Moonlighting

[NMH2001]

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I am a DO student hoping to land an allo residency in PA. Since PA is one of the "infamous 5" states that require the AOA transitional year or whatever that bullcrap is, will I still be able to moonlight without it?

Thanks!

 

[corpsmanUP]

I am a DO student hoping to land an allo residency in PA. Since PA is one of the "infamous 5" states that require the AOA transitional year or whatever that bullcrap is, will I still be able to moonlight without it?

Thanks!

You can get your internship approved even at an ACGME program if you fill out the waiver form for the AOA. Most EM programs in Pa will work with you to help you reshuffle your electives to get you the required rotations for the internship requirements. The irony is that its not really a moonlighting issue as much as it is a permanent license issue for Pa. Pa is one of the weird states that requires 2 years of residency before you can be given a permanent license...so you cannot actually moonlight until early 3rd year at the earliest anyway 😡

 

[ewells]

You can get your internship approved even at an ACGME program if you fill out the waiver form for the AOA. Most EM programs in Pa will work with you to help you reshuffle your electives to get you the required rotations for the internship requirements. The irony is that its not really a moonlighting issue as much as it is a permanent license issue for Pa. Pa is one of the weird states that requires 2 years of residency before you can be given a permanent license...so you cannot actually moonlight until early 3rd year at the earliest anyway 😡

It sounds like you have done your homework on this, but I am pretty sure you can moonlight after taking step 3 and the in-service exam. I go to Penn State and have had lots of contact with the York EM residents and I think that is what they have always told me. (unless you are specifically referring to different hoops that they make DOs jump through, which I agree is BS)

 

[corpsmanUP]

It sounds like you have done your homework on this, but I am pretty sure you can moonlight after taking step 3 and the in-service exam. I go to Penn State and have had lots of contact with the York EM residents and I think that is what they have always told me. (unless you are specifically referring to different hoops that they make DOs jump through, which I agree is BS)

No, I am referring to the fact that Pennsylvania is one of several states like Illinois that requires 2 years of post graduate education to obtain a permanent license needed to moonlight. I am actually referring to the MD board in Pa. I am not all that familiar with the DO requirements.

 

[DeLaughterDO]

No, I am referring to the fact that Pennsylvania is one of several states like Illinois that requires 2 years of post graduate education to obtain a permanent license needed to moonlight. I am actually referring to the MD board in Pa. I am not all that familiar with the DO requirements.

The Federation of State Medical Boards (FSMB) lists PA as having a 1 year postgraduate training requirement for the Osteopathic board - basically you'll have to complete your internship (or get your internship approved) and then you can apply for your unrestricted license. Of course, in PA there is a mandatory OMT practical exam for unrestricted licensure.... another 200 bucks down the drain. I was hoping they'd trash this after the PE exam was started.

BTW - if you look at that website, it says Nevada requires 3 years postgrad training before you can get your license

later,

jd


Source: http://www.fsmb.org/usmle_eliinitial.html

 

[DeLaughterDO]

Allo board has a 2 year requirement for PA, however (3 years for IMGs).

 

[corpsmanUP]

Allo board has a 2 year requirement for PA, however (3 years for IMGs).

Thats pretty cool...so a DO can moonlight before an MD. The problem is I would bet that a program director might balk at signing off a 2nd year DO to moonlight when the MD's can't. I have a feeling they would not do it. It would be interesting to hear though. For DO only residencies, I bet PD's sign off all the time though. How cool is that for a DO in Pa? 👍

 

[BMW19]

What do you mean un-restricted? So if I am a DO and I want to practice with restrictions I could opt out of the OMT practical? Can you elaborate on this? Thanks-

B-

The Federation of State Medical Boards (FSMB) lists PA as having a 1 year postgraduate training requirement for the Osteopathic board - basically you'll have to complete your internship (or get your internship approved) and then you can apply for your unrestricted license. Of course, in PA there is a mandatory OMT practical exam for unrestricted licensure.... another 200 bucks down the drain. I was hoping they'd trash this after the PE exam was started.

