These Terms of Service ("Terms") govern your use of mdsignout.com and any related services (the "Service") operated by MD Signout LLC ("MD Signout," "we," "us"). By creating an account or using the Service you agree to these Terms and to our Privacy Policy and Review Guidelines, which are part of these Terms. If you do not agree, do not use the Service.
MD Signout is a private platform where verified physicians and physicians-in-training share firsthand information about what it is like to work at hospitals: ratings, shift reports, workplace facts, and photographs of non-clinical spaces. MD Signout is a platform for user-generated content. We do not author, verify, or endorse the reviews and reports members post, and they reflect the personal experience and opinion of the member who posted them.
You are responsible for keeping your login credentials confidential and for all activity under your account. Tell us immediately at security@mdsignout.com if you believe your account has been compromised. We may suspend or terminate accounts that violate these Terms, that we cannot verify, or that we reasonably believe are being used to harm the Service or other members.
"Content" means anything you submit: ratings, reports, comments, facts, photographs, and profile information.
You agree not to:
Content on the Service is opinion and experience shared by members. It is not medical advice, legal advice, or a recommendation to accept or decline any position. Verify anything material to a decision independently.
MD Signout is not affiliated with any hospital, health system, or physician group unless expressly stated. Hospital names, logos, and facts are used to identify workplaces and do not imply endorsement. Hospital or group representatives who wish to respond to Content or correct factual information may use the process described in Takedown & Legal Requests.
The Service, its design, software, compilations, aggregate data, trademarks (including "MD Signout"), and all content other than member Content are owned by MD Signout LLC or its licensors and are protected by copyright, trademark, and other laws. You may not use our marks without written permission.
MD Signout is an interactive computer service. Member Content is provided by members, not by MD Signout. To the fullest extent permitted by 47 U.S.C. § 230 and applicable law, MD Signout is not the publisher or speaker of member Content and is not liable for it. Our moderation of Content under the Review Guidelines does not make us the author of that Content.
THE SERVICE AND ALL CONTENT ARE PROVIDED "AS IS" AND "AS AVAILABLE" WITHOUT WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF ACCURACY, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. WE DO NOT WARRANT THAT THE SERVICE WILL BE UNINTERRUPTED, ERROR-FREE, OR SECURE, OR THAT ANY CONTENT IS ACCURATE OR CURRENT.
TO THE FULLEST EXTENT PERMITTED BY LAW, MD SIGNOUT LLC AND ITS MEMBERS, MANAGERS, OFFICERS, EMPLOYEES, AND AGENTS WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, OR ANY LOSS OF PROFITS, DATA, GOODWILL, OR EMPLOYMENT OPPORTUNITY, ARISING OUT OF OR RELATING TO THE SERVICE OR ANY CONTENT, WHETHER BASED ON WARRANTY, CONTRACT, TORT, STATUTE, OR ANY OTHER THEORY, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. OUR TOTAL LIABILITY FOR ALL CLAIMS RELATING TO THE SERVICE WILL NOT EXCEED THE GREATER OF ONE HUNDRED DOLLARS ($100) OR THE AMOUNT YOU PAID US IN THE TWELVE MONTHS BEFORE THE CLAIM. Some jurisdictions do not allow certain limitations; in those jurisdictions our liability is limited to the fullest extent permitted.
You will defend, indemnify, and hold harmless MD Signout LLC and its members, managers, officers, employees, and agents from any claim, demand, loss, or expense (including reasonable attorneys' fees) arising out of your Content, your use of the Service, or your violation of these Terms or any law or third-party right.
PLEASE READ THIS SECTION CAREFULLY. IT AFFECTS YOUR RIGHTS.
legal@mdsignout.com with a description of the dispute and to attempt in good faith to resolve it for at least 30 days.legal@mdsignout.com within 30 days of first accepting these Terms with your name and account email and the words "arbitration opt-out."These Terms are governed by the laws of the State of California and applicable federal law, without regard to conflict-of-law rules. Subject to Section 13, any court action will be brought exclusively in the state or federal courts located in Los Angeles County, California, and you consent to their jurisdiction.
You may close your account at any time by emailing support@mdsignout.com. We may suspend or terminate your access at any time for violation of these Terms or to protect the Service or its members. Sections 4, 8–14, and 16 survive termination.
We may update these Terms. Material changes will be announced by email to members and posted here with a new effective date at least 14 days before they take effect; continued use after that date is acceptance. These Terms are the entire agreement between you and MD Signout about the Service. If any provision is unenforceable, the rest remains in effect. We may assign these Terms in connection with a merger, acquisition, or sale of assets. Our failure to enforce a provision is not a waiver.
This Privacy Policy explains what MD Signout collects, how we use it, and the choices you have. The short version: we collect the minimum needed to verify that you are a physician and to run the Service; we never sell your information; and we never disclose who wrote a review to a hospital, employer, or anyone else except as required by a valid legal order.
We do not collect Social Security numbers, dates of birth, home addresses, payment card numbers, or any patient information. Photographs you upload are stripped of embedded location and device metadata (EXIF) on upload.
Ratings and reports are shown to other members without your name and to the public only in aggregate. Internally, the record linking a report to its author is stored separately from the report itself with restricted access, and every access to that link by our staff is logged. We do not disclose the identity of a reviewer to any hospital, employer, group, recruiter, or other third party. We will disclose it only in response to a valid subpoena or court order after we have, where legally permitted, notified you and given you an opportunity to object.
