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As an IMG I know how many problems and difficulties IMGs have to face when they enter the US Healthcare system starting from getting Observerships/Externships/Research. If they get lucky and match in a program they have to adapt themselves to a completely different health care system which includes getting used to the EMR system. What measures should be taken to help ensure they get acquainted to the system without putting them under immense stress of dealing with the patients effectively at the same time.