BTW - if you look at that website, it says Nevada requires 3 years postgrad training before you can get your license

later,

jd


Source: http://www.fsmb.org/usmle_eliinitial.html

 

[corpsmanUP]

What do you mean un-restricted? So if I am a DO and I want to practice with restrictions I could opt out of the OMT practical? Can you elaborate on this? Thanks-

B-

Bottom line is that if you want to practice AT ALL in Pa after residency as a DO, you must take the DO manip exam that is given sometime in either residency or when you arrive in the state to work from another state. DO's are licensed through their own licensing agency in Pa, not the same one as MD's. There is no way to circumvent the exam.

 

[DeLaughterDO]

What do you mean un-restricted? So if I am a DO and I want to practice with restrictions I could opt out of the OMT practical? Can you elaborate on this? Thanks-

B-

Unrestricted license: not the training/institutional license you get when you start residency. Those are "restricted" in that your license is only valid when you are working under the auspices of your training institution. You are not given your own DEA number for writing narcs, you cannot "moonlight" except in your own institution (if that is available), what else? I'm sure there are other things you can't do with an institutional license....

You can only get an "unrestricted" medical license after meeting the requirements of your state medical board - usually boards step III and some various amount of time in an accredited training exam. If you follow the link above you can see the minimal training that is mandated by all the states before you are eligible for initial licensure. States can make whatever demands they want before granting you licensure - hence, in PA, there is a mandatory manip exam to get a license as a D.O. They can also charge whatever fees they like, as you'll see if you browse that link - license fees range from 100+ to 800+ in some states. This isnt' counting the outrageous fees for DEA registration.

jd

 

[BMW19]

Thanks for clarifying. So I guess you could finish a residency in PA and then go practice somwhere else if you want.

Unrestricted license: not the training/institutional license you get when you start residency. Those are "restricted" in that your license is only valid when you are working under the auspices of your training institution. You are not given your own DEA number for writing narcs, you cannot "moonlight" except in your own institution (if that is available), what else? I'm sure there are other things you can't do with an institutional license....

You can only get an "unrestricted" medical license after meeting the requirements of your state medical board - usually boards step III and some various amount of time in an accredited training exam. If you follow the link above you can see the minimal training that is mandated by all the states before you are eligible for initial licensure. States can make whatever demands they want before granting you licensure - hence, in PA, there is a mandatory manip exam to get a license as a D.O. They can also charge whatever fees they like, as you'll see if you browse that link - license fees range from 100+ to 800+ in some states. This isnt' counting the outrageous fees for DEA registration.

jd

 

[DeLaughterDO]

Thanks for clarifying. So I guess you could finish a residency in PA and then go practice somwhere else if you want.

Of course you can. You do not have to stay anywhere near your training institution if you don't want to... although 80-something percent of residents stay within like 100 miles of their residency training site - at least that's what I seem to remember from a study I saw/read about several years ago.

jd

 

[k's mom]

This is actually ewells (k's mom is my wife, and this computer won't let me log off her account). I asked one of my friends in York, and they are able to moonlight in their second year...in their fast-track wing.

 

[corpsmanUP]

This is actually ewells (k's mom is my wife, and this computer won't let me log off her account). I asked one of my friends in York, and they are able to moonlight in their second year...in their fast-track wing.

That is NOT the same thing as moonlighting. That is an agreement with the specific institution allowing you to work additional hours past normal and customary hours for a set fee per hour, but you are still operating under the supervision of a licensed phyician. You are not using a permanent unrestricted license for this and you can't go work somewhere else in this same manner in year 2. One caveat in Pa though is that you can moonlight across the border in Wv or Md, NJ, Oh, or NY depending on how close your program is to those states, and how much you feel like paying to get a license in that state. Of course you are still at the mercy of the PD to sign off and allow you to do this because all states require your training institution to sign off to allow you to obtain a permanent license.

Many programs have internal moonlighting in some fashion, but it is usually more supervised and pays a lot less in most cases. But its a chance to spread your wings a bit and practice flying while having a net.

 

[ewells]

That is NOT the same thing as moonlighting. That is an agreement with the specific institution allowing you to work additional hours past normal and customary hours for a set fee per hour, but you are still operating under the supervision of a licensed phyician...

Right, understood. But they refer to it as moonlighting and that was the source of my confusion.