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There’s no question that the Master Training Environment (MST) build is complex and can be stressful on Principal Trainers.  However, building and testing master patients in MST correctly can have a positive impact on end-users and help to ensure the success of your training program.

The MST environment build provides experience and a depth of knowledge that will also build each trainer’s confidence prior to delivering Instructor Led Training (ILT).  A solid master training environment promotes efficient and effective training and will help to ensure your organizational go-live readiness.

The Training Manager should work closely with each Principal Trainer to guide them through the process for updating Training Wheels, which includes the Training Manager cookbook, application cookbook, and training curriculum. It is important to update each aspect of Training Wheels to match each specific training scenario.

If you update the training curriculum and forget to update one or both of the cookbooks you will build a model scenario instead of the specific scenario you updated in your curriculum. Since the goal is to simplify the training for the end-user, the updated scenario should always match the scenario in your curriculum.

What can I do to ensure my curriculum matches the training environment?

  1. Remember to always update your cookbook when updating the Master patient.
  2. Test your master patient by duplicating a test patient in the designated ACE environment.
  3. You do not want to duplicate all your patients until you test and fix your Master patient to match the Training Environment.
  4. Once your Master patients match your Training Environment, duplicate all your patients in the designated ACE environment.


Training Credential Trainers: With training scenarios and training patients in sync, Principal Trainers can focus on organization workflows and preparing Credential Trainers to train end-users.

Credential Trainers should feel empowered to deliver flawless training with confidence that they can provide end-user education that will prepare them for go-live and life in the new system.

Testing the Environment: Many end-users come to class feeling unsettled about a new system and change to their role. The last thing they want to hear from the trainer is, “I apologize, but there is an issue with the training environment.” Testing and ensuring that your training patients are working correctly will allow confidence in the new system.

End user practicing in PLY: Once classroom training is complete, end users will access the PLY environment to practice the scenarios they’ve learned throughout training.  In the days leading up to go live, the PLY environment becomes a vital resource for end-user readiness.

A stable and effective training environment begins with expertly built test patients, carefully coordinated Training Wheels, and well-coordinated curriculum. The value of a stable training environment is typically not realized until that stability is removed.  In the tenuous weeks and months leading to the implementation of an electronic health record, perception is often reality in the minds of end users.  And while they may not notice a stable and perfectly functioning training environment, end users will certainly notice if the environment is experiencing issues.

The build is complex, stressful and time-consuming, but when it’s done right, the positive impact on end user confidence cannot be understated.

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