Background: Bachelor of Pharmacy programs were introduced in 2006 into two Sri Lankan universities - University of Peradeniya and University of Sri Jayewardenepura. Due to minimal clinical pharmacy experience in the country, these universities invited international colleagues to develop and teach the clinical pharmacy course.Aims: To describe development, delivery and evaluation of both a clinical pharmacy undergraduate course and a "Train-the-trainer" program provided to local academics delivering undergraduate pharmacy programs.Method: In 2009, Australian pharmacist academics developed and piloted an undergraduate clinical pharmacy course at University of Peradeniya. In 2010, this was refined and delivered at University of Sri Jayewardenepura, along with a "train-the-trainer" program for local academics. These were evaluated using surveys.Results: Most students considered lecture delivery speed and use of audio visual aids appropriate, and lecture content relevant. Most academics found the "Train-the-Trainer" program increased their knowledge and improved their teaching skills.Conclusion: Experienced pharmacist academics can improve the quality of clinical pharmacy teaching in developing countries such as Sri Lanka