Understandable Posted May 13, 2021 Report Share Posted May 13, 2021 Ahem *taps mic* moonlighting amirite? So seriously, what's the deal with moonlighting? I understand you have to be at least PGY 2-4 to do it and it is specialty/program/location dependent, but I have a few questions for clarification. Is it after writing FR exams/CCFP? Would you still be eligible as an R3 in a fellowship for family medicine? What are the individual experiences of this sub, I'm interested most in the options for FM, Anesthesia, Psych, and IM because that's who my circle mostly consists of but please share any experiences as they will surely benefit someone. Is it one size fits all, so any "MD/resident" has equal opportunity to moonlighting opportunities, or is it specific to your discipline/scope of practice? Thanks for any and all info o7 Quote Link to comment Share on other sites More sharing options...
bearded frog Posted May 13, 2021 Report Share Posted May 13, 2021 50 minutes ago, Understandable said: Ahem *taps mic* moonlighting amirite? So seriously, what's the deal with moonlighting? I understand you have to be at least PGY 2-4 to do it and it is specialty/program/location dependent, but I have a few questions for clarification. Is it after writing FR exams/CCFP? Would you still be eligible as an R3 in a fellowship for family medicine? What are the individual experiences of this sub, I'm interested most in the options for FM, Anesthesia, Psych, and IM because that's who my circle mostly consists of but please share any experiences as they will surely benefit someone. Is it one size fits all, so any "MD/resident" has equal opportunity to moonlighting opportunities, or is it specific to your discipline/scope of practice? Thanks for any and all info o7 In theory you can moonlight once you're certified and doing fellowship. For instance if you're doing a +1 in ER after doing CCFP you could "moonlight" in a clinic or urgent care. Most programs will have contract provisions requiring you to clear it with your program so YMMV. Understandable 1 Quote Link to comment Share on other sites More sharing options...
shikimate Posted May 13, 2021 Report Share Posted May 13, 2021 all the info you need, at least for Ontario, find here https://restrictedregistrationontario.ca/wp-content/uploads/2019/08/FAQ_Residents.pdf Also note I read online a few programs specifically discourage residents from doing it. Might have to do it under the radar. Understandable 1 Quote Link to comment Share on other sites More sharing options...
mdlifecrisis Posted May 13, 2021 Report Share Posted May 13, 2021 2 hours ago, shikimate said: all the info you need, at least for Ontario, find here https://restrictedregistrationontario.ca/wp-content/uploads/2019/08/FAQ_Residents.pdf Also note I read online a few programs specifically discourage residents from doing it. Might have to do it under the radar. Why would it be discouraged? Quote Link to comment Share on other sites More sharing options...
The Ace of Spades Posted May 13, 2021 Report Share Posted May 13, 2021 1 hour ago, mdlifecrisis said: Why would it be discouraged? Because we want residents/fellows to be pumping out research and a tired trainee is an unproductive trainee... Also possible impact on patient care. samy 1 Quote Link to comment Share on other sites More sharing options...
Understandable Posted May 13, 2021 Author Report Share Posted May 13, 2021 I'm wary of this kind of thing, is it "discouraged" as in they would officially recommend you don't do it? Or discouraged in the sense of don't talk to your school about it and you can still be fine aka if you talk to them about it you'll be on some shit list for attitude and snakery? And has anyone actually done it before? What kind of work would be entailed (ie Walk in clinic work, ER work, GP-like activities or FR?)? Is the pay full attending billings or do you pay for the overhead/practice setting as well? As much specific testimonials (or from friends' experience etc.) I can get the better for painting the picture of the situation. Thanks for any and all help so far Quote Link to comment Share on other sites More sharing options...
bearded frog Posted May 13, 2021 Report Share Posted May 13, 2021 Some places will have official policies requiring you to discuss it prior to doing it, some just discourage it as usually residency can be busy and has heavy burn out, if you're doing extra shifts that might add to that. And might expressly forbid doing overnight shifts within a certain time frame of residency work for safety reasons, etc. Understandable 1 Quote Link to comment Share on other sites More sharing options...
