A study was conducted to determine the information technology (IT) training needs of front-line clerical staff, medical records staff, and information systems staff in hospitals. Information was gathered through interviews and structured group discussions with human resources directors, information systems directors, medical records directors, and workers in the three occupational areas at a randomly selected sample of hospitals in New York City. Participants were asked to describe and assess the impact of the evolving use of IT on current job content, knowledge requirements, education and training needs, and potential career paths. The study also assessed the impact of IT on the supply and demand for workers in each of these occupational areas. Key findings include the following: (1) basic computer information and keyboarding skills are necessary for workers on a daily basis; (2) IT training for front-line clerical workers has primarily been task-specific, but the training could be more effective if it included an overview of the systems used by the hospital and more generic IT information; (3) increased proficiency in using IT systems is not tied to advancement opportunities for front-line clerical workers; (4) increased use of IT does not significantly impact the recruitment or retention of clerical workers; and (5) increased use of IT has not reduced staff. Recommendations were made for increased training, the use of additional training methods (such as distance learning), and career advancement for front-line clerks who improve their IT skills. (KC)