Moonlighting is defined as compensated clinical work performed by a resident or fellow (“house officer”) during the time that he/she is a member of a UPHS sponsored training program that is outside of the authorized training program.

The Graduate Medical Education Committee and the UPHS sponsored graduate medical education (GME) programs take seriously the responsibility of ensuring a high quality learning environment for house officers, notably by ensuring a proper balance between education and patient care activities within duty hour limitations as prescribed by the ACGME Institutional and Program Requirements. Because of these concerns, moonlighting is, in general, discouraged for house officers in ACGME-accredited programs sponsored by UPHS. During residency and fellowship training, the house officer’s primary responsibility is the acquisition of knowledge, attitudes, and skills associated with the specialty in which he/she is being instructed.

Under special circumstances, a house officer may be given permission by his/her program director to engage in moonlighting. In such cases, the moonlighting workload must not interfere with the ability of the house officer to achieve the goals and objectives of his or her GME program and must not interfere with the house officer’s ability to perform his/her obligations and duties as a member of the training program. No house officer shall be compelled to moonlight under any circumstances and the house officer must not be required to moonlight to meet the service needs of his/her department.

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