TITLE: MOONLIGHTING POLICY:
NEWYORK-PRESBYTERIAN HOSPITAL
GRADUATE MEDICAL EDUCATION
POLICIES AND PROCEDURES
TITLE: MOONLIGHTING
DEFINITIONS:
Moonlighting: Voluntary, compensated, medically-related work performed beyond
a graduate staff member’s (GS’s) clinical experience and education hours and
additional to the work required for successful completion of the program.
• External moonlighting: Voluntary, compensated, medically-related work
performed outside the site (or any of its related participating sites) or
program scope where the GS is in training.
• Internal moonlighting: Voluntary, compensated, medically-related work
performed within the site (or at any of its related participating sites) and
program scope where the GS is in training.
POLICY:
Internal or external moonlighting activities may be inconsistent with requirements
for sufficient time for rest and restoration to promote the educational experience
and safe patient care. Moonlighting must not interfere with the ability of the
resident to achieve the goals and objectives of the educational program, and must
not interfere with the resident’s fitness for work nor compromise patient safety.
GS are never required to engage in moonlighting.
PGY-1 residents, as well as trainees on a visa are not permitted to moonlight.
GS must have written permission from their Program Director to engage in
moonlighting.
Individual Program Directors may decide if moonlighting is permitted in their
programs and may prohibit it. At all times, Program Directors must monitor any
Graduate Staff engaging in any form of moonlighting for any adverse effect on
Graduate Staff performance. A Program Director may withdraw permission for
moonlighting at any time.
GS must submit an official request for moonlighting to the Program Director using
the form provided by the GME Office. This request, if approved by the Program
Director, must be submitted to the GME Office for final approval. GS are advised
that the professional liability coverage extended through their program may apply
to moonlighting within NYPH, but NOT to moonlighting outside the institution.GS must have a full and unrestricted New York State medical license to moonlight
unless the moonlighting is coverage within the site (or at any of its related
participating sites) and the training program scope where the resident or fellow is in
training (“internal coverage”) as approved by the GME Office.
Moonlighting activities are to be counted as part of GS work hours, which will not
exceed work hour limits, but are not counted toward requirements for
successful completion of their program. GS must accurately report the
moonlighting hours to the Program Director; the Program Director is responsible for
monitoring all work hours. This policy applies to ACGME-accredited programs.
APPROVAL DATES:
Reviewed by GME Office: Approved by GMEC: November 2017, May 2019, October 2024
September 2008, September 2020, April 2021,
November 2024
Approved by The Medical Board: May 2010, December 2020, September 2021,
December 2024