Bert, I'm going to disagree with you on one thing. They do so know how much time and effort it takes to become a physician. The issue is, THEY DON'T CARE. They are jealous,arrogant, and they have an opportunity to stick it to you with absolutely no consequences to themselves. So they do so. Ok, well some of them don't know, but most have a good idea (unless its the medicaid crowd, which we don't deal with).
You can tell the sites think it is a joke because of what they allow up there and refuse to remove even if you call. The people can just say anything without any justification (like saying you are incompetent.) They should require these reviews have no "judgements." If they want to place a negative review, they should have to 1) identify themselves, 2) explain what happened and just state that this is why they are unhappy with this particular physician/practice, and 3)give up all medical privacy rights regarding the incident. Then allow the physician, if they wish, to comment on the incident.
The worst of these reviewing sites is ZocDoc. Not the review policy that they have printed on their website. I mean the "effective" review policy ... what actually happens.