Moonlighting

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EFesta77

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Can anyone comment on moonlighting as an IM resident? I'll be an intern at a nyc program next month and I'm hoping that as a pgy-2 or 3 there will be some opportunities for extra cash available. Where (setting) do IM residents typically moonlight if they can? How much extra income can one generate? Is there actually time to moonlight (other than during vacay)?

I've read so many conflicting posts regarding this.
 
Can anyone comment on moonlighting as an IM resident? I'll be an intern at a nyc program next month and I'm hoping that as a pgy-2 or 3 there will be some opportunities for extra cash available. Where (setting) do IM residents typically moonlight if they can? How much extra income can one generate? Is there actually time to moonlight (other than during vacay)?

I've read so many conflicting posts regarding this.

I'm in Texas and from what I've heard, you can make quite a bit moonlighting. One of my residents was paid $700 for one night of moonlighting. However, upon discussing this with some attendings, I've found this figure to be on the low end. The general consensus is that a night of moonlighting in the ER should be around ~$1200. I've heard that LTACs are especially good places because the patients are stable and you can pretty much sleep the whole night.
 
Can anyone comment on moonlighting as an IM resident? I'll be an intern at a nyc program next month and I'm hoping that as a pgy-2 or 3 there will be some opportunities for extra cash available. Where (setting) do IM residents typically moonlight if they can? How much extra income can one generate? Is there actually time to moonlight (other than during vacay)?

I've read so many conflicting posts regarding this.

Moonlighting in NYC is tough, simply because there are about 25,000 other residents also looking to make enough to afford to live there.

Your best bet will be in-house or at hospitals affiliated with your residency program. And I doubt there will be any ED moonlighting opportunities in NYC for anyone not EM board eligible (or at least a senior EM resident).

Pay will vary widely as well. I've seen moonlighting gigs in my town range from $65/h to $120/h. The shifts I work are in the middle of that range and aren't generally too stressful. I worked a couple of the $120/h shifts at another hospital but it was 12 hours of non-stop admitting - roughly one IM patient an hour - and it just wasn't worth it. You can make a decent amount of cash if you have the time but you may also want to sleep some. One of my colleagues moonlights on a Q5 schedule and more than doubles his salary.
 
Moonlighting in NYC is tough, simply because there are about 25,000 other residents also looking to make enough to afford to live there.

Your best bet will be in-house or at hospitals affiliated with your residency program. And I doubt there will be any ED moonlighting opportunities in NYC for anyone not EM board eligible (or at least a senior EM resident).

Pay will vary widely as well. I've seen moonlighting gigs in my town range from $65/h to $120/h. The shifts I work are in the middle of that range and aren't generally too stressful. I worked a couple of the $120/h shifts at another hospital but it was 12 hours of non-stop admitting - roughly one IM patient an hour - and it just wasn't worth it. You can make a decent amount of cash if you have the time but you may also want to sleep some. One of my colleagues moonlights on a Q5 schedule and more than doubles his salary.

This is what I thought the case would be. I figured since there are so many residents concentrated in a small area, opportunities would be limited. 12 hours of non-stop admitting sounds stressful...
So working in house (or at affiliated hospitals) usually entails what kind of work...? Call coverage..?
 
This is what I thought the case would be. I figured since there are so many residents concentrated in a small area, opportunities would be limited. 12 hours of non-stop admitting sounds stressful...
So working in house (or at affiliated hospitals) usually entails what kind of work...? Call coverage..?

Again, depends on the situation. Usually some combination of admitting and cross-coverage. All of our in-house IM moonlighting opportunities are set up this way (2 Gen Med, 1 BMT/Onc). Others may just be admitting (like the one I quit doing) or just cross-cover (usually in an LTAC setting).
 
I'm in Texas and from what I've heard, you can make quite a bit moonlighting. One of my residents was paid $700 for one night of moonlighting. However, upon discussing this with some attendings, I've found this figure to be on the low end. The general consensus is that a night of moonlighting in the ER should be around ~$1200. I've heard that LTACs are especially good places because the patients are stable and you can pretty much sleep the whole night.


I have what maybe a silly question BUT could someone make a career out of moonlighting alone? Say you got paid the $700 a night that you mentioned and say that you work 5 days a week, 4 wks a month, 12 months a year that comes to $168,000 which sounds pretty good. Is this possible or not?
 
Sure you can make a living moonlighting --as a locum tenens doc. As for moonlighting as a resident, the best opportunities are within your own program, if your program offers such. That way your malpractice is covered. Also, many IM resident contracts specify that you can't moonlight without the expressed permission of your program director. In many states the university (hospital) may have a rural coverage program that allows residents to work in rural ERs, etc. and still use their university malpractice policy while doing it. I did this as a resident and made between $2500-3500 per weekend working in a rural hospital. Not bad when my monthly residency salary wasn't much more than what I made during a weekend of moonlighting.

Good luck!
 
I have what maybe a silly question BUT could someone make a career out of moonlighting alone? Say you got paid the $700 a night that you mentioned and say that you work 5 days a week, 4 wks a month, 12 months a year that comes to $168,000 which sounds pretty good. Is this possible or not?

