First of all - I can feel in my bones this is a stupid question...but I don't understand why a hospital would want to pay a resident moonlighter. The resident still has to staff with the attending, even with a permanent license, so the attending is also getting paid. I rotate at one hospital that sometimes has moonlighters and sometimes doesn't. When they don't, the attending just enters the admission orders from home and sees the new pt in the morning. Why is the hospital willing to pay a resident extra money to avoid this?