This book is the 4th in the PMC Hospital series, which is located in Philadelphia. The first of this series, being Fated Love, which I loved and besides I strongly advise you to read it before starting this one, since we find here characters from Fated Love. These four books are standalone.
Emmett, butch and handsome, is a surgeon resident at the PMC hospital, and is standing up to Syd, a beautiful woman, with whom she had a relationship that did not go well. The pressure to get the position of chief of residents is gaining momentum when Syd and Emmett compete. Passion and rivalry between them two will be full twists.
Okay, Radclyffe does Radclyffe, but that's what I like about her : very good writing, strong women characters, passionate about their work and their feelings.
Everything goes fast in this book, no downtime, we learn as the book details on the relationship between Emmett and Syd. Regarding the medical theme, everything is orchestrated to put us in suspense.
We thus find in background, Honor and Quinn of the first book of this series, Fated Love, from where the interest to read it before. We also have other minor characters who play an important role both from a medical and sentimental point of view.
Just a small detail, everything related to medical seems too important compared to the romance, whose outcome is too fast for my taste.
I highly recommend this book, even if it is not the best of Radclyffe. But Radclyffe remains a pioneer of writing and publishing lesbian books - no, no, no I did not say that she's old - her books are all breathtaking, and for all that, go for it!