We do not sell, rent, or trade personal information, and we do not share it with advertisers or data brokers. We share information only with:
We use strictly necessary cookies to keep you signed in and privacy-respecting analytics to understand aggregate usage. We do not use advertising cookies or cross-site tracking. Your browser's "Do Not Track" setting is honored for analytics.
We keep account data while your account is active and for up to 24 months after closure to resolve disputes and enforce our Terms, after which it is deleted or anonymized. Content you submitted remains on the Service in anonymized form after account closure so that hospital pages and aggregate ratings stay intact; you may request removal of specific Content under Section 8. Server logs are retained for 90 days.
Data is encrypted in transit and at rest. Access to identifying data is restricted to the minimum staff necessary and is logged. We use multi-factor authentication on all administrative systems and maintain daily backups. No system is perfectly secure; if we learn of a breach affecting your data we will notify you as required by California law.
You may request access to, correction of, or deletion of your personal information, request a copy in a portable format, and ask what categories of information we have collected and how it is used. California residents have these rights under the California Consumer Privacy Act; we do not sell or share personal information for cross-context behavioral advertising, so there is nothing to opt out of. We will not discriminate against you for exercising these rights. Email privacy@mdsignout.com; we respond within 45 days and may need to verify your identity first.
The Service is for licensed physicians and physicians-in-training and is not directed to anyone under 18. We do not knowingly collect information from minors.
We will post changes here with a new effective date and, for material changes, email members at least 14 days in advance. We will not change how we use previously collected information in a materially different way without your consent.
These Guidelines explain what belongs on MD Signout, what does not, and how we moderate. They apply to ratings, shift reports, facts, comments, and photographs. Violations may result in removal of Content and suspension of the account.
moderation@mdsignout.com within 30 days with the reason you believe the decision was wrong.Verified representatives of a hospital or hospitalist program may request to claim their page. Claimed pages allow a representative to post a clearly labeled "From the program" response and factual information (schedule model, EMR, staffing structure, open positions). Responses appear alongside member Content and never replace or hide it. Representatives may not contact reviewers, offer anything of value for reviews, or request removal of Content except through the process in Takedown & Legal Requests.
Aggregate ratings are shown once a hospital has at least three reports. We use automated and manual checks for duplicate accounts, coordinated reviews, and unusual patterns, and we remove Content and accounts that fail those checks. Content is never reordered, promoted, or suppressed for payment.
This section explains how to ask us to remove content, how we handle copyright notices, and how we respond to legal process. It applies to everyone: members, hospitals, groups, individuals, and their counsel.
legal@mdsignout.comBecause member Content is written by members and not by MD Signout, we do not remove reviews simply because they are negative, disputed, or unwelcome. We will remove or redact Content that:
To request removal, email legal@mdsignout.com with: (a) a link to or exact quotation of the Content; (b) which of the grounds above applies; (c) the facts and any documents supporting your request; (d) your name, role, organization, and contact information; and (e) a statement that the information in your request is accurate. Requests that simply assert a review is "false" or "defamatory" without identifying the specific statement and the basis for the claim will be declined. We will tell you our decision in writing. We do not disclose the identity of the member who posted the Content in response to a removal request.
Hospitals and physician groups may respond to Content on their page through the claimed-page process described in the Review Guidelines. In most disputes, a factual response is faster and more effective than a removal request, and it is the approach we encourage.
If you believe Content on the Service infringes your copyright, send a notice to our designated agent at the contact above that includes: (1) your physical or electronic signature; (2) identification of the copyrighted work; (3) identification of the infringing material and its location on the Service; (4) your contact information; (5) a statement that you have a good-faith belief the use is not authorized by the copyright owner, its agent, or the law; and (6) a statement, under penalty of perjury, that the notice is accurate and that you are the owner or authorized to act for the owner. We will remove or disable access to material identified in a compliant notice and notify the member who posted it. The member may submit a counter-notice under 17 U.S.C. § 512(g); if we receive one, we will forward it to you and may restore the material in 10–14 business days unless you notify us that you have filed a court action. We terminate the accounts of repeat infringers. Knowingly misrepresenting that material is infringing may make you liable for damages under 17 U.S.C. § 512(f).
We take member anonymity seriously. We do not disclose the identity of a member or the author of any Content in response to a letter, demand, or informal request from a hospital, employer, attorney, or other party. We disclose identifying information only in response to a valid subpoena, court order, or other compulsory legal process that is properly served on MD Signout LLC and that we have reviewed. Before disclosure, and where the law allows, we will notify the affected member and give them a reasonable opportunity to seek to quash or limit the request. We may object to requests that are overbroad, that seek information beyond what is legally required, or that we believe are intended to intimidate a member. We may seek reimbursement of the costs of compliance where permitted.
Law-enforcement requests must be served in writing on our designated contact and will be handled under Section 4. In a genuine emergency involving imminent risk of death or serious physical injury, email legal@mdsignout.com with "EMERGENCY" in the subject line and a description of the emergency; we will respond as quickly as we can and disclose only what is necessary to address the emergency.
If a page or account impersonates your organization or misuses your trademark, email the designated contact with the details and proof of your authority to act for the organization.
We intend to publish, at least annually, the number of removal requests, legal requests, and subpoenas received and how they were resolved, without identifying the parties.