I've read so many of Tracie's novels, I can begin to predict certain aspects and formulas she employs during her writing. In this book, she inserted a bit more historical and medical knowledge, which I found quite enjoyable. Seeing a heroine struggling against society mores to practice medicine when the woman's place was in the home appealed to me in the same way the TV show, Dr. Quinn Medicine Woman, did.
And although some might be taken back by the violence or the level of prejudice, or even the "white pride" portrayed, it is very true to the times. It's not easy removing your 21st century ideals and understandings when you read historical novels, but you can't apply them. Otherwise, you risk viewing those people in a far more negative light than is appropriate for the time in which they lived.
That being said, I did find the cast of characters to be in line with most of Tracie's recent novels. The only problem with that is if you haven't read book 1 in this series, you'll likely get lost and confused. References are made, but there isn't enough to clarify some of them. And of course, this book ends with a cliffhanger of sorts that leads into book 3. Depending upon how anxious you are to find out what happens, you might want to wait until book 3 is released, then read all 3 in a row.
All in all, this book is what I've come to expect from Tracie. It's an enjoyable read, and her writing is what you can count on for a comfort read. You know you'll get a thorough, well-researched story.