Psychiatrist on the Road: Encounters in Healing and Healthcareby Climo Lawrence H. . Point Richmond, Calif. Bay Tree Publishing , 2009 , 208 pp., $18.00.

After 18 years as a senior clinical psychiatrist at a New England inner-city mental health clinic, Dr Lawrence Climo was understandably surprised and saddened when he was given 2 weeks’ notice that his services were no longer needed. Financial constraints meant the clinic was replacing him with a nurse. Although his wife told him it was an opportunity, he remembers thinking that health care reform made him feel that his professional skills were “almost irrelevant or at least unmarketable.”