Dr Sue Harrison, OAM shares insights into Supervision

We congratulate Sue on being recognised in the 2024 Australia Day Honours List for her service to rural medicine.

Dr Sue Harrison, a rural generalist in Echuca and one of ACRRM’s founding fellows, has been a GP and Visiting Medical Officer (VMO) in Echuca and Moama (Victoria/NSW) for the past 40 years. In addition to her experience in clinical work as a GP and GP Anaesthetist, Sue is also senior lecturer for the University of Melbourne RCS and engaged with remote supervision of a RVTS registrar and occasional GP locums.

Sue talked with GPSA about her contribution to supervision, and more.

When did your involvement with supervision begin?

Sue has a made a valuable contribution to the training and supervision of our future workforce. This began over two decades ago in rural general practice. The practice she worked at had a “supervisory team focus” managing learners at different levels. She took on a more active role in supervision when she became a practice owner.

What qualities are needed to be a good supervisor?

“I think that you need to have an interest in education and trained but I think you also need to have an interest in the people under your supervision as people individually. Where are we going? What are your goals? How can we help you to get there? How can we make this available placement for you? Those are the questions that I like to ask.”

“I try to make sure that I have an understanding of what their current curriculum is and what they’re actually trying to get out of the placement. The aim is to optimize the experience for the learner but also optimize the usefulness within the practice of having that person as an engaged learner so that they’re actually contributing to the practice team.”

Why is quality supervision so important for trainees?

“I think it’s important that students or learners feel safe with what they’re doing in the practice. My experience over the last 25 years is that students are probably less experienced and less well ready for practice. As such, by the time they get to General Practice they often haven’t had as much clinical experience as I would have expected someone who was trained 25 years ago to have. So, supervisors have to be quite cognizant that sometimes they need a bit more hand-holding to get to a place where they feel safe in that independent practice environment.”

Can you share a highlight that you’ve had in your role supervising either medical students or other learners?

“An ongoing highlight for me is when I have the opportunity to work with people who I supported during their training, and they remember the time they spent with me positively. Sometimes that had a big influence on their career decision making.”

“I’m especially thrilled to be working with other rural generalist doctors whose training I’ve been involved in and to see them working in, or working as, a rural generalist throughout Australia.”

“Rural doctors make enormous investments into education and supervision which has positive flow on affects to the communities they work in.”

“An aspect of the rural community that I’ve been especially proud of is that some young doctors have taken up the baton of rural medical politics and advocacy. In particular, Dr Megan Belot, immediate past-president of RDA, who I have mentored and have a long-lasting friendship with. Also, my daughter, Dr Emily Harrison, who is now on the Board of RDA and a Council Member with ACRRM. I am so proud that they’ve taken up these voluntary roles and that their passion about rural medicine has resulted in such big commitments.”

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

 “I have four messages for supervisors and the supervision sector:

– Call for integrated supervisor training

“Firstly, I’d like to call for the organisations who support learning in general practice – so the colleges and those in the prevocational space and medical schools – to recognize that supervision training is important, but that GPs don’t need to do a separate lot of supervision training for each of those organisations. I believe these organisations should work together to provide the training and updating rather than mandate that it’s duplicated for every environment. I strongly believe the organisations concerned should get together an cooperate.”

– Supervisor PD

“In my role as Victorian SLO with ACRRM, I’m advocating that we make it as easy as possible for our supervisors to stay engaged with ongoing professional development in the supervision space.”

– Engage younger colleagues

“The next thing I would say is to engage your younger colleagues with supervision early in the piece, even as a registrar, to start letting them see that that it’s an important part of their role as a doctor. So, looking at opportunities for vertical integration of training within practices.”

– Spend some time getting to know learners and trainees.

“I encourage supervisors to spend time to get an idea of who this learner is and where they’ve come from. Even if each learner’s medical knowledge is the same, there are going to be different things they need assistance with. I need to know who this person is where they come from and what are they hoping to get out with us and for their career progression. What can we do to make this day as useful to you as possible whilst of getting the work done? This approach gives me a level of safety in my current hospital roles. Knowing that this person has just arrived from a city hospital this week and has been doing rotations in great big teams where the work is less hands on, and now I’m asking them to actually step up to be a very active member of my team.”

