The Department of Health developed long tern care level Ⅰ~Ⅲ training course, and level Ⅱ's course is partially overlapped with ladder training course of Taiwan Long Tern Care Professional Association (LTCPA). In this article we compare the objective, target, and content of these two courses and try to connect ladder training course with level Ⅱ training course in order to reduce the overlap course, and promote the nurses' care and teaching ability.