Where do IM residents moonlight?

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Captain DO

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I'd like to hear from current/former IM residents and find out where they were able to moonlight if they chose to do so.
Where as in Urgent care/ ER/etc

And is it too tiring to moonlight with your all the resident duties? I'd imagine its program specific, but what did your residency allow?

Thanks 🙂
 
I'd like to hear from current/former IM residents and find out where they were able to moonlight if they chose to do so.
Where as in Urgent care/ ER/etc

And is it too tiring to moonlight with your all the resident duties? I'd imagine its program specific, but what did your residency allow?

Thanks 🙂

From what I've seen, very program dependent. Some programs have ample in-house moonlighting (Brown had a ton), some have minimal in-house moonlighting and allow you to moonlight at urgent care and other local hospitals, and some don't allow moonlighting at all (UNC and UVM come to mind).
 
I moonlight on our oncology unit, on the palliative care floor and rarely on the hospitalist service. I've averaged about 1-2 shifts per month since the beginning of my 2nd year (I'm a 3rd yr now)
 
I moonlight doing admissions for our hospitalist group. Shifts are pretty open to what you want to do: days, nights, or some intermittent evening half-shifts. Money is pretty good and I've averaged one admission an hour which is super doable. I typically do 3-4 shifts per month.

It seems like the main opportunities for medicine residents are working for a hospitalist group, in an urgent care, or in an ED. ED seems to pay the best, followed by inpatient, followed by urgent care. There are probably other opportunities out there.

Every set up will have different pros and cons. I have a friend that works in a rural urgent care that pays better than the urgent cares here in the city and reimbursed for travel time.

The big thing is to start the process early, especially if you are planning to work in an ED or in an inpatient setting. Take step/level 3 early. Work on your state license and credentialling as soon as possible. I took level 3 in December of my second year, got my results in February. Then I put off starting the state licensure process until April...it took until July. Credentialling at the hospital took from July to November.
 
My program allows various forms of moonlighting. Average is about 75/hr
 
I moonlight on our oncology unit, on the palliative care floor and rarely on the hospitalist service. I've averaged about 1-2 shifts per month since the beginning of my 2nd year (I'm a 3rd yr now)

How much are you paid? is 100-120hr unreasonable?
 
as a resident, in house moonlighting is probably your best bet and that pays in the range of 50-75/hour...if you are a fellow and have full license then you can make closer to the avg hospitalist per hour...this of course with vary in specialty and region of the country
 
as a resident, in house moonlighting is probably your best bet and that pays in the range of 50-75/hour...if you are a fellow and have full license then you can make closer to the avg hospitalist per hour...this of course with vary in specialty and region of the country

Hasn't in house moonlighting been at that rate since like 03? There are threads from back then that quote the same rate for moonlighting.
 
Seems about right. It's worth the investment to get your license and DEA to go independent if your program allows it. The hourly rate is much better that way. Can make up the cost of the license and such in a weekend.

Hasn't in house moonlighting been at that rate since like 03? There are threads from back then that quote the same rate for moonlighting.
 
Alternatively, you could always moonlight at other companies doing Medicare Assessments for people at their homes, generally pays around 100 per. Some companies also do experimental drug monitoring for patients receiving these drugs, generally also around 100 per hour.

The biggest advantage to these options are no malpractice requirements as there's no intervention required, except for possibly calling EMS should badness arise.
 
At my NYC academic program, we can moonlight for the hospitalist service doing admission as well as night cross cover, for the rehab service doing night cross cover, and for the oncology service doing admission and cross cover. Generally pay is 75-80/hr, but if they really need someone at the last minute it will go up to 100 or 120/hr which is usually when I try to pick up shifts.
 
As a trainee I moonlighted in 4 different settings and made between $65 and $110/h. Both of the extremes were on hospitalist services and neither was worth the trouble. I made $90/h on the Onc/BMT service which was usually a good deal...except when it wasn't.

As an attending I get paid $250/h for extra coverage in my group...M-F, 9-4. Sometimes I'll pick up a shift if I've got nothing better to do.
 
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