Moonlighting?????

[soonerfan77]

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I've been looking through freida, and some institutions allow it while others do not. There is a common theme of those that allow moonlighting. You have to be licensed and they do not pay for your malpractice insurance outside of the institution. When do you receive a license? How much time does one really have to moonlight? Is there even a potential to make money in moonlighting? I have no answers and a lot of questions. Any help would be greatly appreciated.
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[colbgw02]

I've been looking through freida, and some institutions allow it while others do not. There is a common theme of those that allow moonlighting. You have to be licensed and they do not pay for your malpractice insurance outside of the institution. When do you receive a license? How much time does one really have to moonlight? Is there even a potential to make money in moonlighting? I have no answers and a lot of questions. Any help would be greatly appreciated.
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By licensed, they mean you have to have an unrestricted license in the state in which you'll be practicing. All states require at least one year of post-graduate training (internship) as well as passing USMLE step 3 (for MDs).

Of course there is potential to make money - that is the whole point. Some residents can even double their salary. The trick to moonlighting is not biting off more than you can chew. I have heard residents in shorter residencies (FP, IM, Peds) say that they don't feel comfortable moonlighting until their PGY-3 year. I would think that residents in surgical and other longer programs wouldn't feel comfortable until their PGY-4 or -5 years.

 

[Winged Scapula]

I've been looking through freida, and some institutions allow it while others do not. There is a common theme of those that allow moonlighting. You have to be licensed and they do not pay for your malpractice insurance outside of the institution. When do you receive a license?

As noted above, you can apply for an unrestricted license once you have passed Step 3. Most states require at least 1 year of GME for American grads and 3 years for IMGs/FMGs. You may also need a DEA which you can also apply for once you'ev gotten your unrestricted license.

While your residency will not pay for the malpractice needed for moonlighting unless it is "in-house", the facility you are moonlighting at should. You should not have to purchase individual med mal.

How much time does one really have to moonlight?

Depends on the residency and your stamina. Most surgical residents only moonlight when they are in the lab doing research. If your program allows it, and you are on a light rotation, you might consider doing a couple of days a month, or working during vacations. Its really up to you and what your program allows.

Is there even a potential to make money in moonlighting? I have no answers and a lot of questions. Any help would be greatly appreciated.
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I put up a poll here and it appeared that most residents moonlighting made between $50-$100 an hour. I've made more than that on holidays and when they (the hospital) were desparate for someone. You can easily double your salary.

 

[Blade28]

Keep in mind that for many surgical residents, moonlighting takes place at:

(1) ER
(2) ICU
(3) LTAC or similar nursing home
(4) Urgent care center

So you don't have to be a PGY-4 or higher - you're not doing cases.