Supervision for Doctors

This unique approach to supervision enhances sustainability for your professional life and the quality of healing. 

It includes a focus on you as professional, you as a person and your experience with your patients.

It offers an expansion of your perception from a quantitive focus to include qualitative aspects of the human being.


  • To enhance self -awareness and constructive self reflection
  • To improve leadership qualities and communication skills.
  • To broaden perception to include qualitative aspects of the human condition.
  • To make your professional life more sustainable, rewarding and effective.

Possible topics covered:

  • Awareness of self-care.
  • Avoidance of burnout.
  • Communication skills to enhance relations with peers, staff and patients.
  • Self-reflective skills and processes.
  • Conflict management
  • Constructive awareness of rank and privilege.
  • Develop a dialogue around death, dying, patient and doctor decisions.
  • Stress management.
  • The development of leadership re expression of group and personal needs.
  • To enhance effective functioning within a community and within a hospital.
  • Broaden awareness of the varied phenomena within medical settings to enhance skills in addressing human complexity.
  • Personal life issues that may adversely impact your professional life.

Central to Supervision with Metavision is an open supportive, skilfully facilitated space that fosters discussion of matters that are important to you.

Individually or in small groups your issues, questions, and contribution, grow and shape collective wisdom, experience and skills that are personally relevant to you.

The facilitator supports relevant discussion and brings skills but not an agenda. Facilitators of Supervision with Metavision have extensive relevant training and experience. 

Christina Nielsen has developed supervision with Metavision from her experience of 13 years of working in small groups of doctors in the palliative care unit of at St Vincent’s Hospital Sydney (1998-2012). Initially run as a pilot project evidence of positive results from research ensured its continuance.

Outcome of research conducted in 2001 by an independent internal audit of the Supervision with Metavision to determine if the programme should continue found that all those contacted said they would participate again if it were available.

Positive points included:

  • Increased coping ability with difficult issues
  • Development of empathy for team members which improved the working environment and support.
  • Promotion of personal development
  • Advice of skilled external facilitator
  • Discussion of highly personal issues in a confidential environment.

Negative points included:

  • Group setting inhibited some participants
  • Time consuming
  • Concerns regarding professional status within the larger group
  • Some topics were relevant to some participants and not others


“Supervision with Metavision has allowed me to analyse my own reactions to encounters with a patient, a relative or a staff member …I am now able to assess my own performance on a daily basis with a more skilful eye. My personal satisfaction with the job has greatly improved and I have decided to stay working at Palliative Care after all….”

Dr Baines, St. Vincent’s Hospital Sydney