This article takes a good look at the difference between the 2 physician sites...Osmosis is not anonymous so they can react with known trusted colleagues...BD 

Ozmosis and Sermo are not mutually exclusive, however, physicians will be members of both communities for different reasons. Ozmosis provides a trusted environment where physicians are presented with the most relevant information as soon as they log in and benefit from a business model that is dedicated to aligning interests within the healthcare industry.

Instead of selling pharmaceutical companies access to peer over a physician’s shoulder, physicians on Ozmosis can choose to learn about healthcare products and services from other physicians in a trusted environment.

Ozmosis vs Sermo: Answers « ScienceRoll

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