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Related Experiment Videos

Resident moonlighting: toward an equitable balance

J R Urbach1

  • 1Department of Psychiatry, Medical College of Virginia, Richmond 23298.

Southern Medical Journal
|August 1, 1994
PubMed
Summary

Resident physician moonlighting remains controversial. Financial pressures and career shifts drive the practice, necessitating clear, ethical policies for residency programs.

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Area of Science:

  • Medical Education
  • Physician Workforce Studies
  • Healthcare Policy

Background:

  • Extracurricular employment, or moonlighting, among resident physicians is a long-standing issue.
  • Significant debate exists regarding its legitimacy, organizational policies, and legal implications.
  • Previous literature reviews highlight ongoing controversies and evolving concerns.

Purpose of the Study:

  • To review and synthesize existing literature on resident physician moonlighting.
  • To define the fundamental dilemmas faced by academic medical programs regarding this practice.
  • To propose model guidelines for managing moonlighting activities.

Main Methods:

  • Comprehensive review of medical literature from the past two decades.
  • Analysis of general reviews and data-based studies on physician moonlighting.
  • Synthesis of findings to address ethical, economic, and legal considerations.

Main Results:

  • Financial pressures, altered call schedules, and career opportunity perceptions contribute to continued moonlighting.
  • Some moonlighting positions offer valuable clinical experience.
  • Existing factors create significant challenges for academic medical programs.

Conclusions:

  • A need exists for a unified, ethical, and legally sound policy on resident physician moonlighting.
  • Model guidelines are proposed to help residency programs establish fair and reasonable moonlighting practices.
  • Addressing moonlighting is crucial for effective medical education and physician well-being.

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