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Moonlighting Policy

All Family Medicine Residents planning to moonlight must complete a "Permission to Moonlight" form and have the Residency Director review and sign it. This must be renewed at the beginning of each academic year and when new moonlighting locations are planned. The "Permission to Moonlight" form will require the site of the moonlighting location and the anticipated worked hours of moonlighting per week and block.


Moonlighting is considered any paid activity related to patient care. Holding a job and working in non-patient care related areas outside of residency is strongly discouraged. Residents are not allowed to work during regular working hours or days as this would be considered a conflict of interest. Residents are expected to behave professionally outside of residency work hours and hospital grounds. Any job that is held by a resident must be reported to the Program Director. In such cases, the Program Director will investigate and evaluate the implications of the named job and site, including the feasibility, safety and reason for this resident activity. It is at the discretion of the Program Director to allow or deny any resident to start or continue in a job not related to patient care. If permitted, monitoring of resident fatigue and fitness to work in a safe manner will take place.


Prerequisites for moonlighting include:

• Resident must obtain the "Permission to Moonlight" Form from the residency support staff, complete it and have it signed off by the Program Director
• Resident must be in good standing with the program (see definition on page 19 of P&P manual) without current probation or suspension.
• Resident must have completed at least 12 months of post-graduate training with RUHS Family Medicine Residency Program. (No PGY1 residents are allowed to moonlight.)
• Resident must have a current California medical license and DEA number
Moonlighting at RUHS requires 24 months of residency training. Please refer to Appendix J– RUHS Per Diem Resident


Moonlighting guidelines:

• Moonlighting hours must conform to ACGME duty hour guidelines.
• All moonlighting duty hours must be documented in New Innovations
• Hours devoted to moonlighting are added to training program work hours and reported on all work hour surveys. At no time may a trainee exceed work hour regulations through a combination of training program plus moonlighting activities
• Moonlighting must not conflict in any way with the resident's obligations to his/her educational experience. (e.g. Residents cannot moonlight weekdays from 6:00 am to 6:00 pm,
and residents must not schedule moonlighting if it conflicts in any way with residency responsibilities).
• Residents who are on sick leave from the program for any reason may not participate in moonlighting activities
• Violation of any of the above rules and guidelines may result in disciplinary action, which may include probation or termination from the residency.
• Resident understands the RUHS liability coverage will not be extended to cover moonlighting activities of the resident that fall outside the course and scope of the individual's residency appointment. In other words, residents who moonlight have to get their own malpractice insurance for moonlighting or be covered by the employer for whom the resident is moonlighting.


In the event a resident is given permission to moonlight or work in a field not related to patient care, the program director will monitor the resident's performance for the effect of these activities upon performance in the trainee's program. Should moonlighting interfere with the ability of the resident to achieve the goals and objectives of the residency program, the program director may withdraw permission allowing the resident to engage in professional activities outside the training program.