TITLE: MOONLIGHTING POLICY:
Moonlighting is defined as professional and patient care activities that are external to the educational program. Moonlighting activities whether occurring within or outside NYPH, may be inconsistent with requirements for sufficient time for rest and restoration to promote the educational experience and safe patient care.
House staff members (residents/fellows) are never required to engage in moonlighting.
Individual program directors may decide if moonlighting is permitted in their programs. At all times, program directors must monitor any house staff members engaging in any form of moonlighting to ensure that their performance is not adversely affected. A program director may withdraw permission for house staff moonlighting at any time.
A house staff member must submit an official request for moonlighting form (supplied by the GME Office) to the program director. This request, if approved, must be submitted to the GME Office for final approval and will be maintained in the house staff member’s credential file. House staff members are advised that the professional liability coverage extended through their program may apply to moonlighting within NYPH, but NOT to moonlighting outside the institution.
A house staff member must have a full and unrestricted New York State medical license to moonlight.
Moonlighting activities are to be counted as part of each house staff physician’s work hours, which will not exceed the eighty-hour work limit. The house staff physician must give an accurate accounting of the moonlighting hours to the program director; the program director is responsible for monitoring all work hours. This policy applies to ACGME accredited programs.
Approved by GMEC: September 2008
Approved by The Medical Board: May 2010
The following must be submitted to the Office of Graduate Medical Education prior to the start date of the activity. A copy of the resident’s license MUST accompany the request. Resident/Fellow Request for Moonlighting
Effective Date of Request is for Current Resident Year. Moonlighting privileges must be requested annually.
Date: ___________________
I hereby request permission to engage in professional activities outside the scope of my residency/fellowship training program (i.e. “moonlighting”). Specifically, I request permission to work at the following institutions:
(Note: include NYPH institution/s, if applicable).
1)___________________________________________________
1a) Professional liability coverage to be provided by
__________________________________________
2)____________________________________________________
2a) Professional liability coverage to be provided by
__________________________________________
I understand that the professional liability coverage provided to me by NYPH does NOT extend to external moonlighting / external professional activity. All external requests must have proof of malpractice insurance coverage.
I understand that I must track the hours I spend engaged in professional activity external to my training program to be included in my weekly work hours. I will not allow my work hours to exceed that specified in the NYPH policy on work hours (found on the GME website).
I have read and understand the NYPH policy on work hours and will abide by it.
I will not let other professional activities interfere with my commitment to my educational program and I recognize that my program director and/or my clinical service chief can withdraw permission to engage in these activities at any time.
All internal moonlighting activities will be in accordance with the graduate staff’s delineation of clinical privileges.
Sincerely,
_______________________________
Name and signature of Resident/Fellow
Approved by:
___________________________
Program Director Signature
__________________________
Clinical Service Chief Signature
NEWYORK-PRESBYTERIAN HOSPITAL GRADUATE MEDICAL EDUCATION POLICIES AND PROCEDURES
TITLE: MONITORING FATIGUE IN POST GRADUATE TRAINEES POLICY:
New York-Presbyterian Hospital (NYP), in compliance with the New York State (NYS) Department of Health Regulations and ACGME program requirements, requires that all post graduate trainees be monitored for signs of fatigue.
It is the responsibility of the Program Director / designee to monitor the on-call and assignment schedules of all post graduate trainees to ensure that residents are receiving ample time for rest, in compliance with NYS and ACGME duty hour regulations.
Each program must educate faculty and residents about the signs and symptoms of fatigue. Programs may determine the best way to accomplish this, and may also access a list of educational resources on the NYP GME web-site.
Any post graduate trainee who is experiencing fatigue should immediately notify his/her program of his/her state of fatigue. When a program director / designee determines that a post graduate trainee is too fatigued to perform his/her duties effectively, the program director will arrange for the post graduate trainee to be temporarily relieved from all on-call and clinical duties.
It is the responsibility of the Program Director / designee to notify the appropriate individuals of the change in the on-call and clinical assignment schedule.
Approved by GMEC: September 2008
Approved by The Medical Board: May 2010
Reviewed by GME Office: September 2014