Dr Candice Baker

"We really are building the future of general practice" Dr Candice Baker, GP Supervisor and GPSA Board Director

Candice obtained fellowship as an Australian General Practitioner in 2015, then as a Canadian Family Physician in 2019. She has worked at a training practice in regional Victoria for 10 years.

This is where the seeds of passion for medical education were sown through supervision of medical students and registrars before becoming an accredited supervisor early in 2022.

How have you arrived at your GPSA role?
“I have a desire to contribute within general practice supervision, to try to ignite some change, and help support the profession.

“That desire has been born out of the environment that I trained in and therefore the same sort of environment that I want to create and promote in terms of general practice supervision. It stems back to when I did my training and that amazing environment, surrounded by my supervisors, and a culture of teaching and learning: where everyone was a teacher and a learner at the same time. I identified with these colleagues, and they were pivotal in shaping my desire to follow their lead.

I identified with these colleagues, and they were pivotal in shaping my desire to follow their lead”

“With regards to my role on the GPSA Board specifically, I think that’s probably a combination of my love of teaching with a hint of opportunity and a whole lot of luck – falling into things at the right time and the right place. Dr Madhu Tamilarasan, a GP Supervisor and former GPSA Director and friend, motivated me to engage actively with GPSA. Despite my hesitation about my suitability for the Board, Madhu encouraged me to throw my hat in the ring. She was a great inspiration to me.”

How have your various roles prepared you for your work with GPSA?
“The training environment I experienced enabled me to get involved in education in various forms. As a 2nd year registrar, I was involved in supervising medical students and I was also a Registrar Medical educator (RME) with my Victorian RTO.

“I also work for Monash University School of Rural Health and assist in the running of their general practice program for their Year 4 students. These roles were quite complementary to general practice supervision and allowed me to understand the breadth of supervision, and in fact, what it means to be a supervisor.

“And I’m currently a Supervisor Liaison Officer (SLO) which is a complementary role to everything in terms of advocating and works nicely with my GPSA Board role.
“It all seems to be a very natural progression for me, and I have just gone where the path has taken me.”

Do you see opportunities for GPSA’s education products internationally?
“I think there are opportunities for GPSA to expand to specific international markets where the core knowledge is the same throughout. For example, in looking at Canada where I spent some time during Covid, there were no major differences to Australia in terms of primary health care.

“In terms of SCENARIO, GPSA’s phone application, I think it’s really helpful and could be applied in other health care settings. Particularly for new supervisors, who maybe just haven’t quite figured out exactly how they want to structure their teaching sessions, or whether they’re stuck for what to cover at a particular stage in their learner’s journey.

“This application offers a form of convenience and a certain spontaneity that can be helpful. SCENARIO can flush out streams of deficiencies or things that maybe the learner needs to focus a bit more on. For example, was their respiratory knowledge as good as their cardiology knowledge; are they not as good at communication versus legal concepts.

“I think there is huge potential for growth within different areas of specialization, whether that’s obstetrics or emergency. I can see it being used much more widely and I’ve certainly found it useful and a fun thing to add to our teaching sessions with my registrars.”

What challenges are presently of greatest concern in the realm of supervision for our members that you’re aware of?
“I have three issues when I speak to supervisors that are top of mind:

  1. The sustainability of supervision – in the sense of the current apprenticeship model in general practice and what that looks like into the future.
  2. Appreciation of supervision is a big concern and, in particular, how supervisors are viewed In the wider scheme of things. With the transition of GP training back to the colleges, I think that has led to some under appreciation and undervaluing of the supervisors on the ground. There has been lots of new work and new assessments being introduced with limited consultation on the ground about how that would work in practice.
  3. Thirdly, remuneration is always a hot topic. I think we’re all aware that GP supervisors give way more than what most people would at the hourly rate they get paid. There seems to be this constant idea that supervisors can just do more, and that’s okay. Can we create a sustainable, high quality general practitioner at the end of training, if we don’t nourish the people that are nourishing them? We wouldn’t expect to have a bountiful garden full of vegetables if we didn’t actually take care of the soil. I think supervisors are the soil that helps grow our future workforce.”
  “I think supervisors are the soil that helps grow our future workforce.”
 

What solutions do you see that we offer to our members? What are we doing to help?
“GPSA is striving to lead from the front. I think our presence is more visible and the organisation is more prominent compared to perhaps 3-5 years ago.

“I believe we’re doing a great job advocating for those at the coalface and that’s partly because the Board of Directors are supervisors – we are the people we represent. We’ve got a firsthand idea of what it’s like to be on the ground and doing supervision work. That puts us in an excellent position to be able to advocate for change and be heard. We are very good at listening to our members and making sure that we sort of get a seat at every table to talk about issues that are important to general practice supervision.

