Dear Mahaley, I know everyone has their own reasoning for the institution they have selected to go through for their education and materials. What works out well for one person might not work so well for another. I would like to ask you, simply out of curiosity, why did you choose against going directly through Excelsior? Please everyone, have patience with me and all my questions! I contemplate things to death and look at every avenue which causes me to ask "why" alot! It drove my mother "crazy" when I was a little girl! Sincerely, Pediatrics426