Shareef Mahdavi of SM2 Strategic along with Mark Kontos, M.D. presented practice pearls for physicians interested in improving patient care and communication utilizing the internet, e-mail, and social media. The audience included over 100 highly respected ophthalmic surgeons at Deer Valley, Utah for the annual ACOS meeting. Physicians interviewed at the meeting via Skype included, Drs. Vance Thompson, David Richardson, and Alan N. Carlson. Dr. Carlson stressed the importance of respecting regulatory (HIPPA) and institutional boundaries when dealing with matters related to patient care. The goal ultimately is better patient care through ongoing communication and education.