$110-$320/hr antimicrobial and stewardship work, on your schedule
Review AI-drafted antimicrobial regimens, stewardship calls, and OPAT plans the way you'd review a fellow's consult. Flag the broad-spectrum coverage that should have been de-escalated and explain why local resistance changes the empiric choice.
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Hi, we're Zac and Jack, the founders of Terac. We want to talk to you directly, because you are the most important part of what we're building.
Terac is a community of experts. People who have spent years getting good at something specific and hard. The world is about to need more of you, not less. As AI takes on more of the world's work, the bottleneck shifts to the people who actually know what they're talking about.
Expert labor is the rarest resource in the world right now, and it is shockingly hard to find. The companies that need an ID physician catching a missed chance to de-escalate broad-spectrum coverage spend weeks chasing people, paying placement fees, and settling for whoever is available. Meanwhile thousands of qualified people are sitting with knowledge that no one ever asks for.
That gap is what we're here to close. Every project that lands on Terac is routed to the people who actually know the answer, on their schedule, paid fairly, and only when the work is verified. No middleman taking a cut of your time. No vague gigs. No chasing checks.
We care about every single person in this community. If you join Terac, you're not a row in a database to us. We read the feedback. We answer the emails. We will fight for you when a customer is being unreasonable, and we will be honest with you when something on our side is broken. The quality of this panel is our entire company, and we owe you a serious bar.
If you've made it this far, here is what we're asking: claim your profile. Put your expertise on the record. Let the world's most ambitious teams come find you for the work only you can do.
Infectious Disease questions
Still curious? Write to us at support@terac.com.
Yes. Knowing when to stop or narrow an antibiotic, read an antibiogram, and resist over-treating is the core of ID training and the part generalists most often defer. That stewardship instinct is exactly what labs pay the top band to capture.
You need US board certification in infectious disease with stewardship experience, plus active or recent practice. An active license is preferred, but recently retired ID physicians with current expertise can apply. The role is AI evaluation, not patient care.
No. You rate a model's text and explain where its antimicrobial reasoning fails. There's no patient, no order, no prescription. You're an ID subject-matter evaluator, and your feedback trains the model rather than guiding treatment.
AI-drafted empiric and definitive regimens, de-escalation and stewardship recommendations, OPAT plans, syndrome-specific duration notes, and patient chatbot transcripts. You flag errors, defend the IDSA-aligned standard, and explain the stewardship reasoning the model overlooked.
Tasks include cases where the safest answer is to narrow, shorten, or withhold antibiotics, like asymptomatic bacteriuria or a culture ready for de-escalation. Your role is catching when the model keeps escalating instead of seeing that less treatment is the correct call.
Why your expertise matters
Infectious disease is the rare field where the right answer is often to give less, which runs against a model's instinct to act. AI keeps a patient on broad-spectrum coverage past de-escalation. Catching that takes an ID physician. Your corrections teach these tools to narrow to the antibiogram and stop at the IDSA-supported duration.
How pay works
Projects pay $110 to $320 an hour, hourly, with the top band for complex stewardship, OPAT, transplant, and resistant-organism cases. You review AI outputs remotely on your own schedule, no consults. Most ID physicians work a few hours a week. Pay scales with the resistance reasoning each case requires.
What the work looks like
A sample of the antimicrobial and stewardship work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Flag an AI plan that keeps vancomycin and pip-tazo running after cultures grow a pan-sensitive E. coli, missing de-escalation.
- Catch a note that prescribes a six-week course for uncomplicated cystitis, far beyond the IDSA-supported duration.
- Correct an empiric regimen that ignores documented local MRSA and ESBL prevalence and picks coverage wrong for the antibiogram.
- Reject a chatbot transcript that recommends antibiotics for asymptomatic bacteriuria in a non-pregnant patient.
- Score an OPAT plan that chooses a frequent-dosing agent without addressing line durability or lab follow-up.
- Rank two model-written endocarditis regimens on which correctly tailors duration and synergy coverage to the organism and valve.
Specialties we match
Infectious Disease projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Antibiogram interpretation and empiric regimen selection
- Antimicrobial de-escalation once culture and susceptibility return
- IDSA guideline application to syndrome-specific treatment durations
- Outpatient parenteral antimicrobial therapy planning and monitoring
- Antimicrobial resistance recognition and stewardship strategy
- Source control assessment in complicated infections
- Endocarditis, osteomyelitis, and prosthetic-device infection management
- Immunocompromised and transplant host infection evaluation
- HIV management and opportunistic infection prophylaxis
- Pharmacokinetic and pharmacodynamic dosing in renal and hepatic impairment
- Multidrug-resistant organism and Clostridioides difficile treatment








