China Train-of-Trainer (TOT) Programme
Training Objectives and Key Performance Indicators (KPIs)
1. Building sustainable palliative care service
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KPI - Service audit data
2. Training quality palliative care generalists
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KPI - Clinical data
3. Training palliative care champions
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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
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
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Coverage
At least 90% of the graduating cohort will begin Palliative Care services 1 year from graduation
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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
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 12 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
(3-days)
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.
Cynthia Goh Sector: Singapore
Chun-Kai Fang Sector: Taiwan
Yuen Kowk Keung Sector: Hong Kong
Shirlynn Ho Sector: Singapore
Amy Chow Sector: Hong Kong
Chia-Chin Lin Sector: Hong Kong
Yingwei Wang Sector: Taiwan
Theresa Tze-Kwa Lai Sector: Hong Kong
Neo Han Yi Sector: Singapore
Ning Xiao Hong Sector: Mainland China
Emily Yap Sector: Malaysia
Fong Yi Leong Sector: Malaysia
Helen Chan Sector: Hong Kong
Annie Kwok Oi Ling Sector: Hong Kong
Poon Yin Sector: Hong Kong
Qin Yuan Sector: Mainland China
Dai Xiao Yan Sector: Mainland China
Lee Chung Seng Sector: Singapore
Chen Ru Yi Sector: Taiwan
Aw Chia Hui Sector: Singapore
Susan Xu Zhi Zhen Sector: Singapore
Chia Gerk Sin Sector: Singapore
Zhang Shi Yin Sector: Taiwan
Joanna Chan Gui Xian Sector: Macao
Sha Rui Sector: Mainland China
Jade Lam Sector: Hong Kong
Helen Chiu Sector: Hong Kong
Lu Xin Yan Sector: Taiwan
Magaret Suen Sector: Hong Kong
Joyce Chee Hui Min Sector: Singapore
Our Participants
The participating hospitals are from 2 municipalities and 7 provinces of China. There are a total of 22 Institutions and 102 Participants.
Hebei - 1 hospital
Jilin - 1 hospital
Beijing - 8
hospitals
Shanghai - 4 hospitals
Jiangsu - 2 hospitals
Sichuan - 3 hospitals
Liaoning - 1 hospital
Henan - 1 hospital
Yunan - 1 hospital
