$100-$290/hr complex adult medicine work, on your schedule
Review AI-drafted differentials, problem lists, and management plans the way you'd reason through morning report: flag the anchoring error, treat the patient not the number. Fully remote, a few hours a week, paid per task.
Trusted by top research companies
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 internist's read on a workup that ordered the wrong test first 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.
Internal Medicine questions
Still curious? Write to us at support@terac.com.
Yes, strongly. Internists who bridge inpatient and ambulatory settings reason about transitions of care, a recurring failure point for models. Flagging where a discharge plan or handoff would break down is exactly the judgment leading AI teams pay a premium for.
We prefer board-certified internists (ABIM or equivalent) in active or recent practice. You verify your certification and license during onboarding via Government ID and a credential attestation, which signals that your judgment carries real clinical weight.
No. There is no patient and no treatment relationship. You evaluate the model's reasoning and documentation to improve accuracy and safety. It is expert review of content, not clinical care or prescribing.
Differential diagnoses, problem lists, multi-system management plans, medication and dosing recommendations, and inpatient or outpatient notes. You flag reasoning errors, dangerous dosing choices, and missed comorbidity interactions, then explain the correct integrated approach.
Absolutely, and it is one of the most valuable contributions. Identifying anchoring, premature closure, and failure to broaden a differential, then explaining the systematic reasoning that avoids it, is central to this work.
Why your expertise matters
A model treats one number; you treat the patient whose organs work against each other. It orders everything instead of sequencing by pretest probability, misses when fixing one number harms another organ, and ignores how renal or hepatic dysfunction reshapes dosing. Catching that takes a board-certified internist, not a textbook. Your corrections teach the difference.
How pay works
Internists who work the most complex cases - multi-organ dysfunction, intricate polypharmacy, diagnostic dilemmas - and narrate their reasoning step by step land at the top of the $100-$290/hr band. Work is fully remote and paid hourly on verified tasks, with no minimum hours.
What the work looks like
A sample of the complex adult medicine work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Review an AI-drafted workup for CKD, heart failure, and new dyspnea, and flag anything that ignores the renal-cardiac interaction.
- Rank the causes in a model's hyponatremia differential by plausibility given the volume status and medication list provided.
- Write a worked example of sequencing a workup for unexplained weight loss in an elderly patient by pretest probability.
- Assess whether AI anticoagulation guidance for AFib with prior GI bleed balances stroke and bleeding risk using validated scores.
- Flag dosing errors in machine-written medication recommendations for a patient with an eGFR of 25 needing renal adjustment or avoidance.
- Score the model's replies to a polypharmacy case for identifying a drug-induced symptom and proposing appropriate deprescribing.
Specialties we match
Internal Medicine projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Multi-system differential diagnosis
- Pretest probability and Bayesian workup sequencing
- Polypharmacy and deprescribing
- Renal and hepatic dosing adjustment
- Anticoagulation management (CHA2DS2-VASc, HAS-BLED)
- Acid-base and electrolyte interpretation
- Diabetes and metabolic management (ADA standards)
- Heart failure and CKD comanagement
- Evidence-based medicine and guideline appraisal
- Inpatient and outpatient transitions of care
- Diagnostic stewardship and high-value care
- Goals-of-care and complex shared decision-making
