Ways for MD/DO's to make extra $

Started by Hobbs
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Hobbs

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I am looking for ways to bring in a little extra cash. Not necessarily next year, but over the next 5 years. As a up coming surgical intern, the future does not look that promising for the traditional moonlighting. I have not specifically checked with my program, but the 80hr work week has changed a lot of that for the surgeons ability to moonlight. At least officially.

What about other ways to make extra cash? Insurance h & p's etc...?

Thanks,

Hobbs
"If you are going to be stupid, you better be tough"
 
1. You can often dictate discharge summaries for attendings. Most pay $8-10/summary. Some residencies require you do this anyways - but many with the 80 hour work week do not. There are also lots of community doctors without residents everywhere. Get to know some and offer. Likewise, post a note in the docs lounge or wherever. The attendings hate doing this, and after taxes would rather play golf and pay you to do it. You can usually do 5-6/hour. One problem is attendings get suspended when they have too many undone. So sometimes you'll get a call - can you do 500 of these in 3 days... Weekend sucks, but I know people who would pick up $5 K in a weekend...

2. Once you get your license and most require PGY3, but varies by company you can fly on medflights. You need to be in a port of entry - like Miami, LA, Houston, etc. These flights pick up rich sick people from the Carribean. You can make a couple grand for a days work. And go to the beach too. These like surgeons since you can intubate, start lines, etc. Most the time though you just sit. Pt is out in one ICU and you are moving them to another.

3. You can do minor procedures once you have your license. If you have attendings who work at more than one hospital and some hospitals don't have residents, some attendings will pay you to put in lines at night or I&D abscesses or whatever. Kind of depends on the hospitals, but you luck out if your hospital sends you somewhere for one month (Hence you are insured and have privileges!)

4. Find consulting jobs. You can find some under medicine on Craigslist. Many companies need an MD signature to do a trial or to keep animals or whatever. Just be careful that you dont do anything illegal...
 
What the hell, you can make money dictating discharge summaries? I swear I've done hundreds of these already. 🙁
 
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Blade28 said:
What the hell, you can make money dictating discharge summaries? I swear I've done hundreds of these already. 🙁

We dictate for our core attendings but since I work in a private hospital, there are many attendings who do not teach/ do not have residents. Some of them will still let you scrub a case and some of them will pay you to dictate d/cs... There must be a private hosp with no residents near you...
 
Ah, we do have a private hospital...I'm not there until PGY-3 or 4 year though. Hmmm...
 
This may be a naive pre-residency type question, but...

How are you supposed to dictate a discharge summary for a patient you know nothing about? Look through their chart and try to piece together the narrative?
 
Yes. Look at the op note, progress notes, orders. You may have to dictate discharge summaries for patients you barely know in the following situations:

(1) Pt was admitted on your day off, being discharged the following morning
(2) During cross-cover
(3) On the first couple days of a new rotation, you find that half the service is being discharged
(4) Your first days back after a week-long vacation
 
This reminds me...on some services, when patients end up in the unit, the intern no longer follows them (the senior resident does instead). Then the patient invariably ends up back on the floor, ready for discharge. Guess what - you're still responsible for the discharge summary, TO INCLUDE their ICU stay. Same thing - look through the progress notes and orders, see when they were extubated, if they were on pressors, required blood, dialysis, etc.