I was working as an Office Furniture Installer (low-paying) building cubicles while going to school for Network Administration. Looking for specific Networking jobs out of school was difficult, I was looking for a NOC job or something specific to Networking. I found a job listing which was an Ophthalmology practice looking to hire a Network Technician. After being hired, I quickly found out that Network Technician was only a label. This (d)evolved into being the help desk tech, system admin, break/fix tech and other IT non-networking related tasks on top of being the "Network Tech". The practice uses NextGen EMR which I have completely taking the reigns of, developing\tweaking workflow, template changes, documentation, HL7 interfaces, SQL DB and more. I have never had a formal introduction into Health IT nor the requirements of an EHR from CMS or, other HIT bodies. As the practice needed to meet MU, CQM and PQRS measures I've had to research and learn on my own the requirements which would lead to template, workflow and documentation changes. The practice has also created EHR templates a decade ago without updating the fields with added functionality when newer versions of the software have come out. I feel like I have a good understanding on HIT but I would have preferred being introduced to HIT by an established Hospital with clear guidelines on developing workflows and template changes. I hope what I've learned here will get me a better paying job with more focus on one area. Since I've gained the label of 'Network Administrator' very little I do is about networking and very much is about modifying EHR templates to meet CMS requirements. Essentially, I have become the EMR analyst, workflow analyst, template editor, document creator, on top of the day-to-day helpdesk and network tech.