This is so difficult because social networking is still a relatively new thing. There have been quite a few reports in the British media of people undergoing disciplinary action and being fired for things they have said about their employers and so forth on Facebook. I think it is really important to remember the internet is still public, if you wouldn't shout out at party in front of hundreds "I hate my boss" don't do it on facebook. I am very mindful of what I write on facebook, I never write anything about our visitors even if it is broadly speaking because at the end of the day it is unprofessional and reflects badly on me AND my employer. In the case mentioned in this thread I think because the name wasn't mentioned she shouldn't be sacked, however, the mere fact it has gone viral means the patient will quite likely figure out it was her she was talking about and thus be hurt by the comments, so disciplinary action needs to be taken. The fact she is a doctor is irrelevant, of course she's a person too, but she was being unprofessional, this wouldn't be acceptable if she was a taxi driver, teacher, shop assistant etc. People need to tread very carefully about discussing work on social netowrking sites because employers are starting to become aware of the impact it can have on their reputation and also sensitive information being revealed so I think we will start to see a lot more rules about what people can post about their jobs online written into their contracts etc, thus there being more grounds for disciplinary action.