TERMINATE EMPLOYEE? CAN'T GRASP NEW COMPUTER SYSTEM?

I manage a medical practice. We used computers for scheduling, now moved up to a system where patient records are electronic. Out of 19 staff members, there is one who still fumbles through the process despite having the same training as everyone else, numerous one on one sessions with a very qualified trainer and yet others with staff members who have done very well with the system. It is essential she be able to use the system efficiently (quickly) and accurately (these are legal documents). Her performance is effecting the office flow and getting the doctors very behind. I'm trying to give her opportunities to improve, but this is becoming more frustrating to everyone in the office every day. Do I give her a time frame for improvement?

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