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One of the advantages of the technology industry is that it's as diverse and you are creative and exists at all levels--not everyone is a coder, not everyone is a hardcore server administrator.
The certifications rely on what your current experience is... if you have experience using Windows server, then you could probably jump right into the MCSA program. The MCSA program covers day-to-day adminstrative tasks with a sprinkling of the backend server management and components. For database management, you could look ath Microsoft's SQL Server electives that, if you desired, could be applied to your MCSE.
However, if you have not been exposed to the hardware and networking aspect, perhaps a starting point would be to investigate the curriculum surrounding CompTIA's A+ and Network+ programs--they typically are great footholds prior to the MCSA (and can be used as an elective!) Some of the MCSE/MCSA courses can be much more difficult if you have difficulties with the underlying principals that, with the recent exams, Microsoft assumes you understand coming in.
The MCSE is a great resume builder; however, focuses more on the backend engineering (active directory, replication, DHCP, DNS, WINS, group policies, security, etc) rather than the higher level day-to-day administrating tasks associated with the MCSA. In an example, I've taken the courses and read the books for the MCSE and taken one of the exams; however, in my current position, do not see the value added to upgrade my MCSA to an MCSE.
It also depends, I suppose, on whether or not you plan to use your new skills to start your own company or to seek employement with an existing company. Certifications are great for attracting potential customers as a consultant; however, you'll need the hands-on experience to back that up. In my region, the midwestern USA, experience and performance is typically viewed higher than certifications when trying to land a new job.
If you're interested in Microsoft's programs, their training and development web site can help you determine a path (or at least see the paths available):
Good luck!
Regards,
David
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David R. Longnecker
Web Developer
CCNA, MCSA, Network+, A+
Management Information Services
Wichita Public Schools, USD 259