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Traditionally nurses have been chaperones for male doctors, assisting with investigations and with out-patient treatments and have been responsible for the organization of the clinics. The way staff have developed their roles has challenged the stereotype of the out-patient nurse as maker of tea and fetcher of notes. It has also challenged the traditional nurse-doctor relationship. This relationship is based on the dominance of medical power and the ideology of biomedicine. The dominance of medical power reflects the ascendancy of one group over another to the extent that the dominant group's interpretation of the world is unchallenged.