Applies to: Residents and Fellows within all WSU College of Medicine Sponsored Residency and Fellowship Programs.
Date: 05/24/18
1.0 Policy Statement
WSU College of Medicine establishes procedures and policies that reflects the ACGME guidelines for Trainees who voluntarily wish to engage in moonlighting activities.
2.0 Definitions
Accreditation Council for GraduateMedical Education (ACGME)
Accredits Sponsoring Institutions and residency and fellowship programs, confers recognition on additional program formats or components, and dedicates resources to initiatives addressing areas of importance in graduate medical education.
Clinical and Education Work Hours
All clinical and academic activities, i.e., patient care (both inpatient and outpatient), administrative duties relative to patient care, the provision for transfer of patient care, all in-house clinical and educational activities, clinical work done from home, and all moonlighting. Hours do not include reading and preparation time spent away from the duty site.
Designated Institutional Official (DIO)
The individual in a sponsoring institution who has the authority and responsibility for oversight and responsibility of all the ACGME-accredited programs.
External Moonlighting
Voluntary, compensated, medically-related work performed outside the institution where the Trainee is in training or at any of its related participating sites.
In-House Call
Clinical and educational work hours, beyond the scheduled workday, when Trainees are required to be immediately available within an assigned site, as needed, for clinical responsibilities. In-house call does not include night float, being on call from home, or regularly scheduled overnight duties.
Internal Moonlighting
Voluntary, compensated, medically-related work (not related with training requirements) performed within the institution where the Trainee is in training or at any of its related participating sites.
Moonlighting
“Extra work for extra pay” voluntary, compensated, medically-related work performed beyond a Trainee’s clinical experience and education hours and additional to the work required for successful completion of the program.
Trainee
A physician in training at an ACGME accredited graduate medical education program. The term includes Interns, Residents, and Fellows, or other trainee enrolled in an educational program whose education falls under the purview of the WSU College of Medicine Office of Graduate Medical Education.
3.0 Responsibilities
Designated Institutional Official (DIO), Program Directors
4.0 Procedures
Moonlighting is a voluntary, non-required activity for any WSU College of Medicine sponsored training programs. Moonlighting is permitted only at the discretion of the Program Director. Any interference with the GME Trainee’s ability to carry out duties or learning objectives is not acceptable. PGY-1 residents are not permitted to Moonlight.
It is the responsibility of the Trainee to initiate the request for moonlighting. Prior to commencement of any Moonlighting activity, Trainees who wish to Moonlight must:
- ensure that Moonlighting does not interfere with their ability to achieve the goals and objectives of their training program, including well-being;
- obtain prior approval, before engaging in any moonlighting activity, from the Program Director. Approval must be documented and part of the file within the residency management system;
- purchase and maintain their own liability coverage for approved Moonlighting activities occurring at their respective locations or obtain written assurance from the site or hiring entity that it will provide liability insurance and workers compensation coverage;
- document Moonlighting hours in the trainee management system as part of the Clinical and Educational Work Hours; and
- ensure that the addition of moonlighting hours does not result in a work week in excess of the 80-hour maximum, or result in fatigue which might affect patient care or learning
The Program Director has the discretion to decide whether the proposed Moonlighting is compatible with the training requirements, program, or institution. The Program Director may prohibit or withdraw Moonlighting approval at any time if the Trainee is not in compliance with the conditions of approval, or if it appears that the Moonlighting activities are interfering with the Trainee’s performance or well-being.
If the Program Director approves the Trainee’s request to Moonlight, the Program Director must:
- approve the Trainee’s request in writing
- systematically monitor the Trainee’s performance to ensure that moonlighting activities are not adversely affecting patient care, Trainee well-being, or learning
- withdraw permission to moonlight if it is determined that Trainee performance is suffering
- include a copy of the approved “Permission to Engage in Moonlighting” form in the Trainee’s file
5.0 Related Policies
- GME Supervision and Accountability Policy
- GME Clinical and Educational Work Hours Policy
6.0 Revision History
Original Approval: May 24, 2018
Revision Date Approval:
Responsible Office: Designated Institutional Official; GME Office
Policy Contact: Office of GME
Supersedes: N/A