At Curēus, every published paper is scored by a broad cross-section of users. Unlike traditional medical journals, the fate of a scholarly paper is no longer determined by one or two individuals; literally thousands of interested readers and professional colleagues review and rate published articles. Indeed, most of the reviewers have backgrounds in the same subspecialty that is the topic of the paper. Each article accumulates a proprietary score, which we refer to as a "Scholarly Impact Quotient" (SIQ^TM). The SIQ^TM is an evolving, yet enduring reflection of a paper's true sceintific impact as judged by the medical community at large. Although non-experts can rate papers, the scholarly impact calculations place special emphasis on areas of specialization and the peer reviewed publication record of scoring experts.