered Nurses due to their clinical experience gained during their studies.

Another graduate from a well-regarded nursing program mentioned that the rigorous training and hands-on experience provided by their university made them highly competitive in the job market. They reported receiving multiple job offers shortly after graduation, with salaries that exceeded the average figures, particularly in specialized roles like Operating Room Nursing.

The cost of living in San Francisco is notably high, but the salaries for nursing professionals often compensate for this. Graduates have expressed that the investment in their education pays off, not only in terms of salary but also in job satisfaction and the ability to make a meaningful impact in their communities.

In summary, pursuing a Nursing degree in San Francisco can lead to lucrative career opportunities, especially for those who are willing to specialize and gain practical experience during theirstudies. The combination of a strong educational foundation and the vibrant healthcare landscape in the Bay Area positions nursing graduates for success.

How long does it take to complete a Nursing degree in San Francisco, CA?

Completing a nursing degree in San Francisco, CA, typically varies based on the type of program pursued. Here’s a breakdown of the time commitment for different nursing degrees:

• Associate Degree in Nursing (ADN): This program generally takes about 2 years to complete. Many community colleges in San Francisco, such as City College of San Francisco, offer ADN programs that combine classroom instruction with clinical practice. Graduates often express relief and excitement upon passing the NCLEX-RN, as they can quickly enter the workforce in a high-demand field.
• Bachelor of Science in Nursing (BSN): A BSN program usually requires 4 years of study. Institutions like the University of San Francisco provide a comprehensive curriculum that includes both theoretical knowledge and hands-on experience. Graduates from these programs often highlight the depth of their education, which prepares them for a variety of nursing roles and enhances their employability.
• Accelerated BSN Programs: For those who already hold a bachelor’s degree in another field, accelerated BSN programs can be completed in 12 to 18 months. These intensive programs, offered by schools such as Samuel Merritt University, attract graduates who are eager to transition into nursing quickly. Many report feeling invigorated by the fast-paced learning environment and the camaraderie built with fellow students.
• Master of Science in Nursing (MSN): For those pursuing advanced practice roles, an MSN typically takes 2 years post-BSN. Programs in San Francisco, like those at the University of California, San Francisco, prepare graduates for leadership positions and specialized nursing roles. Graduates often share how the MSN program deepened their clinical skills and opened doors to advanced practice opportunities.

In summary, the duration of nursing programs in San Francisco can range from 12 months to 4 years, depending on the degree pursued. Each pathway offers uniqueexperiences and opportunities, making nursing a rewarding career choice in this vibrant city.

How to Apply: Admission Process and Key Deadlines

Navigating the application process for San Francisco nursing programs begins with a clear timeline and organized documentation. Most universities and colleges use centralized portals (e.g., NursingCAS or campus-specific systems), so start by creating an account at least six months before your intended start date. Key steps include: 1. Verify Prerequisites • Confirm completion of required courses in biology, chemistry, anatomy & physiology, and microbiology. • Maintain a minimum cumulative GPA of 2.5–3.0, as specified by each institution. 2. Gather Documentation • Official transcripts from all colleges attended. • Standardized test scores (e.g., TEAS), if required. • Two to three letters of recommendation from instructors or healthcare supervisors. • A polished personal statement that highlights clinical experiences, community service, and career aspirations. 3. Monitor Deadlines • Fall admission deadlines typically range from December 1 to February 15. • Spring admission deadlines often fall between August 1 and October 1. • Early application can improve scholarship consideration and interview slot availability. 4. Complete Interviews & Assessments • Prepare for panel or one-on-one interviews focusing on scenario-based nursing questions. • Some programs may require a writing assessment or virtual group exercise. 5. Secure Financial Aid • Submit FAFSA by March 1 to maximize access to federal grants and loans. • Apply for institutional scholarships, many of which close by February. For nurses aiming to advance through an online bridge program, explore our post university rn to bsn reviews to compare admission requirements, program lengths, and student outcomes. Keeping a detailed checklist and calendar ensures you meet every requirement on time and positions you for success in the competitive San Francisco nursing school landscape.

What’s the difference between online and on-campus Nursing degree?

