Saunders undertook his specialist physician training at
Royal North Shore Hospital. In 1974 he spent two years as a Research Fellow at
McMaster University Medical Centre in Canada, followed by two years as assistant professor of medicine at
Harvard Medical School. He was a foundation member of the University of Newcastle Faculty of Medicine in 1978 and Professor of Medicine from 1983. Saunders practiced as a specialist in respiratory and sleep medicine at the
Royal Newcastle Hospital and then the
John Hunter Hospital from 1990 until 1992, where he was also Chair of the Department of Medicine. From Newcastle he went on to become the Head of the Faculty of Health Sciences and Dean of the School of Medicine at
Flinders University,
South Australia between 1993 and 1998. From 1998 to 2003 he was Dean of the Faculty of Medicine, Nursing and Health Sciences at
Monash University,
Victoria. ==University leadership==