 Project Objectives: This trial will extend this line of research by examining two methods of delivering this Comfort Care Education Intervention utilizing the established infrastructure of Palliative Care Consult Teams PCCT: a Basic Implementation Approach using a teleconference to review educational materials and activate PCCTs to educate other providers, and an Enhanced Implementation Approach utilizing in-person, train-the-champion workshops to prepare PCCT members to be leaders and trainers at their home sites. The aims of this study are 1 to compare the effectiveness of the two approaches for changing provider behavior, as reflected in documented processes of end-of-life care, 2 to formatively evaluate PCCT members experiences with and perceptions of the two approaches, 3 to quantitatively evaluate PCCT members perceptions of the training received and its impact on attitudes, skills, and perceived efficacy to care for patients and teach other providers, and 4 to assess the downstream effect of the intervention on providers at all sites who receive training from PCCT members, including their perceptions of the value of the education and its impact on knowledge, attitudes, skills, and practice. 