Qualifications for moonlighting:

1. Texas Medical License - The resident must be an independent licensed physician with the state of Texas.
   
   
2. Malpractice Insurance – The resident must obtain malpractice coverage for any moonlighting position acceptable to Texas Health Presbyterian Hospital Dallas.
   
   
3. Signed approval from the Program Director.

Restrictions:

1. PGY-1 residents are not permitted to moonlight.
   
   
2. The trainee may not moonlight during rotations requiring in-house call, for example, ward rotations.
   
   
3. Trainees must comply with work hour regulations prescribed by the ACGME which count moonlighting hours along with hours worked for residency training. Trainees may not exceed eight (80) hours of total work averaged in a four (4)-week period.
   
   
4. The resident must receive approval from the Program Director or Associate Program Director and must register his/her moonlighting hours with the Program Director or Associate Program Director.
   
   
5. The number of moonlighting shifts trainees may work applies to a rotation month, NOT a true calendar month. The ACGME does calculations for work hours in four (4)-week intervals. Hence, if a trainee works 79 hours per week over a four (4)-week period, s/he may work a total of 316 hours in this period.
   
   
6. During elective months, forty (40) hours of work per week is what is assumed for residency responsiblities, amounting to a total of 160 hours worked on the elective in a four (4)-week period of time. Hence, 316 hours of total work time minus 160 hours for residency responsibilities on an elective leaves 156 hours available for moonlighting in a four (4)-week period of time. Divided into twelve (12)-hour moonlighting shifts, this equals a maximum of thirteen (13) shifts in a four (4)-week time period. If a trainee spends more than forty (40) hours on an elective per week, fewer shifts are allowed. For example, if a trainee works forty-six (46) hours a week on the elective, the maximum number of twelve (12)-hour moonlighting shifts would be eleven (11), not thirteen (13).
   
   
7. If a trainee takes five (5) days of vacation on an elective, then only 120 hours are subtracted from 316, assuming forty (40) hours worked by week, so a trainee may moonlight 196 hours over the four (4)-week period of time, giving an additional three (3) twelve (12)-hour shifts or a maximum total of sixteen (16) shifts.
   
   
8. Abuse of moonlighting that affects performance, attendance, and/or participation in the residency training program will result in withdrawal of moonlighting privileges for an indefinite period of time as determined by The Program Director and/or Associate Program Director. As well, the Program Director may revoke moonlighting privileges from any trainee whose performance becomes marginal or unsatisfactory.

Name: __________________________________________________

Medical License: __________________________________________

Medical Malpractice Insurance Policy: __________________________

Place of Employment: _______________________________________

Hours/Week: _____________________________________________

I understand that under my contract with Texas Health Presbyterian Hospital Dallas, I am not permitted to work more than eighty hours/week, including moonlighting shifts. I also understand that I cannot moonlight during a ward rotation. I verify that the above information is true and valid.

Signature of Resident:

_______________________________________
Name

Attach:
Copy of Texas Medical License
Copy of Malpractice Insurance
Copy of Work Hours

Approval:

_________________________________________________
Mark Feldman, M.D.
Chairman, Internal Medicine Department
Program Director