GME Policy and Procedure
XXXVI. Moonlighting
Definition
Responsibilities of the Institution and Program
Responsibilities of the Resident
  
36.1 Definition
Moonlighting is defined as any patient care activities external to the educational program in which the resident is enrolled.
  
36.2 Responsibilities of the Institution and Program
a. It is the responsibility of the program director to decide whether or not moonlighting will be allowed.
b. Moonlighting must not interfere with the ability of the resident to achieve the goals and objectives of the educational program.  The program director must monitor the resident's performance to ensure that moonlighting time does not adversely affect the resident=s ability to function within his/her residency program.  Adverse effects may lead to withdrawal of permission to moonlight.
c. Time spent by residents in Internal and External Moonlighting (as defined in he ACGME Glossary of Terms) must be counted toward the 80-hour per week duty hours limit.
d. If a program director allows a resident to moonlight, he/she must provide written permission prior to any moonlighting activity.  The program director=s statement must be retained in the resident=s file.
e. The program director must comply with the institution=s policies and procedures regarding moonlighting, in compliance with the Institutional Requirements.
f. No resident may be required to engage in moonlighting.
g. PGY-1 residents are not permitted to moonlight.
h. The program director and the GME Office must closely monitor all moonlighting activities.
  
36.3 Responsibilities of the Resident
a. No resident may be engaged in moonlighting unless he/she is licensed for unsupervised medical practice in the state where the moonlighting occurs.
b. No resident may engage in moonlighting without obtaining his own liability insurance for the moonlighting activities.
c. Residents on J-1 visas may never moonlight.
d. A resident wishing to moonlight must obtain prior written permission from his/her program director.  The program director=s statement must be retained in the resident=s file.
e. It is the responsibility of the institution hiring the resident to moonlight to determine whether appropriate  licensure is in place, whether adequate liability coverage is provided, and whether the resident has the appropriate training and skills to carry out assigned duties.
f. Violation of the moonlighting policy is subject to disciplinary action.


Policy and Procedure     XXXVI. Moonlighting
Approved: February 7, 2003 GMEC
Revised: November 4, 2011 GMEC