$110-$310/hr kidney and dialysis work, on your schedule
Review AI-drafted electrolyte corrections, CKD plans, and dialysis decisions the way you'd review a fellow's. Flag the sodium correction that risks osmotic demyelination and explain why that anion gap doesn't account for the bicarbonate.
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 a nephrologist catching an overly fast sodium correction 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.
Nephrology questions
Still curious? Write to us at support@terac.com.
Safe sodium correction, acid-base arithmetic, and dialysis prescribing are exactly what generalists hand to you in practice. Labs pay the top band because this physiology is where AI is most likely to produce a confident but dangerous answer.
You need US board certification in nephrology with dialysis management experience, plus active or recent practice. An active license is preferred, but recently retired nephrologists with current expertise are welcome. This is AI evaluation, not patient management.
No. You score a model's text and explain where its physiology is wrong. There's no patient, no dialysis order, no prescription. You're a nephrology subject-matter evaluator, and your input shapes the model, not anyone's treatment.
AI-drafted electrolyte correction plans, ABG and acid-base interpretations, CKD staging and referral notes, dialysis prescriptions, AKI workups, and patient chatbot transcripts. You flag errors, defend the KDIGO-aligned standard, and explain the reasoning the model glossed over.
Tasks include cases where the model names the disorder correctly but proposes an unsafe correction, like an overly fast sodium rise. Your job is catching when the AI reaches the right label yet sets a rate or goal that would harm the patient.
Why your expertise matters
Nephrology is small numbers with large consequences, and that's where AI fails. Correct hyponatremia too fast and you risk demyelination; too slow and the patient seizes. A mixed acid-base disorder hides behind a normal pH. Catching that takes a nephrologist, not a formula. Your corrections teach these tools the arithmetic you do in your sleep.
How pay works
Projects pay $110 to $310 an hour, hourly, with the top band for intricate acid-base, dialysis, and transplant cases. You review AI outputs remotely on your own schedule, no pager. Most nephrologists contribute a few hours a week. Pay scales with the renal physiology you adjudicate.
What the work looks like
A sample of the kidney and dialysis work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Flag an AI hyponatremia plan that runs 3% saline past the safe correction ceiling and risks osmotic demyelination.
- Catch an ABG interpretation that misses a coexisting metabolic alkalosis hidden behind a normal pH by skipping the delta-delta.
- Correct a CKD note that fails to assign a KDIGO stage or refer to nephrology despite low eGFR and heavy albuminuria.
- Reject a chatbot transcript that treats a potassium of 6.5 with insulin and glucose alone, omitting calcium gluconate and the cause.
- Score a dialysis prescription that sets an ultrafiltration goal exceeding safe limits for an intradialytic-hypotension-prone patient.
- Rank two model-written AKI workups on which correctly distinguishes prerenal from intrinsic injury using urine electrolytes and the FENa.
Specialties we match
Nephrology projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Sodium correction rate calculation and demyelination risk avoidance
- Mixed acid-base disorder analysis using anion gap and delta-delta
- CKD staging by eGFR and albuminuria per KDIGO guidelines
- Dialysis prescription including clearance, ultrafiltration, and access
- Hyperkalemia evaluation and cause-directed management
- Volume status assessment and diuretic strategy
- Glomerular disease workup and proteinuria evaluation
- Acute kidney injury differential, prerenal versus intrinsic versus obstructive
- Renal transplant immunosuppression and rejection recognition
- Mineral and bone disorder management in CKD
- Hypertension workup including secondary causes in renal patients
