Who buys that level without training? Someone who doesn't know what they're doing, doesn't care, and needs to check off a box to satisfy part of their yearly goals.
It's not at anywhere near that level, but I've been involved in PACS (online radiology result viewing) rollouts across hospitals three times (or 2.5 depending on how you define it), and it doesn't matter how well you train people, or how clever they are. If they aren't interested, they won't learn. Even if the new system is quicker or faster or better. Until you throw the printer out, everyone wants film. The cynic in me sees people, broadly, as untrainable.
