What the work actually is

You write calls. A scenario starts at dispatch information, moves through scene size-up, patient assessment, treatment decisions, transport choice, and ends at handoff — with the details a model could plausibly get wrong baked in on purpose. Then you write the reference answer, and the part that matters most: the field reasoning behind each protocol decision, not just the protocol name. Why you held C-spine here and didn't there, why this patient goes ALS intercept and that one doesn't, why the scene isn't safe yet even though the patient is visible.

The other half is grading. You read model output against your reference and score it for protocol accuracy, assessment sequencing, and scene safety. The highest-value thing you do is flag the answer that reads like a good EMT wrote it but would hurt someone in the field — the dose that's off, the step skipped, the confident answer that ignores mechanism, the advice that assumes a resource this crew doesn't have. Labs pay for that specific catch.

What the screen looks for

  • Verifiable credentials — NREMT certification and an active state license, plus real field time on a 911 or IFT service. Expect to name your service type, call volume, and scope.
  • Depth under follow-up — an AI screener will ask a protocol question and then push on the edge case. Answers that restate a mnemonic without the clinical reasoning underneath stall out fast.
  • Written clarity — your assessments and handoffs are the deliverable. Prose that reads like a clean PCR narrative scores well.
  • Honest scope discipline — knowing where BLS stops, and saying so, is a signal, not a weakness.

Logistics

Fully remote, fully async, no shifts and no station time. You set your hours each week against a floor of roughly 10. Pay is hourly via Stripe, disbursed weekly at rates observed in the $40–65 band — position on that band typically tracks certification level, system experience, and grading reliability rather than negotiation. Work is ongoing and project-based, so volume fluctuates with lab demand. Urban high-volume experience, FTO or CE instructor background, and AEMT or paramedic-school enrollment are preferred, not required.