What the work involves

You build clinical cases the way you'd present them on rounds: a patient walks in with a presentation, and the scenario carries through history, exam, differential, workup, and plan. Each case ships with a reference answer that states not just the right call but the reasoning chain behind it — why this diagnosis moves up the differential, why that test comes before this one, what the disposition hinges on. The second half of the job is grading: reading model-generated clinical output and scoring it for diagnostic accuracy and, more importantly, for harm. A lot of model output is fluent, confident, and wrong in ways a layperson would never catch — a missed red flag, a contraindicated drug in a patient with the renal function you buried in the labs, a discharge where admission was indicated. Flagging that is the core value you provide.

What the platform screens for

Expect verification of NCCPA certification and active state licensure early. Beyond credentials, the screen probes clinical depth under follow-up: you'll be asked to reason aloud through a presentation and then pushed on the branch points — what changes your management, what you'd have missed. Reviewers also test whether you can articulate reasoning in writing rather than just arrive at the right answer, since the reference rationale is the deliverable, not the conclusion. Candidates with emergency, surgical, or primary care depth, precepting or chart-review history, or a CAQ tend to move faster, but none of those are gates.

Logistics

  • Fully remote and asynchronous — no scheduled shifts, no live calls with labs
  • Minimum commitment of 10 hours per week, scalable up or down between weeks
  • Weekly payment via Stripe; the observed band is $80–120/hr, set from experience and specialty, and is not guaranteed for any individual contract
  • Work is routed to your specialty where volume allows, so an EM PA sees EM cases

The rhythm suits clinicians working around clinical shifts. Throughput matters less than whether your judgment holds up when a reviewer disagrees with your grade and asks you to defend it.