"Moonlighting?"

[UCLAMAN]

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So the extent of my knowledge is that "moonlighting" is a way to earn more money as a resident.

But what is "moonlighting" exactly? I mean...How exactly does one earn the extra money as a resident?

I apologize for the multiple posts....SDN pooped on me...I tried deleting those threads but I can't. SDN won't let me. So if a mod could do it for me it would be greatly appreciated.

 

[....]

My dad used to take me moonlighting when i was little kid.....I dont understand all of it but...

He was an Ob/Gyn resident in pensacola Fl, he would have a weekend off call and instead of doing whatever he would drive to some tiny town and work their grave yard shift...we would sleep in the hospital or somtimes there was a "guest house" by the hospital. He could sleep when nothing was happening but im pretty sure he was the onle ER doc there.
I dont know what he got paid...he doe do surgury so that helps....I read a book by some neurosurg residents who mentioned that in the early 80's they made $40 an hour moonlighting. probably more now...


hope this helps....i assume this is above and beyond the 80 hour limit...

 

[OrthoFixation]

moonlighting = working a second job (for real pay) while in residency. Some programs do not allow this. Some endorse it within their own organization.

Pay I've heard $80-$125 / hour

Malpractice insurance can be an issue, as your home program will not cover moonlighting.

The real question, how is the new 80 hour limit going to affect this ability to support yourself?

 

[UCLAMAN]

Originally posted by OrthoFixation
moonlighting = working a second job (for real pay) while in residency. Some programs do not allow this. Some endorse it within their own organization.

Pay I've heard $80-$125 / hour

Malpractice insurance can be an issue, as your home program will not cover moonlighting.

The real question, how is the new 80 hour limit going to affect this ability to support yourself?

Yes but what is the second job? Can one moonlight in another specialty without completing a residency in it? I've heard of people moonlighting in the ER...Thats ok to do without having completed an emergency medicine residency? For example what if you are an internal medicine resident, can you moonlight in gastroenterology?

 

[DrQuinn]

You CANNOT moonlight in gastroenterology. There is no NEED for moonlighting in GI.

With the 80 hour work week, the hours you moonlight count TOWARDS your 80 hours. Note that its not just 80 hours, but also time off contingent on how many hours you work. So moonlighting has become a lot harder to do now.

Most people do moonlight in the ERs and Urgetn Care centers... as that's where the need is.

Q, DO

 

[UCLAMAN]

Originally posted by QuinnNSU
You CANNOT moonlight in gastroenterology. There is no NEED for moonlighting in GI.

With the 80 hour work week, the hours you moonlight count TOWARDS your 80 hours. Note that its not just 80 hours, but also time off contingent on how many hours you work. So moonlighting has become a lot harder to do now.

Most people do moonlight in the ERs and Urgetn Care centers... as that's where the need is.

Q, DO

Well I figured that much...that was just an extreme example....I want to know if I am a Peds resident, can I moonlight in the ER? I mean you don't need to be an Emeds resident to moonlight in the ER? One doesn't need any post graduate ER experience to moonlight in the ER? I'm guessing the answer is yes from these posts. Are ERs and urgent care centers the only places to moonlight as a physician?

 

[SM-UCLA tech]

yes you can moonlight in an ER.....and no those are not the only places you can moonlight.

you can moonlight anywhere you can find a job. it's not always easy to moonlight because there are many residents who want/need to supplement their incomes to pay for loans, etc....

i had a couple of friends that were FP residents that found a job at a sleep study clinic. they were paid $250 a night to sleep at the facility. The facility required that a physician be present at all times. all they did was go to a sleep room and read or watch videos all night. they kept this job a secret so no one else would find out about it and take their "cush" jobs away from them!

essentially what everyone is say here is that you can do whichever job you can find. even if it's slinging hash as a frycook!

 

[Bounty]

Ive heard that a lot of residency programs don't allow moonlighting - is that strictly enforced?

 

[southerndoc]

Moonlighting does NOT count toward the 80 hour workweek if you moonlight outside your training program and its affiliated institutions. Moonlighting only counts toward the 80 hour limit if you moonlight in that institution. Example: If you're doing your residency at Medical Center A, which is owned by XYZ Health System, and you wanted to moonlight in Rural Hospital B, also owned by XYZ Health System, then it would count. If, however, the place where you moonlight has no affiliation with your training program, then it doesn't count.

"Moonlighting that occurs within the residency program and/or the sponsoring institution or the non-hospital sponsor's primary clinical site(s), ie, internal moonlighting, must be counted toward the 80-hour weekly limit on duty hours." Reference for this: http://www.acgme.org/DutyHours/dutyHoursCommonPR.asp

You can also moonlight in a psychiatric facility. Lots of regional psych facilities use moonlighters to staff during the night just to admit people. Pay is usually 50-75 bucks an hour. Beware though, you won't get any sleep.

 

[ivyleague22ny]

do people just receive a non-exempt salary when their residents, meaning they don't get paid more than their base salary
if they work more than 40 hours a week?

or are people paid by the hour with an 80 hour limit per week?

 

[Winged Scapula]

Originally posted by ivyleague22ny
do people just receive a non-exempt salary when their residents, meaning they don't get paid more than their base salary
if they work more than 40 hours a week?

or are people paid by the hour with an 80 hour limit per week?

Cough, cough...Whew....excuse me. I could not stop laughing after reading your post.

Residents are paid a flat salary - whether they work 40 hrs a week or 140 hrs. At my institution, all residents of the same level make the same pay, so residents who work fewer hours, have 1 more week of vacation plus personal days (surgical residents here have 1 less week of vacation and no personal days), make the same salary.

This is true everywhere in the US. Residents are not paid overtime.