Date reviewed: 26 June 2025

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GPSA Chair Report – May 2023

It just gets busier!
Hi all, Carla and I have been very busy again since my pre-Easter report, but all the hard work is definitely paying off!

As mentioned in the previous few months, we have been meeting with various states and territories to insert the argument for quality supervision into their individual plans for Single Employer Model (SEM) pilots. With every jurisdiction doing things differently, we continue to have a particular affinity with the Tasmanian model, which is very strongly rooted in the goal of supporting the private model of general practice over increasing their numbers of hospital employees.

The Tasmanian team is even considering our preferred model, where the registrar might complete GPT1-2 (or RG equivalent) under the state Single Employer then transition to practice employment governed by the NTCER, allowing access to earnings against billings only when they have had time to acclimatise to the general practice environment and gained an understanding of how to bill correctly, etc. We have also floated this option by a number of sector stakeholders, government representatives from NT, WA and Queensland, and have started working with ACRRM to explore potential for other options to give senior RG registrars greater flexibility than traditional practice-based employment allows at the tail end of their training.

What seems key at present is that alternate models of registrar employment are coming, and we need to be open to ideas that may well change what we have built our business models around as training practice owners. Not all change is detrimental… But we are working very very hard to ensure that we as a community of practice have visibility over and a prominent voice in any decisions leading to change for our sector.

I implore you to please maximise the opportunities we offer for you to have a say in all that’s happening around us in the GP training landscape. Activate your free membership to the GPSA Community Platform and join a Community Group (or 10)! Take a few minutes to complete the National Supervision Survey, which feeds into our work on Advisory Councils for the Workforce Planning and Prioritisation organisations across the country as well as guiding our research, education and advocacy priorities. It is so important that we all contribute to the findings of this important survey. You can read more about this here or contact our Director of Research & Policy, Dr Samia Toukhsati, with any queries here.

GPSA is committed to supporting the people and businesses that underpin the future of primary healthcare in this country. We are a sector conduit, a driver of innovation and quality, and an advocate for respect and recognition for this community. GPSA is not a group of Board members or the small team of employees who deliver educational interventions and resources, members supports, research and policy. GPSA is the community we serve… So don’t be a stranger!

Date reviewed: 24 June 2025

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The Strengthening Medicare Taskforce Report has been described as outlining “a vision for Australia’s primary care system of the future”, recommending “significant changes to how primary care is funded and delivered to enable high quality, integrated and person-centred care for all Australians”.

Date reviewed: 24 August 2024

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Teaching Plan: Contraception

This teaching plan provides healthcare educators with a comprehensive approach to training medical professionals on contraception methods. It covers practical, evidence-based strategies to enhance understanding and patient care.

For convenience, you can read through this resource here, or use the pdf tools at the top of the document to download and / or print the file.

Date reviewed: 27 August 2025

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Teaching Plan: Abdominal Pain

Abdominal pain is a common but complex symptom that general practitioners encounter frequently. This teaching plan offers practical guidance on assessing and managing abdominal pain effectively in primary care.

For convenience, you can read through this resource here, or use the pdf tools at the top of the document to download and / or print the file. 

Date reviewed: 11 February 2025

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Teaching Plan: Immunisations

This teaching plan provides a comprehensive guide to effectively support registrars in understanding immunisation principles and practices. It equips educators with resources to facilitate engaging, evidence-based discussions on immunisation topics.

For convenience, you can read through this resource here, or use the pdf tools at the top of the document to download and / or print the file.

Date reviewed: 11 February 2025

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Teaching Plan: Transient Ischemic Attack (TIA) and Stroke

The teaching plan discusses the importance of recognising and responding to Transient Ischemic Attacks (TIA) and stroke, providing guidance for healthcare professionals on assessment and management. It emphasises the critical role of early detection, intervention, and supervision in improving patient outcomes.

For convenience, you can read through this resource here, or use the pdf tools at the top of the document to download and / or print the file. 

Date reviewed: 14 February 2025

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Teaching Plan: Hyperlipaemia

This teaching plan explores hyperlipaemia, offering comprehensive insights into its diagnosis, management, and impact on patient care. Gain practical skills to apply evidence-based guidelines in clinical practice.

