Abstract: Objective To examine the practical procedure of implementing the Quality End of Life Care for All© Train the Trainer(QELCA©TtT)program and to evaluate its impact in China. Methods From February 2020 to April 2020, data collected from the implementation of QELCA©TtT was evaluated by interviewing the staff faculty in charge of the program in China, reviewing training materials and questionnaires collecting. Results A total of 62 participants had completed the QELCA©TtT program from November 2016 to November 2019, and all of them responded to the survey. Among 62 participants, 45 of them have participated the 5-day QELCA© program independently, and 11 of them attained QELCA©TtT accreditation. Most participants[87.1%(54/62)to 93.5%(58/62)] were satisfied with the program facilities, program facilitators, program delivery and program outcome. Amongst participants who had completed the 5-day QELCA© programme, 70.0% of them(28/40)believed that they should have had standardized program materials just at the beginning of the program and 65.0%(26/40)expressed their need of funding to support for the training. For participants who had commenced on the action learning subsequent to the 5-day program, 71.1% of them (27/38)believed that they should have had support and guidance at the beginning of action learning; The results also showed that 55.3% of them (21/38) needed organizing materials of program. For participants who completed the QELCA©program and submitted their thesis as required by accreditation, 33.3% (11/33) did not fully understand the goal and requirements of the thesis and 63.6% (21/33) needed more reference materials. Conclusions The progress of QELCA © TtT training is good, and the satisfaction rate in trainees is high; The trainees have different difficulties and need assistance in different stages of the training, they need to be supported by a more specific strategy in the future.

Key words: Palliative care, Training, Trainer, Quality End of Life Care for All (QELCA©)