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Moonlighting in residency: a dermatology perspective.

Jaclyn Chesner1, Lauren M Ogrich, Carrie Ann Cusack

  • 1Drexel University College of Medicine, Philidelphia, PA, USA. jaclyn.chesner@gmail.com.

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Dermatology residency programs allowing moonlighting often have a more positive view. Programs in areas with less access to dermatologic care were more likely to permit this practice.

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Area of Science:

  • Medical Education
  • Dermatology
  • Professional Practice

Background:

  • Moonlighting involves practicing medicine outside one's training institution for pay.
  • High resident debt-to-income ratios incentivize seeking additional income during residency.

Purpose of the Study:

  • To survey current moonlighting practices among dermatology residents.
  • To understand dermatology program directors' views on resident moonlighting.

Main Methods:

  • A blinded survey was sent to allopathic and osteopathic dermatology residency program directors in the US and Puerto Rico.
  • Data was collected between February 1, 2017, and April 1, 2017.

Main Results:

  • The survey achieved a 47.0% response rate.
  • 63.16% of responding programs permitted moonlighting.
  • Regional variations were observed, with some areas at 100% and New England at 25%.

Conclusions:

  • Programs permitting moonlighting generally hold more favorable views.
  • Moonlighting policies may correlate with regional access to dermatologic care.