This spring a pilottest was made to see if Emergo Train System with it's strenght, could help assistent nurses. The students came from different countries and needed a formal education before they could apply for jobs. Some of them also studied Swedish and therefor had some problems to understand some of the lectures, reach learning goals and pass all the exams. If it will have a positive impact on the final exams are still to be proven. But all students was fully involved and sad that ETS pedagogic might be useful in other modules, were ETS could represent different cases of hospital patients with other types of problems related to careing.