Extracurricular
Service (Moonlighting)
The Department of Emergency Medicine Policy on Extracurricular Service
supports the policy drawn up by the Residency Education Committee for
all other training programs integrated with Wright State University
School of Medicine (See Section I). In addition, the policy adds or
reinforces the following statements:
1. Neither appointment to Wright State University, Department of
Emergency Medicine, nor subsequent receipt of training certificate
number from the Ohio State Medical Board, in any way authorizes an
individual in training to work outside the strict confines of the training
program.
2. Moonlighting may take place beginning in September of the R-II
year.
3. In order to obtain approval for extracurricular service:
a. The resident will complete a "Request for Extracurricular Service
Activity Form." This form documents the insurance coverage for the
extracurricular activities. This form is available from the resident
secretary in the Department.
b. This form will be reviewed by the Program Director. A discussion
will be held between the resident and the Program Director about
present status in the training program and resident anticipated number
of moonlighting hours. This discussion and review of the moonlighting
policy will usually coincide with the RRC meeting.
4. Those residents who perform extracurricular activities must self-report
on a weekly basis their moonlighting duties to the Program Director.
This form will be made available at Friday conference for weekly completion.
Moonlighting duty hours will be cumulatively added to assigned duty
hours and will not exceed those permitted by the ACGME RRC-EM requirements.
These requirements indicate that while on duty in the emergency department,
residents should, on average, work no more than 60 hours and they will
have one day off each week. They further state, "Residents may work
no more than a maximum of twelve continuous scheduled hours. There
must be at least an equivalent period of time off between assigned
continuous duty hours."
5. Activities outside of the educational program are not mandated
and must not interfere with resident performance in the educational
process. Moonlighting activities must never supersede responsibilities
for any resident rotation commitment. Any notification of this occurring,
or unusual or unreasonable requests for scheduling will be sufficient
basis for cessation of all moonlighting privileges and placing the
resident on probation for the time to be determined by the Program
Director.
6 Military residents are subject to regulations of the Air Force.
7. Moonlighting for R-IIs will be limited to 18 hours per month
and ONLY in supervised or non-acute situations. These include "double
coverage" and urgent care settings.
8. Moonlighting for R-IIIs is unrestricted. An exception will be
made to allow three 13 hour night shifts (39 hours) per month.
9. Residents cannot be considered students at one hour of the day
and attendings at another within the same institution; therefore, a
resident is not allowed to moonlight in an emergency department which
the resident is currently engaged in an emergency medicine rotation.
10. Breech of the above policies will result in cessation of all moonlighting
and placement of a resident on probation for a minimum of six months.
A second breech of conduct will be considered grounds for full resident
review of performance during the training program and possible termination
of the contract. A third breech will automatically result in dismissal.
11. This policy will not be actively policed. However, should any
infraction upon this policy (such as moonlighting at an unreported
site) come to the attention of the Program Director, penalties will
be immediate and unalterable.
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to the Residency Handbook
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