For convenience, you can read through this resource here, or use the pdf tools at the top of the document to download and / or print the file. 

Date reviewed: 14 February 2025

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Teaching Plan: Breast Lumps

This teaching plan provides essential guidelines for healthcare professionals in managing breast lumps, with a focus on diagnostic techniques and patient care. It offers evidence-based strategies to enhance clinical decision-making and ensure effective outcomes for patients.

For convenience, you can read through this resource here, or use the pdf tools at the top of the document to download and / or print the file.

Date reviewed: 11 February 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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Finalisation of 2022 NTCER Review

General Practice Supervision Australia (GPSA) and General Practice Registrars Australia (GPRA) are happy to announce the conclusion of the biennial 2022 Review of the National Terms and Conditions for Employment of Registrars (NTCER).

Key NTCER amendments to be implemented across the next 4 training semesters (2023.1-2024.2) include:

  • Staggered 4% increase to minimum Base Rate (full details outlined in table below);
  • Extending Educational Release support for GPT3/CGT3 registrars;
  • Amending Educational Release to provide full-time parity for part-time registrars;
  • Strengthened focus on fatigue management through increase in allocated Administration Time;
  • Revised Preamble to emphasise the minimum nature of the terms and conditions under the NTCER, above which practices and registrars are free to negotiate for mutual benefit and according to commercial viability;
  • Replacing the Restrictive Covenant with a Non-Solicitation clause.

As the peak organisations charged with administering the NTCER, GPSA and GPRA have finalised this review as it began – with collaboration, mutual respect, and a positive outlook. Both organisations recognise there is more to be done and will press ahead with advocacy for increased support and investment in the future of primary health care.

The main win for both organisations is the relationship forged through the underpinning principles GPRA and GPSA set for this review process in July 2022:

1)           Models of employment for GP registrars across Australia need to be fair and equitable, delivering working conditions and remuneration that compares with other specialist trainees while taking into account the context of training practices;

2)           General practice is a rewarding medical specialty and an attractive vocational pathway for junior and/or pre-vocational doctors;

3)           GP trainees and GP supervisors are equally desirous of and entitled to a quality training experience;

4)           GPRA and GPSA, as the recognised national peak bodies representing all GP registrars, GP supervisors and GP training practices, have a critical role in advising all levels of government on all matters of relevance to the GP training sector;

5)           Appropriate support and funding for GP supervisors and GP training practices is crucial for the sustainability of the nation’s primary health system, which in turn underpins the nation’s wider healthcare system.

As part of this process, future collaborations between GPSA and GPRA on a variety of projects have been agreed, including the co-development of:

  • A Fatigue Management Policy;
  • Employment contract templates;
  • Resources to assist practice managers overseeing the employment of GP or RG registrars;
  • FAQs for registrars and practices;
  • A shared benchmarking process to inform future biennial NTCER reviews.

Recognising the need to minimise the impact on training practices in the current climate, agreement has been reached to stage base rate and administration changes across the next 4 training semesters, leading into the next review period in Semester 2 of 2024. A summary of these changes and their timing is included below:

Implementation of Changes to NTCER by Training Semester

Educational release (clause 9.2)

Where GPT3s have mandated workshop requirements during standardly rostered hours, these will be included as paid time by practice (unless on a weekend or after
hours)

 

Restrictive covenant (clause 17)

Clause to be removed from NTCER and replaced with non-solicitation of patient and
staff

 

Parity for part-time registrars re
educational release
(clause 9.2)

Training practices to provide part-time GP trainees educational release in parity with full-time GP trainees

 

Redrafted “Preamble” and “About the
Agreement”

Updated to reflect staging of changes and new framework for biennial
review

 

3% increase to minimum base rate (per current Remuneration Schedule) on top of indexation

 

Administration time (clause 9.3)

Increase to scheduled 30 mins per session (half day) to max 5 hours per week

1% increase to minimum base rate on top of indexation

Next biennial review To be carried out under mutually agreed process and timeframe in 2024.2, with view to conclusion before recruitment for training placements commences (i.e. by September 2024 for 2025.1)  

The updated NTCER Agreement is available for viewing and downloading here.

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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