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Moonlighting in a university surgical training program

A M Majidian1, M R Brinker, J C Rice

  • 1Tulane University School of Medicine, New Orleans, LA.

Southern Medical Journal
|April 1, 1993
PubMed
Summary
This summary is machine-generated.

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House officer moonlighting, often in emergency departments, showed a link to lower scores on the American Board of Surgery In-Training Examination, despite not being primarily driven by medical school debt.

Area of Science:

  • Medical Education
  • Surgical Training
  • Resident Well-being

Background:

  • House officer moonlighting is common in surgical residency programs.
  • Understanding its impact on training performance is crucial for program directors and educators.
  • Previous research has not fully elucidated the relationship between moonlighting and objective training metrics.

Purpose of the Study:

  • To assess the impact of house officer moonlighting on surgical training performance.
  • To investigate the relationship between moonlighting activities and performance on the American Board of Surgery In-Training Examination.
  • To explore house officers' and faculty members' perceptions of moonlighting.

Main Methods:

  • A faculty questionnaire and a house officer survey were distributed within the Department of Surgery at Tulane University School of Medicine.

Related Experiment Videos

  • Data were collected from 30 house officers and 15 faculty members.
  • Statistical analysis was performed to identify relationships between moonlighting income and examination scores.

    • Main Results:

    • Most moonlighting occurred one to two times per month, primarily in emergency departments.
    • Average yearly earnings from moonlighting were approximately $10,000.
    • A statistically significant negative correlation was found between yearly income from moonlighting and scores on the American Board of Surgery In-Training Examination.

    Conclusions:

    • Moonlighting by surgical house officers may negatively impact their performance on in-service examinations.
    • While medical school debt is a factor, it is not the primary driver for moonlighting.
    • Faculty members expressed concerns but agreed to monitor training outcomes alongside moonlighting activities.