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You can manage & track your card collection and decks once you create an account and login.

When do I use this ability?

You use it before the game begins. After you put the Medic! into your hand, youll shuffle the rest of your deck. Then youll draw the normal 3 cards at the start of the game. This means youll start the game with 4 cards in hand (Medic! plus the 3 you draw). Youll still draw a card at the start of your first turn.
Source: Wizards of the Coast (2019-03-01)    【Link to Ruling】
Tags: Specialist Ratchet, Engineering • Rescue & Repair