I am a bit sad that the moonlighting issue is now such a strong factor in my choice of residency. There are 3 residencies I applied to that allow and encourage moonlighting after the intern year, and several of the residents claim to have made 6 figures from it. 2 in one program claimed to have made $200K. With a wife and 4 children, this is now a primary factor in my ROL. Giving up 6 figures to do this medical school martyrdom has made me very tired of financial sacrifice. I want to buy my oldest son some of the cool video games he can only play at friends houses, I want to be able to afford all the lessons my other children want, for my wife to see her family whenever she wants. They never complain, but time and money are two thorny issues that do not get easier in the course of ones life.
A number of the programs I interviewed at had many other people who transfered from other specialties (including general surgery) largely due to lifestyle. The person I did my med school gen surg rotations under only cleared about $200K at the end of the year from what they said. I guess in your twenties 5 years of gen surg residency does not seem like a life-sentence, at my age there is absolutely no way I would do 5 years of that stress at $50K /annum to then spend the rest of my life taking out gallbladders, thyroids and doing breast biopsies. I am hoping for only one more year as a poverty stricken intern and then $70/hour moonlighting to make life a bit more soft and smooth.