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Supervision in healthcare settings is complex. It involves dealing with the many challenges of balancing service commitment with teaching of trainees and medical students at varying levels. The course offers a range of teaching strategies to manage and overcome challenges supervisors face in a complex healthcare setting. These strategies include, planning for learning, differentiated instructions for multi-level groups, and using effective teaching techniques such as questioning. It also provides opportunities to consider some of the cultural aspects of healthcare settings which impact on learning, including the hidden curriculum, tribalism and the need for effective role modelling.