Urgent care moonlighting....as a resident?

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needachange2017

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Hey guys,

Im a second yr rads resident and am thinking about moonlighting at urgent care clinics. I completed my prelim yr in medicine. I have some questions that Ive tried searching on my own to no avail. Im hoping you guys can guide me on the right path.

1. Is this even feasible as a rads guy? I heard other specialties moonlight at UCs without issues.
2. How to i go about finding these jobs?
3. What type of credentialing do i need?
4. Do i have to let me PD know?

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Hey guys,

Im a second yr rads resident and am thinking about moonlighting at urgent care clinics. I completed my prelim yr in medicine. I have some questions that Ive tried searching on my own to no avail. Im hoping you guys can guide me on the right path.

1. Is this even feasible as a rads guy? I heard other specialties moonlight at UCs without issues.
2. How to i go about finding these jobs?
3. What type of credentialing do i need?
4. Do i have to let me PD know?

1. There is a guy working UC with me in California that finished 2 years of surgery residency and then worked here for a year before he changed to Rads residency.
2. I found multiple UC jobs here by just getting on the horn and putting myself out there. There is a huge demand here, and I would guess there is demand everywhere as UC becomes more popular.
3. Here in CA you only have to be licensed. I am not sure that they required my ACLS but BLS for sure. DEA too.
4. It is really different in each program. My program only required us to ask our PD and he pretty much approved every 2nd year.

Good luck! I felt like moonlighting in the UC taught me just as much as I learned as my day job...if not more!
 
1. There is a guy working UC with me in California that finished 2 years of surgery residency and then worked here for a year before he changed to Rads residency.
2. I found multiple UC jobs here by just getting on the horn and putting myself out there. There is a huge demand here, and I would guess there is demand everywhere as UC becomes more popular.
3. Here in CA you only have to be licensed. I am not sure that they required my ACLS but BLS for sure. DEA too.
4. It is really different in each program. My program only required us to ask our PD and he pretty much approved every 2nd year.

Good luck! I felt like moonlighting in the UC taught me just as much as I learned as my day job...if not more!


Thanks for the reply, I rly appreciate the help.

Im a little confused about liscensing and DEA. I graduated med school, finished intern yr, have a NPI number, no medical offenses, how to I go about applying for a medical liscense?

Furthermore, i have a DEA number but it's under the hospitals aka my residency's general DEA number. Do I need a personal DEA and if so, how do i go about applying for one?

Can you also clarify the job finding portion? What do you mean getting on the horn here? I wouldnt even know where to start asking. Just cold call places?
 
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Thanks for the reply, I rly appreciate the help.

Im a little confused about liscensing and DEA. I graduated med school, finished intern yr, have a NPI number, no medical offenses, how to I go about applying for a medical liscense?

Furthermore, i have a DEA number but it's under the hospitals aka my residency's general DEA number. Do I need a personal DEA and if so, how do i go about applying for one?

Can you also clarify the job finding portion? What do you mean getting on the horn here? I wouldnt even know where to start asking. Just cold call places?

1) Applying for a license -- you can probably ask your program admin about this and/or get on the internet and go to your state's medical board website -- the process should be outlined there.
2) You will need your own DEA number that will follow you around for the rest of your career -- you'll need your license first though.
3) "Get on the horn" is a US colloquial expression for "pick up the phone" but generally means contact the person entity yourself -- when I went into UC, I just drove around and took note of the major UC clinics, google searched their websites and there's usually a "physician/provider recruiting" type of link/tab -- follow the directions -- once your name gets out there, you'll have a lot of jobs thrown at you --- however, since you're rads, maybe not as much as FM but these places want cheap labor so a resident/NP/PA is always better than an attending since we're a little more costly. Facts of life, no offense intended.

FWIW -- be sure you check with your program/PD about moonlighting first -- it gets into the whole hours-worked thing and you can't go over so many hours as a resident -- plus there's liability for the program somewhat -- and recall, you'll be out there on your own and people won't care that you're a resident --- first patient out of the bag for me was a 4 y/o at 8AM on a Sunday who had managed to jam a large redwood splinter just below the surface of the skin into the bottom of her foot and was whimpering/crying in daddy's arms -- I had no topical and using injectable lidocaine was a non-start -- could barely get any grip on the splinter, had to barely use an 11blade to slightly open the skin so I could grab it -- almost called it and sent her to Children's so they could numb that thing and grab it when it slid free --- for every mundane URI, there's always a dog bite down to the bone, fractured collarbone from mountain biking who refuses to go to ortho, retained tampon/sextoy, acute tibial fracture, frank MI, 2 y/o with a smashed finger and/or head lacertion, etc.

