Three years, minimum
At least three years of post-qualification clinical practice. Not research years, not training years — years of seeing patients and carrying the decisions.
Home Expert network
Everything else here is scaffolding around one thing: a licensed clinician, awake in their own timezone, who knows the specialty and is willing to put their name on the assessment. Reviewers are recruited from academic medical centres on six continents, which is how a case raised at 2am in one place gets a considered answer from somewhere it is mid-morning.
Worldwide
A distributed network is not a cost decision. Clinical practice differs by jurisdiction — formularies, guidelines, thresholds — and a reviewer who trained where your product is deployed catches things a reviewer elsewhere would read straight past.
Reviewers are matched by specialty first, then by availability and rating. Where the case touches a jurisdiction's specific guidance, matching prefers a reviewer practising under it.
Admission
The bar is published rather than kept private, because a reviewer network whose standard is a secret is a network whose standard can move. Four requirements are absolute — no strength elsewhere compensates for missing one.
At least three years of post-qualification clinical practice. Not research years, not training years — years of seeing patients and carrying the decisions.
A current registration number we can check against the issuing register. Applications without one are declined, whatever else is in them.
A hospital, clinic, university or health system you are affiliated with. It is how a customer's governance committee can place you.
No case is assigned to anyone who has not signed the Expert Agreement — including a reviewer whose account has otherwise been activated.
Beyond the four requirements, every application is scored one to ten on eight dimensions, and the average has to clear the threshold. The scoring is deterministic: the same application always produces the same result, and every decision keeps the per-dimension breakdown that produced it.
Eleven years post-qualification. License verified. Affiliated to a university hospital. Sub-specialty stated. ORCID supplied.
Every rejection is returned with the specific reasons and what would need to change. A declined clinician who is told only "unsuccessful" learns nothing and reapplies blind.
Staying in
Quality, timeliness and professionalism, rated after each completed review. The running average is visible to the reviewer.
An average below 2.5 out of 5 deactivates the account automatically. It is a server-side check that runs on every rating, not a badge in an admin console someone has to notice.
Deactivation is not a ban. It is reviewable, and a reviewer whose ratings dipped for a reason we can understand can come back.
Between $2 and $500 per review, set by specialty, case complexity and clinical risk — the same three inputs that set the customer's price. The figure is shown before a case is accepted, never after it is done, and it is not negotiable case by case because a reviewer haggling over a high-risk case is a reviewer being paid to hurry.
Bank details are never asked for on the application form. They are collected inside the authenticated portal, after admission and after the agreement is signed — which means an unauthenticated intake flow never holds anyone's financial data, and an application that goes nowhere leaves nothing sensitive behind.
Account numbers are encrypted at rest. The portal shows the last four digits and nothing more, to the reviewer who entered them and to no one else.
The portal
The expert portal is not a hidden page. Case material, review drafts, wallets and payout details are gated server-side: a customer session cannot reach an expert route, a reviewer cannot reach another reviewer's cases, and no route in the product returns a bank account number to anyone at all.
Assigned work, and nothing else. Reviewers do not browse a queue of other people's cases.
Clinical material opens only once the agreement is signed — the gate is on the content, not just on payment.
Administrators can approve a payout without ever seeing the account it goes to.
For clinicians
Tell us your specialty, your registration and where you practise. Applications are assessed against the criteria above, and you get the reasons either way.