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This mixed methods study compares how secondary teachers implemented Reform in China in 2012 and in 2022. Major sources of data were surveys from sample teachers and students in 16-24 sample schools. Results from open-ended questions and classroom observations were also used. Conclusions of the current study indicate that even though teacher-directed lessons still dominated, teachers were able to use a variety of student-centred learning methods and technology integration. Predominant student evaluation strategies used were tests, classwork, assignments, and examinations. However, 30% of the sample students and 20% of the sample teachers stated that classroom behaviour was affecting their work. A major obstacle for the reform remains high-stakes examinations. Educators in all jurisdictions can learn from reform efforts in China.