Like many of the over 800,000 physicians in the United States, I regularly receive emails concerning my online reputation. In just the past week, I have received three that open with: "Dear Dr. Gunder. Do you know your doc score?" "Congratulations, RG. You are eligible for the Hippocrates Award." "Hello, Dr. Richard. How many bad reviews do you have?" The messages come from online vendors whose services include compiling and publishing patient satisfaction scores, providing free medical advice to unseen patients, and helping physicians manage (read: improve) their online reputations.