“I firmly believe you can’t effect change if you’re not actually involved in the conversation. From that perspective, it’s been a successful couple of years in terms of having a seat at each table and being able to do that.”

Message to fellow supervisors
“My main message to fellow supervisors is that we value you. A while ago I was told by a colleague at Monash, “we really value what you do”. I suddenly thought, no one’s ever really said that to me. As supervisors, we really don’t get told that we are valued for what we do. Now I make a concerted effort when I catch up with my local supervisors to tell them that we really value having them as part of the team. And if there’s anything that we can do to make life a bit easier for them, then tell us. Acknowledging their indispensable role in general practice training is crucial. Without supervision and the dedicated work of supervisors on the ground, training simply wouldn’t be possible. We really are building the future of general practice and GPs in Australia.

We really are building the future of general practice and GPs in Australia.”

“Additionally, I really feel strongly about finding a way to further engage practices that are committed to education and training at a high level of quality. It’s important we come up with a set of standards for supervision that allow us to ensure that we are putting supervisors and registrars into supported practices, and that we know that trainees are going to get a good training experience. The GPCLE tool has a huge role to play in this work. It sets the standard of supervision and whether we’re meeting that bar as training organizations or training practices. This is an important focus over the next couple of years.”

Date reviewed: 24 June 2025

Please note that while reasonable care is taken to provide accurate information at the time of creation, we frequently update content and links as needed. If you identify any inconsistencies or broken links, please let us know by email.

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Why get involved with GPSA? “Having lots of skin in the game,” says this high-flying GP

Dr Kate Manderson is a name associated broadly with Australian general practice and GP supervision yes, but also with aerospace medicine, corporate and clinical governance, advocacy and – above all else – family and community.

On the eve of the transition of GP training to the GP specialty Colleges, this experienced GP and practice principal decided it was time to contribute her vast skills and experience to ensuring quality and passion remained at the heart of clinical supervision for future GPs in-training.

So it was that this ADF-trained health professional, businesswoman, Principal Medical Officer of CASA, Senior Aviation Medical Officer of the  Royal Australian Navy, Graduate of the AICD, Medical Educator and past President and Chair of the Australasian Society of Aerospace Medicine (ASAM) came to be elected onto the Board of GPSA in October 2022.

Kate recently talked with our Communications Manager, Pauline Ingham, about her burning desire to get a better deal for Australian GP supervisors.

What do you think has brought you here to this role on the GPSA Board?

“After 25 years as a GP I have been inside the GP system for a long time and gained a lot of valuable experience.

“Like a lot of GPs, I have a lot of ‘skin in the game’, having worked as a GP, a Medical Educator and a Supervisor.

“I understand how it works, how it could be improved, and have seen some challenging times.”

Why GPSA?

“At a time when I couldn’t contribute to GP training at the coalface, I still wanted to contribute meaningfully.

“I saw the opportunity to use my experience and skills in clinical leadership and governance through the role on the GPSA Board… as a way to help our system, our supervisors and our trainees on a broader scale.”

She notes that she was encouraged and supported by colleagues who said, “Kate you can do this!” – and she decided the time was right.

“My experience in governance, company directorships and leadership came into play. Having an understanding of the importance of operating a viable and strong business, combined with my supervision experiences, enabled me to put myself forward and make a contribution to GPSA."

How have your various roles prepared you for your work with GPSA?

“My first role as a GP registrar prepared me by going through the system. I was privileged to train in Tasmania and on the whole had fabulous education, mentoring and training, working with pioneers and leaders who are still involved today. I learned from people who showed me how great it could be.

“My placement experience varied after that – some practices gave little support; however, it was still the early days of training, and often I was on my own. Some practices straddled the line between good and bad: offering great mentoring and supervision, but less structured education.

“So I had the opportunity to experience lots of different perspectives as a trainee as to what supervision looked like, could look like, and what it  actually should look like.”

How did that view of supervision you had as a trainee change when you started supervising?

“When I moved into the role as a Supervisor and had the opportunity to be on the other side of the table, I instantly realised how hard it can be to be a supervisor!

“I was so determined that there really is no excuse for being a poor supervisor, but the actual experience of doing the job for more than a decade, and having more than 50 trainees over the years, has led me to realise it’s not that simple at all.

“Supervisors deal with registrars of varying needs, and this requires a flexible system that can be very difficult to achieve.”

As a practice owner, what do you see as the challenges facing educating and training the next generation of GPs?

