 Project Methods: PCCTs at 48 VA Medical Centers will be recruited to participate in the trial and randomized to receive the Comfort Care Education Intervention using the Basic or the Enhanced Implementation Approach. Data on processes of end-of-life care will be abstracted from the CPRS medical records of Veterans who die before and after the interventions, including presence of an active opioid order at time of death primary endpoint, other medication orders and administration, do-not-resuscitate orders, palliative care consult orders, location of death, presence of nasogastric tubesintravenous lines, restraints, and pastoral care. Semi-structured telephone interviews will be conducted with all participating PCCT members to explore their perceptions of training, the process of teaching other providers at each site, barriers and facilitators they encountered, how prepared they felt to overcome these barriers, and specific needs and preferences regarding the implementation approach. PCCT members at all sites will complete a post-training questionnaire to evaluate the usefulness of the training and its impact in terms of changing their attitudes about end-of-life care; recognition of dying patients; self-efficacy in ordering appropriate care plans; and clinical practice, including likelihood of using CCOS. 