How a mark is earned, and lost.
Every tier comes from a score of 0 to 100, built from four weighted pillars and a core of citations, inventions and honours. Every input comes from a named source, and anyone can challenge it.
№ 01 · THE FOUR PILLARS
The MDR Score
Clinical Mastery
30%- Documented procedure volume (60%)
- Years in practice (40%)
Intellectual Legacy
30%- h-index (40%)
- Citations (30%)
- Named techniques and inventions (30%)
Training & Mentorship
20%- Board certifications and fellowships
- Lineage is shown on profiles but not yet scored
Humanitarian Impact
20%- Lives-impacted figures from published sources
- Global-health and crisis work
HOW THE NUMBER IS BUILTEach input is scaled from 0 to 100 against a ceiling (for example an h-index of 100 or 50 years in practice), so no single number can dominate. A paper in a journal with an impact factor of 50 or more counts up to five times as much as one in an unranked journal.
MDR Score = ½ × pillar average + ½ × core scoreCitations, weighted by journal impact35%
Named techniques and inventions30%
Honours and prizes20%
Years in practice15%
№ 02 · ADJUSTMENTS
What moves a score after it's calculated
- ARetractionA retracted paper sets the score to zero and puts the profile under review.
- BHonours floorHolders of a landmark prize (Nobel, Lasker, Gairdner, Wolf…) or a national honour (Padma awards, Presidential Medal of Freedom, knighthood…) are never placed below Elite.
- CLegacy decayFor historical physicians, the score fades by 0.5% a year from ten years after death, to no less than half, unless their technique is still the standard of care.
- DPioneer and leadershipSmall fixed bonuses for documented pioneering work and for leading a department, society or institution.
№ 03 · STATURE TIERS
Of 1,147 physicians on the register, 284 are listed without a tier: their sourced record doesn't yet reach a score of 50.Three tiers of stature
Titan · Tier IChanged how medicine is practised worldwide.
Elite · Tier IIField-defining work within a specialty.
Master · Tier IIISustained, documented excellence in practice.
Tiers are being withdrawn from the profiles of doctors registered in India, where the NMC restricts comparative claims. See the Evidence Standard.
№ 04 · THE ETHICS MARK
A separate mark for how a doctor practises
Stature and ethics are scored independently. A Titan can hold no ethics mark, and a rural GP can hold the highest.
Patient transparency35% · 50%
Peer review & compliance40% · 20%
Community & pro-bono work25% · 30%
Four gates fail an audit outright: an inactive board certification, a licence that isn't clean, or undisclosed fees or conflicts of interest. Levels are Advocate (60+), Guardian (75+) and Legend (90+). Guardian and Legend audits carry a fee that pays for the audit itself; paying never guarantees a pass. See ethical doctors.
- 1Every claim should be sourcedPapers are matched by DOI against PubMed and CrossRef. A fact we can't source is flagged, then fixed or removed.
- 2Summaries come from the recordProfile summaries are generated from the sourced record, not written freehand. Machine-drafted text is being labelled on every profile until an editor has reviewed it.
- 3Every mark is revocableScores and tiers are recalculated each time a profile's data is synced. Ethics marks decay by 15% for each missed quarterly audit.
- 4Corrections are reviewedAnyone can suggest a correction. An editor checks it against its source before it goes live, and every change is logged.
- 5No paid placementClaiming a record never changes its score. Physicians can correct facts, not buy rank.