“I see two big challenges or barriers – adequate funding and adequate recognition.

“You want to be altruistic and you want to help somebody – vulnerable people and vulnerable communities – and you want to spend lots of time with patients. And that is beautiful, but you can’t do that if the practice closes because you can’t pay the wages.

“Let’s start with money, and we must talk about that. If your business goes bankrupt you can’t help anyone. It's a fundamental part of what I teach trainees, they have to understand the business of general practice."

So let’s talk about the money!

“It can seem unpleasant to raise, but thinking that money isn’t important is part of the reason we have ended up in this current situation.

“It is important – and there are some key barriers we need to address.

“To start with, the funding model of general practice is fit-for-purpose for 1975, but it is not fit-for-purpose for 2025, 2035, 2045… It hasn’t been fit-for-purpose for a very long time because everything has changed around us, just not this funding model. That is the biggest barrier.

“We are not funded as supervisors, and until that changes we will not have consistency in the quality of training placements… Which means appropriate funding is needed urgently for supervisors and training practices as well as the trainee.

“There is a vast difference between the funding for hospital-based supervisors with payment built into their contracts, and how GP supervisors do it: GP supervisors take a pay cut to teach!”

Any other barriers you’d like knocked down?

“The culture of general practice.

“The idea of #justagp – ‘Are you a specialist or just a GP?’ – is problematic.

“We need something much more powerful in recognition of the specialty of general practice.”

“I believe we must bring back the PGPPP so that everybody gets a turn in general practice – so they understand what it’s about.

“I also strongly believe that we need a name change, because everyone uses ‘GP’ whether they should or shouldn’t.”

“We need to identify our unique skill set, it’s got to be marketed, again back to the finances... We pay equivalently, we recognise the specialty equivalently, and everyone understands what the specialty does."

What challenges are presently of greatest concern in the realm of supervision for our members?

“My sense is that the biggest concern is ‘who’s going to take over when I am done?’

“We have members who are passionate, dedicated and committed in that role. And they are altruistic, self sacrificing, they are doing it without any money, without any recognition, because they want to and they think it’s important.

“Part of it is they are there for the future of the profession, part of it is they are there for the future of their practice. They are thinking, ‘If I am not supervising, we can’t get trainees; if we can’t get trainees, we can’t get succession planning and workforce’ and so on.

“I am living that experience right now. I am not currently supervising registrars in my practice so this equates to empty consulting rooms in my practice.

“People might say if we can’t get registrars then why not get Fellows. That is proving almost impossible in the current climate.” 

We need more women in supervision. How would you encourage women to pursue roles as supervisors? 

“Firstly, GPSA’s current Women in Supervision research is important because if it doesn’t get measured it doesn’t get fixed.

“Data is key and can be used strategically. Commonwealth Departments respond well to data, and politicians respond to real life stories. So you have to tackle any issues with submissions and data.

“With regards encouraging more women into supervision, I’ve already said that supervision is altruistic – you give of your time and your money. Women already have less money and less time, and we are asking them to have even less money and even less time. We have to fix that!

“Another factor is that historically women carry the greater burden of child care. If we have more, better, financially accessible child care for women in primary care, women would do more in primary care.

“If GPSA found a way to subsidise women volunteering to supervise with a cleaner? We’d be inundated! Essentially, childcare and financial recognition are the two things I think will get more women into supervision.”

“If we can adequately remunerate or financially recognise supervision overall, then this will no longer be yet another cut to women who are already being cut by the financial disparity we continue to endure. This would benefit everyone - not just women of course, but it would proportionately benefit women even more.”

What would you like to say to Australia’s supervisors?

“My message to Australian supervisors is to hang in there!

“You are special, you are doing amazing things. GPSA understands this and we’ve got your back. We’re going to do everything we can to make it better for you, so please hang in there while we do that.

“I’d also like to send a message to our trainees, our early Fellows and our new supervisors, and that is to please show up, please don’t expect everyone else to do it. It is a champion team, so show up, be brave, put yourselves out there.

“I urge you to support the industry leaders who are saying GPs have to charge privately and we have to charge our worth to make it so that we can afford to supervise in practices. Be brave, be there, show up and take it on!

“I am taken back to my time in the Navy when the mantra in an emergency or attack was to never leave the ship – the three step approach was ‘Fight, Move, Float’ and ‘we do not abandon ship!’

“So I say to my colleagues: we value you, we need you, don’t abandon the ship!”

Date reviewed: 24 June 2025

Please note that while reasonable care is taken to provide accurate information at the time of creation, we frequently update content and links as needed. If you identify any inconsistencies or broken links, please let us know by email.

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