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The promise of a position that carries more repsonsibility can be an obstacle, especially if you don't fell like you're using everything you've learned in school. I would imagine that there would be a number of opportunities available outside of the IRB arena through the University you are employed. I might suggest ...
I see from your work history that you spent time on active duty as a physical therapy assistant. I'm not too familiar with Webster University's degree requirements. Did they afford an internship or residency opportunity? Think about what you like and don't like, based upon your past experiences. Floresville ...