Yes, but you would quickly get sick of it. It's probably not a horrible idea for a transitional job (waiting for a fellowship to start or a spouse to finish their training) but it would be a tough and crappy way to make a career. And $700 for a 12h shift is the biggest moonlighting screw job I can think of unless you don't have to lift a finger.

Also, depending on the scenario, you'd probably have to pay for your own health, life, disability and malpractice insurance which will make a pretty significant dent in that amount (never mind income taxes).
 
I am extremely excited about this, as my program offers several in-house opportunities for PGY-2s and 3s, and is reasonable about how hard it works its residents (e.g. i'll be able to do it a couple times per month, for sure).

However, anyone foresee any legal or other difficulties approaching, eventually prohibiting moonlighting? I do worry if the allowed duty hours take another hit, moonlighting may be outlawed...
 
Don't forget about non-clinical moonlighting opportunities. There are many (and some pay quite well). Imagine making $200-300 per hour outside of the hospital (OK, this is the upper range, but even $50-150 per hour isn't bad).
 
interesting. I've heard of some residents working for the state health agencies.
 
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non-clinical moonlighting sounds like bartending to me...

Can you list some examples of non-clinical moonlighting opportunities for MD's, please?
 
Examples include:

  • consulting (yes, there are opportunities)
  • writing software
  • medical writing/review/editing
  • sales (primarily online, eBay, etc.)
  • teaching/tutoring
  • market research
  • the list goes on...
 
Examples include:

  • sales (primarily online, eBay, etc.)

I never would have considered "selling crap on eBay to clean out my basement" to be moonlighting.

On a related note, I've been selling stuff on eBay for ~7 years and will make more in the first 6 hours of moonlighting tonight than I ever have (total) on eBay sales)
 
going to bump this thread. basically, i completed internship and resigned on good terms because i went to medschool not for myself but because someone told me to. i was pretty miserable and finally had the courage to leave, although i know it's a pretty bad decision from a purely career -wise aspect. i like many facets of medicine but up close and personal it's not too appealing. im still trying to figure out what to do such as reapply, looking into another specialty, start a business, do something completely different, and of course dr. kim's usual set of suggestions. but in the meantimei just passed step 3 and and my license app is in process.

im thinking about moonlighting to help pay my bills. first question is how likely would hospitals let someone in my position work? 2nd, where can i find more info and openings or is this going to be a need to have connections situation? and lastly are there gigs where you can really streamline your responsibilities like earning a simple fee per admit and going to codes? options of no crosscovers, etc? im hoping there could be a niche i coukd fill. some of the private hospitals ive been in during med school and internship had pretty rough nights for nocturnists and i think having some cheap minimally qualified help would make life easier for them. hey that sounds like residency. anyway, i think it woukd suck to make a career out of this, but at least id have something to do while i work things out.

edit: well, ive been looking on md job sites from googling and pretyy much all fhe job offers are bc be. im guessing most of the positions without bc/be are in-house for residents or very limited by word of mouth. this scheme probably wont pan out just like my idea about becoming an aviation medical examiner.
 
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going to bump this thread. basically, i completed internship and resigned on good terms because i went to medschool not for myself but because someone told me to. i was pretty miserable and finally had the courage to leave, although i know it's a pretty bad decision from a purely career -wise aspect. i like many facets of medicine but up close and personal it's not too appealing. im still trying to figure out what to do such as reapply, looking into another specialty, start a business, do something completely different, and of course dr. kim's usual set of suggestions. but in the meantimei just passed step 3 and and my license app is in process.

im thinking about moonlighting to help pay my bills. first question is how likely would hospitals let someone in my position work? 2nd, where can i find more info and openings or is this going to be a need to have connections situation? and lastly are there gigs where you can really streamline your responsibilities like earning a simple fee per admit and going to codes? options of no crosscovers, etc? im hoping there could be a niche i coukd fill. some of the private hospitals ive been in during med school and internship had pretty rough nights for nocturnists and i think having some cheap minimally qualified help would make life easier for them. hey that sounds like residency. anyway, i think it woukd suck to make a career out of this, but at least id have something to do while i work things out.

edit: well, ive been looking on md job sites from googling and pretyy much all fhe job offers are bc be. im guessing most of the positions without bc/be are in-house for residents or very limited by word of mouth. this scheme probably wont pan out just like my idea about becoming an aviation medical examiner.
Your question bolded above is different from Eugene's initial question (moonlighting as a resident). Honestly, there are pretty much no opportunities to work as a per diem physician after completing only a year of internship. A friend of mine did the same thing as you, and got absolutely nowhere (tried ER, urgent care, per diem, locum tenens etc.) after taking step 3 and forking out the licensing fee. If you are a resident, you are under the umbrella of (usually) your home institution. A year of clinical training is generally not enough to 'fly solo'.

There are plenty of opportunities to use your medical degree. Have you considered big pharma (clinical trials, drug development and safety)? Have you considered medical IT?
 
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