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Moonlighting Guidelines

Moonlighting is a common practice among residents and fellows, allowing them to earn extra money and gain additional experience. URMC is progressive in recognizing its benefits and in making provision for the practice. Of course, moonlighting is neither a requirement nor a right; it’s a privilege. However, we do accommodate and even encourage it.  As long as your moonlighting doesn’t interfere with our program policies or your training responsibilities, URMC is happy to support you.

URMC defines moonlighting as clinical activities outside the residency/fellowship training program, for which the trainee is paid over and above the approved program salary. Individual departments with residency/fellowship programs have their own policies on outside activities, including moonlighting, which might be more restrictive than URMC. You’ll want to check with your particular department for specifics.

Complete information on moonlighting—from policies and requirements to categories and application forms—can be found in the Resident/Fellow Policy Manual, starting on page 42.

The Family Medicine program has a policy that licensed PGY-2s and PGY-3s may moonlight, as long as it does not interfere with their primary work in the residency or make the total weekly hours worked more than 80. (For example, moonlighting is prohibited on in-patient rotations.) There are a variety of sites available in and around Rochester. These range from emergency room work to covering inpatient services to HMO off-hours coverage. Many residents do take advantage of these opportunities to supplement their income and their education by seeing additional patients in these settings. Pay averages $70/hour. There are rural emergency rooms outside of Rochester that pay $100/hour.