Perhaps the moderators should just create a board called "flame wars". Then cedricw could feel free to piss on the FMG's. Macgyver could piss on the mid levels and family practicioners. The allopaths could piss on the osteopaths. Surgery could piss on IM. IM could piss on surgery. Everyone could piss on EM and FP (feel free to add your own list of SDN pissing contests) Then whenever a new thread is clearly a troll for trouble or an old thread dissolves into a flame war it could be moved to the flame wars board and the rest of us could ignore it. That way no one gets banned, no threads get closed, no one gets hurt, and the rest of the boards don't turn into anarchy with new threads and new usernames constantly popping up to replace the banned ones. Full disclosure: I am an allopathic MD/PhD board certified in EM with a grant funded basic science research program. I have thus never felt threatened by midlevels, FMG's, IMG's, DO's, surgery, IM or the lucky charms leprechaun and have therefore not felt the need to piss on any of them .