The primary difference between online and on-campus nursing degrees lies in the mode of delivery and the flexibility they offer. Online programs, such as those offered by institutions like the University of San Francisco, allow students to access coursework from anywhere, making it easier for those balancing work or family commitments. In contrast, on-campus programs, such as those at San Francisco State University, provide a structured environment that fosters direct interaction with faculty and peers, which can enhance learning through collaborative experiences.

When considering the statistics, the National Council of State Boards of Nursing reports that online nursing programs have seen a 20% increase in enrollment over the past five years, reflecting a growing acceptance of this mode of education. However, on-campus programs still hold significant value; for instance, graduates from traditional programs often report higher levels of preparedness for clinical settings due to hands-on training and immediate feedback from instructors.

Key differences include:

• Flexibility: Online programs offer asynchronous learning, allowing students to study at their own pace. This is particularly beneficial for those who may be working as nursing assistants while pursuing their degree.
• Hands-On Experience: On-campus programs typically include more in-person clinical hours, which are crucial for developing practical skills. Graduates from these programs often feel more confident in their clinical abilities when entering the workforce.
• Networking Opportunities: On-campus students benefit from face-to-face interactions with faculty and peers, which can lead to valuable professional connections. Many graduates from local universities have secured jobs through networking events hosted on campus.
• Support Systems: On-campus programs often provide more robust support services, including tutoring and mental health resources, which can be vital for managingthe rigors of nursing education.

Ultimately, the choice between online and on-campus nursing degrees in San Francisco should align with personal circumstances, learning preferences, and career goals. Each pathway offers unique advantages that can lead to a fulfilling nursing career.

Return on Investment (ROI): Evaluating the Value of a Nursing Degree in San Francisco

Investing in a nursing degree in San Francisco requires balancing high tuition costs against strong earning potential. On average, a BSN graduate in San Francisco pays between $89,556 and $211,392 in tuition but can command a starting salary of $89,010 to $124,680 annually. Assuming a mid-range tuition of $150,000 and an entry salary of $90,000, the simple payback period is under two years, making San Francisco nursing programs one of the fastest paths to positive cash flow in healthcare education. When calculating net ROI, factor in average student loan interest rates (4–6%) and the city’s cost of living. Even with living expenses of $30,000 per year, graduates often recoup their total investment within three years of full-time employment. Moreover, specialized roles—such as Operating Room Nurses or Nurse Practitioners—offer salary premiums that can cut payback time by 25–40%. For students prioritizing affordability, it can be helpful to compare programs in lower-cost regions. For example, the Low Cost Nursing Degree Programs Ranking in Arizona highlights programs with tuition under $60,000, allowing prospective students to weigh savings against local clinical opportunities and network strengths. Ultimately, assessing ROI should include: • Total program cost (tuition + fees + living expenses) • Projected starting and mid-career salaries in your chosen specialization • Loan repayment terms and available forgiveness programs • Personal career goals (e.g., leadership, advanced practice, research) By quantifying these factors, students can make data-driven decisions that align educational investment with long-term financial and professional objectives.

What is the average cost of a Nursing degree in San Francisco, CA?

The average cost of obtaining a nursing degree in San Francisco, CA, can be quite substantial, reflecting the city's high living expenses and the quality of education offered. For prospective nursing students, understanding these costs is essential for effective financial planning, especially when considering the average cost of nursing degree in San Francisco.

• Associate Degree in Nursing (ADN): A two-year ADN program typically ranges from approximately $23,900 to $66,320. Graduates often share that while the initial investment may seem daunting, the return on investment is significant, especially considering the demand for registered nurses in the Bay Area.
• Bachelor of Science in Nursing (BSN): The four-year BSN programs can cost between $89,556 and $211,392. Many graduates from local public universities report that the average yearly cost of around $22,389 is manageable, especially when considering financial aid options and scholarships available to students. The comprehensive education received prepares them for a competitive job market, making it crucial to understand the tuition fees for nursing programs in San Francisco.
• Master of Science in Nursing (MSN): For those pursuing advanced practice roles, the total cost for an MSN can range from $28,060 to $78,820. Graduates often emphasize the value of the specialized training and networking opportunities that come with these programs, which can lead to higher salaries and more fulfilling career paths.
• Doctor of Nursing Practice (DNP): The investment for a DNP program can be significant, ranging from $111,000 to $171,920. However, many graduates find that the advanced clinical skills and leadership training they receive position them for top-tier roles in healthcare, justifying the expense.

