Describes the characteristics and job responsibilities of Susan Knoche, a medical library assistant at James H. Quillen College of Medicine Library, East Tennessee State University (ETSU) Johnson City, TN who was voted paraprofessional of the year 2003 by Library Journal judges. Highlights include the variety of responsibilities she has held in all areas of library operations; and support for parallel career paths for personnel not interested in a Masters Degree. (LRW)