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Moonlighting by psychiatric residents.

K L Matthews¹, S L Ruedrich, C H Chan

¹Department of Psychiatry, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78284-7792, USA.

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

|January 21, 2014

Summary

This summary is machine-generated.

Psychiatric residents often moonlight, working an average of 31 hours monthly, primarily to cover living expenses and student loans. Many lack supervision, highlighting a need for better program guidance on resident moonlighting.

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Area of Science:

Medical Education
Psychiatry
Graduate Medical Training

Background:

Limited research exists on psychiatric residents' moonlighting practices and attitudes.
Existing literature is largely editorial, lacking empirical data.

Purpose of the Study:

To investigate the prevalence, motivations, and supervision of moonlighting among psychiatry residents.
To identify current practices and attitudes regarding resident moonlighting in graduate medical education.

Main Methods:

A survey instrument was developed and mailed to chief residents at all Accreditation Council for Graduate Medical Education-approved psychiatry residencies.
Data were collected from 137 (67.5%) responding programs.

Main Results:

The percentage of residents moonlighting increased with training year, averaging 31 hours/month.
Primary reasons for moonlighting were living expenses (58%) and student loan repayment (24%).
22% of moonlighting residents received no supervision, and only 10% of programs prohibited moonlighting.

Conclusions:

Psychiatry resident moonlighting is common, driven by financial needs, with significant variations in supervision.
There is a critical need for programs to actively monitor and guide the moonlighting experience for residents.