In addition to tuition, students should also consider various ancillary costs, including:

• Books and educational materials
• Nursing uniforms and clinical supplies
• Transportation for clinicalrotations
• Housing and food expenses
• Licensure fees

Graduates often advise prospective students to budget carefully and explore financial aid options, as the costs can add up quickly. By planning ahead and understanding the financial landscape, students can embark on their nursing journey with confidence, knowing they are investing in a rewarding and impactful career. For those interested in exploring more about nursing programs, you can check out online nursing degrees massachusetts cost.

What financial aid is available to Nursing degree students in San Francisco, CA?

Nursing students in San Francisco, CA, are fortunate to have access to a diverse array of financial aid options that significantly alleviate the financial burden of their education. Approximately 84% of nursing students in the region utilize some form of financial assistance, underscoring the robust support systems in place.

Key financial aid opportunities include:

• Scholarships and Grants: Institutions like the UCSF School of Nursing offer targeted scholarships, such as the Barbara & Anthony Resnik Scholarship, which supports MEPN students focusing on Occupational and Environmental Health Nursing. Graduates have shared how receiving this scholarship not only eased their financial stress but also motivated them to excel academically, knowing their hard work was recognized.
• Federal and State Financial Aid: Completing the FAFSA is essential for accessing federal financial aid, which can include grants, loans, and work-study programs. One graduate recounted how this process opened doors to significant funding, allowing her to focus on her studies rather than juggling multiple jobs. Additionally, the California Board of Registered Nursing provides scholarships and loan repayment grants for those committed to serving in underserved areas, a vital incentive for many aspiring nurses.
• Specialized Scholarships: Organizations like Johnson & Johnson and NURSES for a Healthier Tomorrow offer scholarships specifically for nursing students. A graduate mentioned how the NURSE Corps Loan Repayment Program was a game-changer, providing substantial loan repayment assistance for her work in a critical shortage facility, allowing her to pursue her passion without the weight of student debt.
• Institutional Support: The University of San Francisco (USF) provides merit-based scholarships ranging from $2,000 to $4,000 for graduate nursing students. One graduate shared that applying for these scholarships alongside her FAFSA was a straightforward process thatultimately made her education more affordable, enabling her to focus on her clinical rotations.
• Doctoral Support: For PhD candidates at UCSF, the coverage of in-state tuition and fees, along with a stipend for the first three years, is contingent upon maintaining full-time enrollment and a minimum GPA. This support allows students to immerse themselves in their research without the constant worry of financial strain.

These financial aid resources are not just numbers; they represent real opportunities for nursing students in San Francisco to pursue their dreams and make a meaningful impact in healthcare.

Accreditation and Licensure Requirements

Ensuring your nursing program is properly accredited and meets state licensure standards is critical to your future career success. San Francisco nursing programs should hold regional accreditation plus specialized nursing accreditation from either the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN). Approval by the California Board of Registered Nursing (BRN) is also mandatory for NCLEX-RN eligibility. Key accreditation and licensure checkpoints: - Regional Accreditation: Confirms overall academic quality (e.g., WASC Senior College and University Commission). - CCNE or ACEN Accreditation: Verifies the nursing curriculum meets national standards. - California BRN Approval: Ensures graduates can apply for NCLEX-RN licensure in California. - Program Outcome Data: Look for published NCLEX pass rates (ideally above 85%) and job placement statistics. Prospective students with a non-nursing bachelor’s degree should verify that prerequisite courses align with BRN requirements or consider specialized pathways such as direct entry MSN programs for non-nursing majors, which integrate foundational nursing coursework with graduate-level training. Licensure application steps post-graduation: 1. Submit official transcripts and proof of program accreditation to the California BRN. 2. Complete a criminal background check and fingerprinting. 3. Register and schedule the NCLEX-RN exam. 4. Upon passing, apply for your California RN license to begin practicing. By confirming accreditation and understanding the licensure process upfront, you can avoid delays, ensure eligibility for employment, and maximize the return on your educational investment.

