First Aid becomes a free known technique

If you did not already know First Aid Technique, you learn it without consuming one of the normal techniques-known slots.

The per-creature benefit limit improves

The base First Aid Technique normally limits how often a particular creature can regain hit points from it. Medical Training doubles that availability from once to twice per short or long rest.

Temporary hit points are separate

The extra temporary hit points are granted when a Shinobi technique restores hit points. They do not increase the amount of actual hit points restored and follow the normal rule that temporary hit points do not stack with another pool of temporary hit points.

The improvement applies to Shinobi-technique healing

The temporary-hit-point rider is broader than First Aid alone: it applies whenever one of your Shinobi techniques restores hit points.

Chakra still matters

Improved efficiency does not make healing free. The actual technique still uses whatever Chakra cost and activation rules its own entry specifies.