Moonlighting - couple quick questions

[mx_599]

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after intern yr and step III boards, i plan to moonlight if the opportunity arises (i might have come across an opportunity at a wellness ctr type place). i am in a family med residency.

if i am outside the residency system, than i get malpractice insurance...correct?

if you are in a location close to other states, can you apply to more than one state so you can moonlight at those places?

are you pretty much autonomous when you have your own malpractice insurance? do you have to have any type of supervisory physician sign off on stuff?

what is it that residents apply for? is it a DEA #, provider #, license in ea state, etc???

thanks guys!

 

[Winged Scapula]

after intern yr and step III boards, i plan to moonlight if the opportunity arises (i might have come across an opportunity at a wellness ctr type place). i am in a family med residency.

Does your program allow it? Are you eligible for a full and unrestricted license with just 1 year of GME?

if i am outside the residency system, than i get malpractice insurance...correct?

Perhaps. Expect to pay through the nose for malpractice insurance since you will have only done 1 year of residency. You really want a job at a place that provides it for you. No sense in moonlighting and spending thousands of dollars on malpractice; might remove any financial benefit to moonlighting.

if you are in a location close to other states, can you apply to more than one state so you can moonlight at those places?

You will likely need a license in each state you plan on practicing in, unless you are moonlighting at a VA, in which case any state license is fine.

are you pretty much autonomous when you have your own malpractice insurance? do you have to have any type of supervisory physician sign off on stuff?

The malpractice insurance is not the deciding factor. If you have a full and unrestricted license and some place is stupid enough to hire a physician with only 1 year of training without supervision, then yes, you are autonomous. Most residents who moonlight do so in residency type situations - ie, VAs, other hospitals without residents but with attendings whom they run stuff buy.

what is it that residents apply for? is it a DEA #, provider #, license in ea state, etc???

thanks guys!

Depends on what your employer needs you to have. Usually the license, a DEA, any state controlled substance license (some states have them separate from the DEA #). If you are going to be billing insurance, then you need an NPI and to be credentialed by insurance companies (which can take months). If the employer is going to pay you a salary and does not have you bill insurance (ie, cash pay practice), then you do not need to be credentialed.

 

[mx_599]

Does your program allow it? Are you eligible for a full and unrestricted license with just 1 year of GME?

thanks for helping me. well, i know the program allows moonlighting...is this the same as full and unrestricted?

Perhaps. Expect to pay through the nose for malpractice insurance since you will have only done 1 year of residency. You really want a job at a place that provides it for you. No sense in moonlighting and spending thousands of dollars on malpractice; might remove any financial benefit to moonlighting.

yes, of course this makes sense. i thought i have heard of some getting much cheaper insurance? is it buyer beware? or pretty standardized? i think it sometimes depends on tail coverage included initially or not.

You will likely need a license in each state you plan on practicing in, unless you are moonlighting at a VA, in which case any state license is fine.

okay

The malpractice insurance is not the deciding factor. If you have a full and unrestricted license and some place is stupid enough to hire a physician with only 1 year of training without supervision, then yes, you are autonomous. Most residents who moonlight do so in residency type situations - ie, VAs, other hospitals without residents but with attendings whom they run stuff buy.

yes, makes sense. i guess the situation i am inquiring about is sort of unique. it would be an affiliation with a wellness type center and i believe they are looking at low acuity type services. i am thinking basic medication adjustments, assessments, physicals. again, i am just trying to get a feel for any potential partnership.

also, you might wonder why i am not asking my PD all this stuff. i am moving after intern year to another program in SD. i was unsure what i was doing out of school so i only did a single yr at the place i am at now.

so it is definite, but i dont really know the PD that well to be throwing out questions like this

Depends on what your employer needs you to have. Usually the license, a DEA, any state controlled substance license (some states have them separate from the DEA #). If you are going to be billing insurance, then you need an NPI and to be credentialed by insurance companies (which can take months). If the employer is going to pay you a salary and does not have you bill insurance (ie, cash pay practice), then you do not need to be credentialed.

okay, thanks for help. any other comments regarding my replies? or not really?

thanks