Affordability and Value of Nursing Programs in San Francisco, CA

When considering nursing programs in San Francisco, CA, prospective students often weigh the costs against the potential benefits, seeking a strong return on investment. The affordability of a nursing program can significantly impact a student's decision, as the cost of tuition, fees, and living expenses in San Francisco can be substantial. However, many institutions in the area offer affordable nursing programs in California, providing students with quality education at a lower cost. These programs not only cater to the financial needs of students but also equip them with the necessary skills and knowledge to succeed in the nursing profession. By choosing an affordable nursing program, students can mitigate financial stress, focus on their studies, and ultimately secure a rewarding career in healthcare.

What types of specializations are available in a Nursing program in San Francisco, CA?

Nursing degree programs in San Francisco, CA, offer a rich tapestry of specializations that cater to the diverse interests of aspiring nurses. Each specialization not only enhances clinical skills but also aligns with the evolving healthcare landscape, ultimately improving patient care. Here are some key specializations available:

• Registered Nurse (RN): Graduates often recount their experiences in bustling hospital environments, where they provide direct patient care and collaborate with multidisciplinary teams. This foundational role is critical, as RNs are the backbone of healthcare delivery. The variety of nursing program specializations in San Francisco allows RNs to explore different areas of interest throughout their careers.
• Nurse Practitioner (NP): Many graduates express a deep sense of fulfillment in their NP roles, particularly in pediatrics or geriatrics, where they can diagnose and treat patients independently. This autonomy fosters a strong sense of professional identity and job satisfaction, making it a popular choice among nursing degree specializations.
• Clinical Nurse Specialist (CNS): Those who specialize in areas like oncology or cardiology often share stories of making significant impacts on patient outcomes through advanced clinical expertise. Their ability to provide specialized care is invaluable in complex cases, showcasing the importance of targeted education in nursing.
• Certified Registered Nurse Anesthetist (CRNA): Graduates in this field highlight the intense training required, but they also emphasize the rewarding nature of administering anesthesia and ensuring patient safety during surgeries, which can be both exhilarating and fulfilling. The rigorous training reflects the commitment to excellence found in San Francisco nursing degree specializations.
• Public Health Nurse: Many graduates find joy in community outreach, working to improve public health through education and preventive care initiatives.Their efforts often lead to tangible improvements in community health metrics, demonstrating the vital role of nursing in public health.
• Informatics Nurse: This emerging field attracts those interested in technology, with graduates noting how they leverage data to enhance patient outcomes. Their role is crucial in today’s data-driven healthcare environment, highlighting the intersection of nursing and technology.

The positive impact of graduate nursing education on job satisfaction, self-esteem, and career opportunities cannot be overstated. However, it is essential to acknowledge the potential stressors associated with advanced studies. For instance, some graduates have reported increased stress levels due to the rigorous demands of their programs, yet they often find that the long-term benefits outweigh these challenges.

In summary, the nursing specializations available in San Francisco not only provide a pathway to fulfilling careers but also contribute significantly to the healthcare system's overall effectiveness. Each specialization offers unique opportunities for personal and professional growth, making the pursuit of a nursing degree a deeply rewarding endeavor. For those considering a career in healthcare, understanding the various nursing program specializations in San Francisco can help guide their educational journey. Additionally, if you're interested in exploring other healthcare careers, you might want to check out the starting salary for dentists.

How do you choose the best Nursing degree program in San Francisco, CA?

When selecting a nursing degree program in San Francisco, CA, several key factors must be considered to ensure that the choice aligns with both personal aspirations and professional goals.

