Moonlighting

UCSF Radiation Oncology Moonlighting Policy for Residents

There is no "internal moonlighting" within Radiation Oncology at UCSF. "External moonlighting" is defined as work for pay performed at a site that does not participate in our resident's training Program. The most common type of external moonlighting performed by Radiation Oncology residents involves coverage of an external Radiation Oncology practice by a senior Radiation Oncology resident during vacation time away from UCSF.

Moonlighting IS NOT REQUIRED. Moonlighting IS ALLOWED, but ONLY if these criteria are met:

• Because residency education is a full-time endeavor, residents must ensure that moonlighting does not interfere with their ability to achieve the goals and objectives of their educational program.
• Residents are responsible for ensuring that moonlighting and other outside activity does not result in fatigue that might affect patient care or learning.
• Hours spent moonlighting count toward the Duty Hours limitations, and residents are responsible for complying with ALL aspects of the Duty Hours policy:
• Resident duty hours are limited to 80 hours per week averaged over a four-week period.
• Residents are provided at least 1 day in 7 free from all educational and clinical responsibilities, averaged over a 4 week period, inclusive of call. One day is defined as one continuous 24-hour period free from all clinical, educational, and administrative activities. (Studying and preparation time for conferences do not count as duty hours).
• Residents are provided at least 10 hours off between daily duty periods, averaged over a 4 week period.
• No new patients may be accepted after 24 hours of continuous duty. For Radiation Oncology, 24 hours of continuous duty will be defined as performing in-house duties (including transit time) for the majority of the period from midnight to 6 a.m. after performing normal clinical duties the prior day.
• Written PRE-APPROVAL of the moonlighting activity by the Program Director IS REQUIRED. It is the resident's responsibility to complete the attached form and obtain written permission to moonlight from the Program Director prior to beginning the moonlighting activity.
• External moonlighting hours must be documented (including days, hours, location, and brief description of type of service(s) provided) in order to comply with Medicare reimbursement requirements for GME. The attached "Moonlighting Documentation Form" is to be used for this purpose.
• It is the Program Director's responsibility to monitor resident performance in the Program to ensure that moonlighting activities are not adversely affecting patient care, learning, and/or resident fatigue. The Program Director may enlist the assistance of the Chief Resident and/or the Attending Physician(s) with whom the resident is working to help with this monitoring. If the Program Director determines that the resident's performance does not meet expectations, permission to moonlight will be withdrawn.
• The Program Director will also monitor compliance with the Duty Hours policy. If moonlighting is interfering with Duty Hours involved in the training program, permission to moonlight will be withdrawn.
• Moonlighting activity (if any) and policy will be reviewed at least yearly at Radiation Oncology departmental Education Committee meetings. Any adverse effects will be discussed.
• The Program Director will submit moonlighting activity reports as required by the GMEC.

• While engaged in external moonlighting, residents are NOT covered under the University's professional liability insurance program because they are acting outside the scope of their training Program and University employment. Individual moonlighting residents are responsible for obtaining their own Radiology X-Ray Supervisor and Operator certificate, professional liability insurance coverage (either independently or through the entity for which they are moonlighting), DEA licensure, Medicare (or other governmental) provider number and billing training, licensure by the California Medical Board, and any other requirements for clinical privileging at the employment site.
• Any resident/fellow moonlighting without permission will be subject to disciplinary action.

Back to Top