What is a Moonlighting Policy?
A moonlighting policy is a set of guidelines established by an employer or medical institution that governs whether and how physicians can engage in paid work outside their primary employment.
These policies specify restrictions, reporting requirements, liability considerations, and potential conflicts of interest regarding external clinical or non-clinical work.
Things to Note About Moonlighting Policies
- Residency & Fellowship: Many residency programs allow restricted moonlighting, but residents must adhere to Accreditation Council for Graduate Medical Education (ACGME) duty-hour limits.
- Malpractice Coverage: Some moonlighting policies require physicians to secure their own malpractice insurance, as the primary employer’s coverage may not extend to external work.
- Non-Compete Clauses: Employers may restrict physicians from working for competing healthcare facilities within a specific geographic area.
- Licensure & Credentialing: Some states and hospitals require separate credentials or approvals for physicians who moonlight outside their primary institution.
Why It Matters
For physicians, moonlighting can be an essential way to supplement income, gain additional clinical experience, or explore different medical specialties.
However, failure to adhere to a moonlighting policy can lead to contract violations, legal repercussions, and potential disciplinary actions.
A clear understanding of these policies is crucial for ensuring compliance with employment agreements, malpractice insurance coverage, and state licensing regulations.
Example in Practice
Dr. Smith, a hospital-employed cardiologist, wants to moonlight at a local urgent care center on weekends.
His employment contract includes a moonlighting policy stating that external work requires written approval and must not interfere with his primary job responsibilities.
He submits a request and secures additional malpractice insurance, ensuring compliance with both his employer’s policy and legal requirements.
Maximize Moonlighting Opportunities
Thinking about moonlighting? Make sure your contract allows it.
Through our contract review services, our experts review restrictions, malpractice coverage, and employer policies to help you take on extra work without risking your primary job.
Protect your career, maximize your income, and stay compliant. Schedule a contract review today!
