septoplasty

Exceptional
7+ Year Member
Nov 10, 2010
747
136
Call Room
Status
Attending Physician
Can anyone give me any input on what I should be looking for when I eval moonlighting spots in terms of liability, scope, responsibilities etc.?

I'm thinking of doing urgent care only.

Thanks!
 

JustPlainBill

Attending
10+ Year Member
Jan 5, 2007
2,568
2,933
Status
Attending Physician
I would talk with my residency advisor first -- you may need the PD's approval for moonlighting; Also, you'll likely be given a checklist of procedures/competencies -- make sure you can do them reasonably well -- there's no one there to back you up (unless you run in a dual provider location) and patient's expect you to know what's up ---

Everything's easy when you've got someone (i.e. your attending) to fall back on -- entirely different when you're it and the patient's life/limb is in your hands --- alone;
 
OP
septoplasty

septoplasty

Exceptional
7+ Year Member
Nov 10, 2010
747
136
Call Room
Status
Attending Physician
I would talk with my residency advisor first -- you may need the PD's approval for moonlighting; Also, you'll likely be given a checklist of procedures/competencies -- make sure you can do them reasonably well -- there's no one there to back you up (unless you run in a dual provider location) and patient's expect you to know what's up ---

Everything's easy when you've got someone (i.e. your attending) to fall back on -- entirely different when you're it and the patient's life/limb is in your hands --- alone;
So i've got the clearance from the PD to go ahead and do it.

I've also completed the required procedural competencies i.e. lac repairs, removals etc.

I meant more in a pay/liability/scope etc perspective! Just something that we haven't covered in our curriculum yet.

I feel pretty comfy w/ seeing patients and managing them on my own, just the business/legal aspect is what I lack.
 

JustPlainBill

Attending
10+ Year Member
Jan 5, 2007
2,568
2,933
Status
Attending Physician
So i've got the clearance from the PD to go ahead and do it.

I've also completed the required procedural competencies i.e. lac repairs, removals etc.

I meant more in a pay/liability/scope etc perspective! Just something that we haven't covered in our curriculum yet.

I feel pretty comfy w/ seeing patients and managing them on my own, just the business/legal aspect is what I lack.
So in my experience, usually the pay is ok -- anywhere from $80 to $100/hr at least in a large southern metroplex ;-> Depending on how the shifts are split, this can be some nice supplemental income during residency...or afterwards....

Usually the UC companies provide malpractice for patients seen while working for them -- check the kind of coverage and remember to check out what coverage they provide when you leave

scope? Anything from "my tooth hurts" to MIs to fractured collar bones to dog bites/cat scratches to "something in my eye" to joint aspirations to retained tampons to retained sex toys to things stuck through digits/body parts to foreign bodies stuck in things/body parts to dizziness in an 80 year old to "my feet have been swollen for 3 months and I decided to come get it checked 5 minutes before you close" to "My baby is vomiting" -- i.e. spitting up from being overfed to acute appendicitis to "I've got a cough and need a steroid shot" conveniently before going to the gym to work out (wrong steroids, bro) to "I'm here for a checkup and want my lipids/liver panels done" to "I've got XYZ problems and want you to see if you can figure it out -- my XYZ specialist can't" to "I want a second opinion on my joint pain" -- you name it, it hits the door.....