Karen Broz, EMR Training Team Coordinator, and Elaine Hinton, EMT Staff Development Coordinator, University of Missouri Health. Karen and Elaine discuss how they have changed traditional nurse and resident physician onboarding models to accommodate the realities of today’s EMR-enabled world. Learn how they reduced the total amount of time to get the clinician to the desired level of competence and confidence by increasing the amount of training on the job vs. classroom, implementing training in small doses as they learn the work, engaging other clinicians in the training process, and implementing a measurement framework to measure each individual’s competence and confidence.