Up until now, “doctor ratings” have been done informally and locally—essentially by current or past patients’ word of mouth. You know the old adage: If a patient likes you, she will tell her best friend, but if she doesn’t like you, she’ll tell 10 people…at least. Well, the world has changed, not only because of the Internet but also because of the social networking phenomenon and the amazing ability for even one person to reach an audience of millions.