$140-$380/hr operative and acute care work, on your schedule
You grade a model's operative plans, triage notes, and post-op management, catching the perforated viscus sent to CT instead of the OR. You explain the conversion threshold no algorithm weighs, remote and paid by the hour.
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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 a surgeon's read on a missed mesenteric ischemia 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.
General Surgery questions
Still curious? Write to us at support@terac.com.
Models nail textbook indications but miss timing and tradeoffs under pressure. Your sense of when a belly cannot wait, how source control changes a plan, and when to convert laparoscopic to open is judgment no guideline captures. That is what the work pays for.
Yes. We verify board certification and an active or recent US license. Acute care surgery, trauma, or surgical oncology fellowship experience routes you to higher-paying, more complex operative work.
No. You evaluate text and operative plans, not real cases. There is no doctor-patient relationship and no liability. You judge whether the model's reasoning is sound, safe, and standard of care.
Triage and consult notes, operative plans, post-op management, discharge summaries, consent explanations, and multi-step reasoning chains. You grade each for accuracy, safety, timing, and whether the operative decision matches the standard of care.
That is the most valuable error you can catch. Flag any plan that defers an emergent operation, like a perforated viscus or strangulated bowel, for more imaging, and explain why the delay is dangerous so the model learns the threshold.
Why your expertise matters
Today's surgical AI knows textbook indications but fumbles timing under pressure. It sends a perforated viscus back to CT, anticoagulates hours before an emergent laparotomy, misses source control in sepsis. Knowing which belly cannot wait takes a surgeon, not a guideline. Your corrections teach the model the threshold between a safe plan and a dangerous one.
How pay works
Work pays $140 to $380 an hour, with acute care, trauma, and complex operative reasoning at the top. Bill for time spent grading operative plans, triage notes, and post-op management, plus written critiques. Most surgeons work a few flexible hours a week around clinic and OR days.
What the work looks like
A sample of the operative and acute care work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Flag an AI triage note that orders CT for free air and peritonitis instead of an emergent exploratory laparotomy.
- Catch the model's operative plan for a strangulated incarcerated hernia that skips bowel viability assessment before closure.
- Spot the early anastomotic leak a machine-written post-colectomy discharge summary misses in the documented vitals and labs.
- Decide which of two AI plans for a small bowel obstruction correctly identifies closed-loop features warranting surgery.
- Reject a model's suggestion to start therapeutic anticoagulation in an active GI bleed scheduled for the OR within hours.
- Rate whether an AI-drafted cholecystectomy consent accurately conveys the risk and management of a bile duct injury.
Specialties we match
General Surgery projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Acute abdomen triage and operative versus nonoperative decisions
- Damage-control laparotomy and trauma sequencing
- Hernia repair technique and mesh selection
- Minimally invasive and laparoscopic conversion judgment
- Anastomotic technique and leak risk assessment
- Source control and sepsis management
- Bowel obstruction workup and timing of intervention
- Surgical oncology resection planning
- Perioperative risk stratification
- Postoperative complication recognition and rescue
- Informed consent and goals-of-care discussions
- Operative note and dictation accuracy review