• Accreditation: Opt for programs accredited by recognized organizations. This is crucial for future employment and licensure as a registered nurse. Graduates often emphasize how accreditation provided them with confidence in their education, knowing they met industry standards.
• Degree Type: Determine whether an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) aligns with your career objectives. Many employers in the Bay Area prefer BSN graduates due to their comprehensive training. For instance, a graduate from a local university shared that the BSN program not only deepened their clinical knowledge but also opened doors to leadership roles. This preference highlights the importance of choosing from the best nursing programs in San Francisco.
• Learning Format: Reflect on your learning style. San Francisco offers traditional in-person classes, online courses, and hybrid models. A graduate recounted how the flexibility of an online program allowed them to balance work and family commitments while still receiving a quality education. For those interested in online options, there are also opportunities to explore online nutrition classes for additional skills.
• Clinical Experience: Seek programs that provide robust clinical training. Hands-on experience is vital for developing practical skills. Graduates often highlight the importance of strong affiliations with local hospitals, which enhance their clinical learning and job readiness.
• Faculty Qualifications: Investigate the faculty's qualifications. Programs led by experienced instructors can significantly enrich your educational experience. A graduate noted that having faculty with real-world experience made a substantial difference in understanding complex nursingscenarios.
• NCLEX Pass Rates: Research the program's NCLEX-RN exam pass rates. High pass rates indicate effective teaching and support, suggesting that the program prepares students well for licensure. A graduate mentioned that their program's high pass rate instilled confidence in their preparation.
• Cost and Financial Aid: Evaluate tuition costs and financial aid options. Given San Francisco's high cost of living, many institutions offer scholarships and financial assistance. A graduate shared how financial aid made their education more accessible, allowing them to focus on their studies rather than financial stress.

The pandemic has notably strengthened nursing students' resolve to enter the field, with only 11% considering withdrawing from school. This determination reflects a growing recognition of the nursing profession's critical role in healthcare, making it essential to choose a program that not only meets educational standards but also aligns with personal and professional aspirations. As you explore your options, consider the top nursing degrees in San Francisco CA to find the right fit for your career path.

What career paths are available For Nursing graduates in San Francisco, CA?

Graduates of nursing degree programs in San Francisco, CA, have a multitude of career paths available to them, reflecting the diverse healthcare landscape of the region. With nearly half of newly licensed registered nurses in the United States entering the profession with an Associate Degree in Nursing (ADN), this pathway remains a viable option for many. However, pursuing a Bachelor of Science in Nursing (BSN) can significantly enhance job prospects and career advancement opportunities, particularly in a city with such a dynamic healthcare environment.

• Clinical Nurse: Many graduates begin their careers as clinical nurses in hospitals or outpatient facilities. For instance, a graduate from a well-regarded nursing program in San Francisco shared how their ADN allowed them to secure a position in a local hospital's emergency department. This role provided invaluable hands-on experience and a solid foundation for future specialization, showcasing the nursing career opportunities in San Francisco.
• Specialization: As nurses gain experience, they often choose to specialize in areas such as pediatrics, geriatrics, or critical care. A graduate from a prominent university recounted how their BSN enabled them to transition into a pediatric nursing role, where they found immense fulfillment in caring for children and their families. Specialization not only enhances job satisfaction but also typically leads to higher salaries, further improving the job prospects for nursing graduates in the region.
• Leadership Roles: With further education, such as a Master of Science in Nursing (MSN), graduates can ascend to leadership positions, including nurse manager or clinical nurse leader. One graduate noted that pursuing an MSN allowed them to take on administrative responsibilities, shaping policies that improved patient care within their facility. This pathway illustrates how advanced education can open doors to influential roles in healthcare.
• AdvancedPractice: For those interested in advanced practice roles, such as Nurse Practitioners (NPs) or Clinical Nurse Specialists (CNS), obtaining a Doctor of Nursing Practice (DNP) is essential. A graduate shared their journey from bedside nursing to becoming an NP, emphasizing the autonomy and impact they now have in patient care. This transition highlights the importance of continuous education in advancing one's nursing career.
• Education and Research: Graduates can also pursue careers in nursing education or research, contributing to the development of future nurses or advancing healthcare practices. One graduate expressed their passion for teaching, stating that their experience in a San Francisco nursing program equipped them with the skills to inspire the next generation of nurses. This commitment to education is vital for the ongoing evolution of the nursing profession.

The nursing profession in San Francisco is not only about providing care but also about continuous growth and advancement. By choosing the right educational pathway and leveraging local opportunities, graduates can build fulfilling careers that make a significant impact on their communities. For those considering a career in healthcare, exploring options such as becoming a national certified medical assistant can also be beneficial. You can find more information about the best medical assistant schools and programs in Oklahoma national certified medical assistant.