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Blade28
Urgent care? Sure, some people here moonlight at urgent care clinics along with ERs.
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Thanks. What is the general situation? Is there more work available in clinics or more residents looking for work?
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Blade28
😕
Not sure I understand your question. Yes, there are moonlighting gigs available in certain clinics, urgent care centers, and ERs.
Are you asking if residents desiring to moonlight ever have problems finding open positions? Not if they're willing to travel slightly outside of the normal cluster of hospitals (as you'll usually be moonlighting at smaller hospitals not affiliated with your residency program).
Thanks, blade. I am wondering if there is a greater supply of residents with independant practice licenses looking for this kind of work or a greater demand for them?
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Blade28
By "independent practice licenses," do you mean residents with full state medical licenses, or those who have completed residency and are Board-Eligible?
In general, there are plenty of moonlighting jobs are available - residents can usually find a gig they like. Again, you may have to drive outside of the city a bit, and you're going to be working more evenings/weekends.
Don't know if this idea helps anyone but my brother's friend (a psychiatrist) said he paid off almost all of his debt by moonlighting in urgent care clinics and doing evening admission screening at his state mental hospital. This was while he was a resident.🙂
Is it probable to get a license in a state (as a FMG) that allows earlier licensure (1st year or 2nd year) and then moonlight in another state in a federal facility like VA, Fed prison, IHS?
Do states that allow a license after the first or second year of residency grant out of state licenses to people training in other states? If their PD will vouch for them?
Do states that allow a license after the first or second year of residency grant out of state licenses to people training in other states? If their PD will vouch for them?
You can usually use an out of state license to get a "locum tenens" license in another state. This is a license that is only valid for a short period of time, usually 3 months or so. You must meet the criteria of another state to get a full license in that state. Even with a locum tenens / temporary license, they may require you ro meet the educational minimums set for IMG's.
A federal facility is a different matter. You can practice in a federal system (IHS, VA, etc) with ANY state license. The VA's, for example, are all on federal property -- they're not actually in the state. This is important to remember when driving on VA property -- any moving violation is a federal offense, not state!
SO Wisconsin (and maybe soon Wyoming) allows FMG/IMG's obtain permenant licensure after one year residency, Ohio and others after 2 : so would it be possible to get licensed in Wisconsin while doing a residency inaProgramDirector's state then?
There are two possible scenarios here:
1. You are training in Wisconsin which has a 1 year minimum training requirement. You finish your first year, then apply for and get a Wisc license. Now, you can use your Wisc full license to get a temporary license in another state that requires >1 year of GME training.
2. You are training in a state that requires 2+ years of GME training for licensing. However, you live right next to the Wisc border, and you plan to get a Wisc license after 1 year of GME training and moonlight there.
Both of these scenarios might work. They don't seem to violate any of the rules. Each state is different -- I looked at Wisc's rules and they say nothing about the 12 months of GME training actually being in Wisc. Remember that each application is reviewed by the board. The rules for application state the minimum required -- the board could review your application and reject it if they felt uncomfortable with it.
Also, don't forget about the tax consequences of this. If you work in two different states, then you might end up paying taxes twice. Usually if you have two salaries from different states, the income tax is only paid to one state. However, I have seen situations where someone lives in state A and works in state B and ends up paying income tax to both states. Both states may also tax your capital gains, interest, etc.
I am considering more the chances of getting a Wisconsin (or maybe soon Wyoming license) license and then using it in another state to work in a federal health program moonlighting : prison, VA, IHS
The devil is in the details, and it will depend on the location and it's rules. Our local VA requires moonlighters to be completely finished with their training, so even though our residents can get a full license before graduating, moonlighting at the VA is not an option. I don't know if other federal programs follow this rule also. I expect it is site dependent.
Interesting. Then its probably the same in all VA's, I would imagine rules are nationwide as a federal mandate.
Fed prisons allow moonlighting. One PMR doctor I know moonlit in one his 3rd year of residency.
Not sure about IHS.
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Blade28
In which state will you be doing your residency?
Nope. VAs have some leeway in this. Ours allows moonlighting as long as you have an unrestricted license.
The best way to make money outside of training (while in medicine) is to do something..outside of medicine. As mentioned many times already; aside from moonlighting, pay stinks.
Time is obviously a factor as well.... for a VERY heavy 80hr+ week every single month, I really think you have few choices..but if you have a few decent months scattered throughout......
I think the easiest that anyone can do is to buy/sale things....buy low, sale high..as the game goes. There are MANY 'deal' sites out there which post price mistake, coupon stacking, clearance items, etc... many of which that can be bought and simply listed on eBay or your nearest Craigslist for a profit. You can also move up the ladder a bit and extend you buying to larger ticket items such as cars, trucks, and even houses.
As far as the moonlighting and the pay mentioned around here... that is certainly on par from what I hear about moonlighint EM residents in the South....
Time is obviously a factor as well.... for a VERY heavy 80hr+ week every single month, I really think you have few choices..but if you have a few decent months scattered throughout......
I think the easiest that anyone can do is to buy/sale things....buy low, sale high..as the game goes. There are MANY 'deal' sites out there which post price mistake, coupon stacking, clearance items, etc... many of which that can be bought and simply listed on eBay or your nearest Craigslist for a profit. You can also move up the ladder a bit and extend you buying to larger ticket items such as cars, trucks, and even houses.
As far as the moonlighting and the pay mentioned around here... that is certainly on par from what I hear about moonlighint EM residents in the South....
