This case involves a dermatologist who was employed as a high-risk physician at a major university hospital in Chicago. The dermatologist was implicated in a severe instance of medical negligence concerning the delayed diagnosis of advanced melanoma resulting in a patient’s eventual death. Various social media platforms and online review websites were rife with reports from former patients regarding the physician’s conduct, lack of bedside manner, and poor communication. Based on the plethora of negative feedback online, the hospital administrator in charge of overseeing the dermatologist in question issued an in-house review of the employee’s conduct to determine whether the dermatologist required any retraining. An expert was sought to opine on how hospitals recruit high-risk physicians and to address whether or not a physician’s reputation and feedback from patients would be cause for in-house review.