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I think Anon 9.07 makes an even more interesting point, which is how people score, based on their personal impressions. Not necessarily mortality statistics or revision numbers or MRSA rates. They may think an individual is good because they are kind/ helpful/ patient - but this tells us nothing about their practice or competence. To me this suggests that the scores should be used carefully and in a balanced way. And perhaps suggests a research project, looking at correlation between scores and other variables. Thank you Anon 9.07 for making me think!