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China Train-of-Trainer (TOT) Programme

Training Objectives and Key Performance Indicators (KPIs)

1. Building sustainable palliative care service

  • KPI - Service audit data

2. Training quality palliative care generalists

  • KPI - Clinical data

3. Training palliative care champions

  • KPI -

1>  Number of training conducted

2> Trainee participant feedback

3> Advocacy at the hospital/service level e.g. sensitization workshops

4> Advocacy at the national level

Sustainability action plan

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Programme Overview and Goals

The Train-of-Trainer (TOT) Programme in China was initialized by the Lien Collaborative for Palliative Care (Lien Collab) and the APHN founder Professor Cynthia Goh.  There're two main goals of this programme

  • Coverage

       At least 90% of the graduating cohort will begin Palliative Care services 1 year from graduation

  • Utilization

       At least 80% of the Clinician Master Trainers will start in-service training, training outside the organization and in the community           within 1 year from commencing programme

Palliative Care Landscape in China

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Quality of care

•No presence of accreditation and monitoring standards

•Availability of opioid painkillers – available but online licensed doctors can prescribe

•Availability of psychosocial support for patients and family – mainly by volunteers

•DNR available

•Shared decision making not done, collusion common

•Patient outcomes surveys used to monitor service quality in major hospitals

Community Engagement

•Public unaware of palliative care or associates it with euthanasia

•Medical community also unaware or have limited understanding

•Sufficient volunteer workers but not all are well trained

Course Outline

Duration 11 Months

Site Selection

Foundation Course

(6 months online)

Clinical Case Discussion

(6 months online)

Clinical Attachment

(5-days suspended due to Covid outbreak)

Refresher Course


Audit & Summary Report

Post-program Support

Current Progress

The 1st Batch of China training started in July 2021. Due to the Covid-19 situation, both fundamental teaching sessions and clinical case discussion sessions were conducted online in the form of webinars happening every week.

By the end of June 2022, the program in China has completed 40 hours of fundamental teaching sessions and 40 hours of clinical case discussion sessions, with the great support of 30 volunteering faculty from 5 sectors: Singapore, Malaysia, Hong Kong, Taiwan, and Mainland China. Click the play button to view the welcome session and get a feel for the training. 

Our Faculty

A core team of 31 experienced palliative care experts from Singapore, Malaysia, Hong Kong, Taiwan, and Mainland China as volunteer faculty for the training program.

Passionate Network
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