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South Africa like many other African countries is struggling to provide adequate health care to people living in rural areas. Extending the role of the nurse in the village clinic from prevention and care to diagnosis and treatments is a solution that has been tried in the South Africa over the past 20 years. Is this an affective solutions During August 2001 a survey was carried out the 186 nurses who completed the Diploma in Clinical Nursing Science at Jubilee Hospital between 1982 and 2001 to find out what career pathway they have followed and whether the course equipped them for their new role as nurse clinician.