Be ready ---
 
1) Applying for a license -- you can probably ask your program admin about this and/or get on the internet and go to your state's medical board website -- the process should be outlined there.
2) You will need your own DEA number that will follow you around for the rest of your career -- you'll need your license first though.
3) "Get on the horn" is a US colloquial expression for "pick up the phone" but generally means contact the person entity yourself -- when I went into UC, I just drove around and took note of the major UC clinics, google searched their websites and there's usually a "physician/provider recruiting" type of link/tab -- follow the directions -- once your name gets out there, you'll have a lot of jobs thrown at you --- however, since you're rads, maybe not as much as FM but these places want cheap labor so a resident/NP/PA is always better than an attending since we're a little more costly. Facts of life, no offense intended.

FWIW -- be sure you check with your program/PD about moonlighting first -- it gets into the whole hours-worked thing and you can't go over so many hours as a resident -- plus there's liability for the program somewhat -- and recall, you'll be out there on your own and people won't care that you're a resident --- first patient out of the bag for me was a 4 y/o at 8AM on a Sunday who had managed to jam a large redwood splinter just below the surface of the skin into the bottom of her foot and was whimpering/crying in daddy's arms -- I had no topical and using injectable lidocaine was a non-start -- could barely get any grip on the splinter, had to barely use an 11blade to slightly open the skin so I could grab it -- almost called it and sent her to Children's so they could numb that thing and grab it when it slid free --- for every mundane URI, there's always a dog bite down to the bone, fractured collarbone from mountain biking who refuses to go to ortho, retained tampon/sextoy, acute tibial fracture, frank MI, 2 y/o with a smashed finger and/or head lacertion, etc.

Be ready ---


For sure. All of that scared me when I thought about moonlighting in urgent care. I actually did not moonlight for this reason until the second half of PGY-3 year. Main reason was because I was still transitioning to family medicine (started as a second year) and wanted to devote time and energy to ensure I learned things well and was caught up to my new colleagues. That is one thing anyone who wants to moonlight needs to understand, especially at the pgy-2 level. Furthermore when looking at urgent care options, look for a position where you are not the solo provider. It helps immensely to have someone by your side who has had experience to bounce things off from time to time and to sometimes have a second opinion by having them quickly see the patient to get their 2 cents. I did it a lot starting out but now, not so much. Furthermore, these other providers will also ask you questions for certain things that may not see all that often and its overall a good learning experience for all involved. I'm definitely thrilled for my urgent care experience but at the same time I'm also glad I didn't rush into it for my own personal and academic reasons. Time lost in rest is underrated, and I'm glad I took that time as a second year to rest and study. I had dramatic improvements in my knowledge base and ITE and passed the boards comfortably.

What's good to know in general and for anyone looking to moonlight in urgent care is with time, you'll be fine and able to manage just about anything without freaking out.
 
I m not sure you could probably do much moonlighting at an UC as a rads resident. I could definitely see EM, FM, IM, Peds, even gen surg doing UC moonlighting... not sure rads could do much there.

Isnt there radiology moonlighting? Couldnt you read some xrays or CTs or something? You re gonna be making good money anyway when you get out??
 
I m not sure you could probably do much moonlighting at an UC as a rads resident. I could definitely see EM, FM, IM, Peds, even gen surg doing UC moonlighting... not sure rads could do much there.

Isnt there radiology moonlighting? Couldnt you read some xrays or CTs or something? You re gonna be making good money anyway when you get out??
Unless its a peds-only UC, I wouldn't want them doing it either. Adults aren't just big children you know :whistle:
 
Hey guys,

Im a second yr rads resident and am thinking about moonlighting at urgent care clinics. I completed my prelim yr in medicine. I have some questions that Ive tried searching on my own to no avail. Im hoping you guys can guide me on the right path.

1. Is this even feasible as a rads guy? I heard other specialties moonlight at UCs without issues.
2. How to i go about finding these jobs?
3. What type of credentialing do i need?
4. Do i have to let me PD know?

When I was a resident you couldn't moonlight until after 3rd year.
Yes the PD has to know - it's an hours thing and your residency duties have to be finished before they will ok the time away (aka charts/dictations UTD).
You have to pass step III before you can apply for a license.
Depending on the state licensing takes from 2 months to 10 months to obtain.
You get your own DEA on the website DEA.gov. It costs $761 for 2 years
You will have to obtain your own malpractice insurance (your residency insurance does not cover you)
The employer will do the credentialing.
As far as finding jobs, talk to the FP guys at your residency who may have their own urgent care or know who takes residents (especially nights and weekends)
If you did one year of medicine you may want to brush up on your suturing and procedures. Learn how to put on splints, etc.
 
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