states for moonlighting

[medicineman1]

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Would like to hear posters knowledge of the opportunities for moonlighting for residents by state:

Arkansas plentiful as PGY2 and 3
Indiana plentiful as PGY2 and 3


other's experiences?

 

[medicineman1]

44 people have read this thread and none of you are interns/residents/ have any clue about moonlighting policies in your state? contribute?!

 

[Winged Scapula]

I read the post and felt I had little to contribute...

you can moonlight in Pennsylvania with an unrestricted license, but my residency program prohibited it. I'm not sure how I would know if the opportunities for moonlighting as a surgical resident there were "plentiful" as I could only speak about the town where I did residency.

I'm sure you can moonlight in New Jersey but your program supervisor has to approve it (I'm now in fellowship). I have no idea if its plentiful here.

I would expect that the opportunities for moonlighting depend on specialty, requirement for licensure and location.

 

[medicineman1]

you rock! You are so diplomatic- thanks for contributing! I personally think/feel that it is a huge issue, particularly if you are changing specialties & hece delaying your loan repayment- its nice to know. In the midwest states you can moonlight like mad- and make huge coin, as much as an attending - one in particular is Indiana! nice to know you can shave that credit card debt before embarking on your student loans- of course, not all of us have to ponder such things! anyway, contribute!

 

[Winged Scapula]

One needs to be careful when moonlighting for a couple of reasons...

1) make sure they take out enough in taxes, otherwise a bit of a suprise come April 15

2) make sure you don't make so much money that you are no longer eligible for loan deferment. You will have to find other options then to defer payment on your loans.

 

[3dtp]

One needs to be careful when moonlighting for a couple of reasons...

1) make sure they take out enough in taxes, otherwise a bit of a suprise come April 15

2) make sure you don't make so much money that you are no longer eligible for loan deferment. You will have to find other options then to defer payment on your loans.

3) make darn sure you know what kind of malpractice insurance you have covering you! A mistake here could do you in financially. Our institution had an occurance based med-mal policy (which includes "tail" coverage). They recently switched to a "claims made" policy which does not include tail coverage. This means if you get sued after you are no longer moonlighting and the moonlighting policy has expired, you have no coverage for the prior acts. Buying tail coverage after the original policy has expired, is expensive, as in about what the original premiums were. Or you might have to buy prior acts coverage with your first policy out of residency.

The cash might look nice in your pocket today, but there's a huge risk to much greater earnings if you don't play this one right.

 

[core0]

3) make darn sure you know what kind of malpractice insurance you have covering you! A mistake here could do you in financially. Our institution had an occurance based med-mal policy (which includes "tail" coverage). They recently switched to a "claims made" policy which does not include tail coverage. This means if you get sued after you are no longer moonlighting and the moonlighting policy has expired, you have no coverage for the prior acts. Buying tail coverage after the original policy has expired, is expensive, as in about what the original premiums were. Or you might have to buy prior acts coverage with your first policy out of residency.

The cash might look nice in your pocket today, but there's a huge risk to much greater earnings if you don't play this one right.

If your program is not getting a tail for a claims made policy they are putting you in jeopardy regardless of whether you moonlight or not. Occurence policies cover you for any act that happened during the policy period. So if you get sued twenty years from now it goes back to that policy. Claims made only protects you if the policy is still in effect. So if you continue the policy then you are covered. If the policy lapses you have to buy a tail (a policy that covers you for acts during the period from now on). These can be pretty expensive.

I am suprised that a residency would go to claims made. It is usually cheaper to get an occurence policy for three years or less. Four years is usually the breakeven point. This may be part of a shift by insurers to move toward claims made. In the PA market you cannot get an occurence policy any more.

Here is a pretty good article:
http://www.physiciansnews.com/business/405.html

David Carpenter, PA-C

 

[gwen]

thanks for explaining this very well. i really wish there was a forum for people who are just starting out in the real world (ie. attendingship). if there is such a forum and i'm missing it, could you tell me about it?? i have so many questions about types of malpractice insurance and benefits, etc.

3) make darn sure you know what kind of malpractice insurance you have covering you! A mistake here could do you in financially. Our institution had an occurance based med-mal policy (which includes "tail" coverage). They recently switched to a "claims made" policy which does not include tail coverage. This means if you get sued after you are no longer moonlighting and the moonlighting policy has expired, you have no coverage for the prior acts. Buying tail coverage after the original policy has expired, is expensive, as in about what the original premiums were. Or you might have to buy prior acts coverage with your first policy out of residency.

The cash might look nice in your pocket today, but there's a huge risk to much greater earnings if you don't play this one right.

 

[core0]

thanks for explaining this very well. i really wish there was a forum for people who are just starting out in the real world (ie. attendingship). if there is such a forum and i'm missing it, could you tell me about it?? i have so many questions about types of malpractice insurance and benefits, etc.

I'm kind of suprised this isn't covered in medical school or residency. In PA school we had several blocks of instruction on coding, malpractice etc. It wasn't comprehensive, but it was a good start.

David Carpenter, PA-C