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China Train-of-Trainer (TOT) Programme

Background and Initiative

In the 2015 Quality of Death index published by the Economist Intelligence Unit, China ranked 71 out of 80 regions. Since 2015, APHN has held the Mandarin Hospice Summit yearly collecting opinions from prestigious palliative care experts in China. The team learned that the Ministry of China had issued a notice in 2017 about palliative care pilots. A second circular was issued in 2019 in response to the policies of the Healthy China 2030 Outline. Based on the promotion of relevant policies in recent years and the collected opinions from the Chinese prestigious palliative care experts, and because of the lack of systematic palliative care structure and fundamental training in China, APHN decided to develop and introduce systematic training to healthcare workers in China, focusing on cultivating palliative care trainers.

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Objective and Delivery

There’re three main objectives of this programme:

  1. To help participating hospitals build sustainable palliative care services

  2. To train generalists in palliative care for the provision of locally adopted train the trainer

  3. To nurture palliative care champions for outreach programmes

The China training program was launched in mid-2021 as an online program due to the pandemic. It was successfully completed in October 2022 after 40 hours of fundamental teaching and 40 hours of clinical case discussion sessions with support from 30 plus volunteer faculty from 5 regions. The faculty mentored trainee hospitals in palliative care and the program ended with a mini-graduation where three selected hospitals shared their experiences at the Mandarin Hospice Summit 2022 organized by the APHN.

Click the play button to see the graduation clip

Outcome and conclusion

The programme has successfully trained a total of 102 trainees including 46 doctors, 38 nurses and 17 social workers who are from 22 hospitals and institutions in mainland China, across 7 provinces and 2 municipalities. This is by far the largest number of participants we have ever had in the same batch of training.

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This China training on palliative care has produced positive results, with a 13% increase in the number of outpatient services, a 3% increase in dedicated beds, a 16% increase in weekly outpatient units, and a 94% increase in monthly average patients admitted to palliative care units. More institutions have added dedicated beds and some trainees have taken on leadership roles or provided training to other institutions. The training materials have become reference textbooks.

What's next?

We are in the progress of preparing more in-depth and targeted training programmes based on all the survey results and mentoring notes to better support palliative care workers in China. There has also been various request from the demonstrating hospitals in China to run the bedside and face-to-face training.

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Our Passionate Faculty

A core team of 30+ experienced palliative care experts from Singapore, Malaysia, Hong Kong, Taiwan, and Mainland China as volunteer faculty for the training program.

吴冯瑶珍
吴冯瑶珍

Cynthia Goh Sector: Singapore

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方俊凯
方俊凯

Chun-Kai Fang Sector: Taiwan

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袁国强_edited
袁国强_edited

Yuen Kowk Keung Sector: Hong Kong

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王英伟
王英伟

Yingwei Wang Sector: Taiwan

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何雪琳
何雪琳

Shirlynn Ho Sector: Singapore

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梁涵宇
梁涵宇

Neo Han Yi Sector: Singapore

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周燕雯
周燕雯

Amy Chow Sector: Hong Kong

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赖芷君
赖芷君

Theresa Tze-Kwa Lai Sector: Hong Kong

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林佳静
林佳静

Chia-Chin Lin Sector: Hong Kong

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宁晓红
宁晓红

Ning Xiao Hong Sector: Mainland China

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秦苑
秦苑

Qin Yuan Sector: Mainland China

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叶丽萍
叶丽萍

Emily Yap Sector: Malaysia

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冯以量
冯以量

Fong Yi Leong Sector: Malaysia

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陈裕丽
陈裕丽

Helen Chan Sector: Hong Kong

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郭爱玲
郭爱玲

Annie Kwok Oi Ling Sector: Hong Kong

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潘嬿
潘嬿

Poon Yin Sector: Hong Kong

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戴晓艳
戴晓艳

Dai Xiao Yan Sector: Mainland China

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李钟生
李钟生

Lee Chung Seng Sector: Singapore

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胡家慧
胡家慧

Aw Chia Hui Sector: Singapore

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陈如意
陈如意

Chen Ru Yi Sector: Taiwan

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卢忻燕
卢忻燕

Lu Xin Yan Sector: Taiwan

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徐志珍
徐志珍

Susan Xu Zhi Zhen Sector: Singapore

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谢月欣
谢月欣

Chia Gerk Sin Sector: Singapore

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张诗吟
张诗吟

Zhang Shi Yin Sector: Taiwan

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谭瑰贤
谭瑰贤

Joanna Chan Gui Xian Sector: Macao

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沙蕊
沙蕊

Sha Rui Sector: Mainland China

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林翠玉
林翠玉

Jade Lam Sector: Hong Kong

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赵海燕
赵海燕

Helen Chiu Sector: Hong Kong

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孙熙屏
孙熙屏

Magaret Suen Sector: Hong Kong

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赖允亮
赖允亮

Enoch Lai Sector: Taiwan

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Passionate Network
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