I know a program that allows moonlighting if the resident scores well on their inservice exam. The moonlighting consists of one sunday each month at a VA dermatology clinic with a PA in a nearby town and the resident gets a few thousand dollars for this (don't know exact amount).
Not allowed at any program I was familiar with, at least for the last 15 years or so. Years ago they actually ran a resident private practice... but that ended long before I came through. The best we could do was disability exams for the state.
Depends on what program you are at. However, many programs have residents that engage in moonlighting. You have to speak to the 2nd and 3rd years about it. I think moonlighting is very productive to a career if done in the appropriate setting as I think it gives you a very good perspective on how different settings work without having to commit to it as a full time position after residency. A lot of these positions are set up through personal connections.
A lot of people (residents) will keep moonlighting private and don't really advertise that they are doing it...although they may be forthcoming if you ask in a discreet setting.
Prohibitive at my former program as well, very high in-service scores required to do so. I've met some residents who make house calls for cosmetic injections on weekends, not sure of the medicolegal ramifications although I suspect finding a large enough patient population may prove to be the biggest hitch in that plan
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