$110-$310/hr endocrine and metabolic work, on your schedule
Review AI-drafted insulin titrations, thyroid workups, and adrenal plans the way you'd review a fellow's. Flag the regimen that ignores hypoglycemia risk and explain why a normal TSH doesn't close the case.
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 endocrinologist catching a missed secondary cause of hypertension 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.
Endocrinology questions
Still curious? Write to us at support@terac.com.
Labs already have generalist coverage. They lack depth on insulin titration, thyroid and adrenal axis reads, and individualized ADA targets. Endocrine cases turn on tradeoffs a guideline can't resolve, so subspecialty reasoning earns the top of the band.
You need US board certification in endocrinology, diabetes, and metabolism, plus active or recent practice. An active license is preferred, but recently retired endocrinologists with current expertise are welcome. This is evaluation work, not patient care.
No. You review a model's text and rate its reasoning. There's no patient, no prescription, no treatment relationship. You're a subject-matter evaluator, and nothing you write becomes a clinical order.
AI-drafted insulin and oral agent regimens, thyroid and adrenal workups, CGM and pump interpretations, patient chatbot transcripts, and clinical reasoning chains. You flag errors, defend the ADA-aligned standard, and explain the reasoning the model skipped.
That's exactly the judgment labs pay for. Tasks include cases where a TSH or cortisol looks normal in isolation but is wrong for the context. Your job is catching when the model takes a value at face value instead of reading the whole picture.
Why your expertise matters
Endocrine reasoning lives in the gaps a guideline leaves open. An A1c target for a frail 80-year-old isn't the target for a new 30-year-old, and a model reads TSH and free T4 in sequence instead of together. Catching that takes an endocrinologist. Your corrections teach these tools when a normal number hides a real problem.
How pay works
Projects pay $110 to $310 an hour, hourly, with the top band for diabetes-technology, pituitary, and adrenal cases. You review AI outputs remotely on your own schedule, no call. Most endocrinologists work a few hours a week. Pay scales with the difficulty of the cases you adjudicate.
What the work looks like
A sample of the endocrine and metabolic work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Flag an AI-drafted basal-bolus insulin plan that adds aggressive bedtime correction doses without addressing nocturnal hypoglycemia.
- Catch a thyroid workup where the model biopsies a sub-centimeter cyst without a suppressed TSH or ultrasound risk stratification.
- Correct a note that calls an adrenal incidentaloma benign without a 1 mg dexamethasone suppression test or plasma metanephrines.
- Reject a chatbot transcript that starts levothyroxine for a TSH of 6, missing the watchful-waiting standard.
- Score a hyponatremia differential that jumps to SIADH without urine osmolality, urine sodium, or volume status.
- Rank two model-written diabetes plans on which correctly individualizes the A1c target for a frail patient with hypoglycemia unawareness.
Specialties we match
Endocrinology projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Insulin regimen titration and hypoglycemia risk assessment
- Thyroid function interpretation across TSH, free T4, and antibodies
- Adrenal incidentaloma and Cushing's workup
- Pituitary axis evaluation and dynamic testing
- ADA Standards of Care application and individualized glycemic targets
- Diabetes technology including CGM and insulin pump data review
- Bone and mineral metabolism, including osteoporosis management
- Hypogonadism and reproductive endocrine evaluation
- Electrolyte-endocrine interplay such as SIADH and hypercalcemia
- Polycystic ovary syndrome and metabolic syndrome management
- Differentiating primary from secondary and tertiary endocrine disorders