JohnGrisham Posted May 13, 2021 Report Share Posted May 13, 2021 If you have your CCFP and do a +1 in something, and then "moonlight"...you would be billing the same as a CCFP who isn't in a +1. You would also be paying overheads splits etc that you arrange with the clinic as per usual. I wouldn't even call this moonlighting, since you have your full CCFP license. You're just working as usual but with significantly less availabilty due to residency obligations. Virtually nothing is different. CMPA would be covering you. Your program might not like it, and certainly you can't work in the same hospital etc, but you can easily work on your days off (weekends on light rotations), and/or evenings for short shifts in walk-ins etc. Again, as long as it has no interference with your program, they shouldn't care, as long as you are smart about it. For example, don't do an urgent care shit overnight in between residency duty shifts. You're doing a +1 for a reason likely, so really you should just be immersing yourself in whatever field that is...instead of picking up random Walk-in shifts or FM clinics. For Royal college residents, the ones I know who have moonlighted, have again done overnight float coverages in hospital on weekends/days off - usually at a different hospital than their current residency rotation. 5 year emerg residents i know, regularly do coverage shifts a few times a month at a different ER department, again making full-attending money.. but just without the full-time bonuses etc. MaudeB and Understandable 2 Quote Link to comment Share on other sites More sharing options...
samy Posted May 14, 2021 Report Share Posted May 14, 2021 I've been moonlighting in an STI clinic + covering weeks of ID service in a community hospital for many months. Great learning. Great money. MaudeB and Understandable 2 Quote Link to comment Share on other sites More sharing options...
mdlifecrisis Posted May 14, 2021 Report Share Posted May 14, 2021 2 hours ago, samy said: I've been moonlighting in an STI clinic + covering weeks of ID service in a community hospital for many months. Great learning. Great money. Do you get payed more when you moonlight? Or it's the same billing codes? Quote Link to comment Share on other sites More sharing options...
bearded frog Posted May 14, 2021 Report Share Posted May 14, 2021 14 hours ago, mdlifecrisis said: Do you get payed more when you moonlight? Or it's the same billing codes? It's the standard billing codes, so same as staff physician, but more than residency/fellowship. Quote Link to comment Share on other sites More sharing options...
samy Posted May 15, 2021 Report Share Posted May 15, 2021 On 5/14/2021 at 12:21 AM, mdlifecrisis said: Do you get payed more when you moonlight? Or it's the same billing codes? I charge QC IM billing codes. Quite lucrative. Quote Link to comment Share on other sites More sharing options...
LostLamb Posted May 17, 2021 Report Share Posted May 17, 2021 Moonlighting in our program is under the extender program, unless you get your Royal college qualifications in which case you can moonlight as per above. as an extender you basically do the call with a better rate of pay. Doable as long as you don’t burn out. Understandable 1 Quote Link to comment Share on other sites More sharing options...
bellejolie Posted June 30, 2021 Report Share Posted June 30, 2021 On 5/15/2021 at 5:57 PM, samy said: I charge QC IM billing codes. Quite lucrative. Did you need a prem? Quote Link to comment Share on other sites More sharing options...
samy Posted June 30, 2021 Report Share Posted June 30, 2021 16 hours ago, bellejolie said: Did you need a prem? No PEM needed for outpatient medicine in a private office and occasional moonlighting Quote Link to comment Share on other sites More sharing options...
bellejolie Posted July 1, 2021 Report Share Posted July 1, 2021 On 6/30/2021 at 10:57 AM, samy said: No PEM needed for outpatient medicine in a private office and occasional moonlighting Wow!! I’m not sure if this applies to family medicine too? I was under the impression you needed a prem Quote Link to comment Share on other sites More sharing options...
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