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Moonlighting Protocol and Forms

Policy:
It is the policy of the Public Health Trust, Physician Services Administration, to process and credential any and all House Staff Officers who wish to engage in moonlighting activities at the Public Health Trust facilities.  House Staff Officers are not required to moonlight and all moonlighting activities are the voluntary choice of the individual House Staff Officer. It is the policy of the Public Health Trust to comply with the Accreditation Council of Graduate Medical Education (ACGME) requirements on House Staff Duty Hours. Moonlighting that occurs within Jackson Health System is counted toward the duty hour limit requirements.

Procedure:
1. All House Staff Officers must be credentialed by the Medical Staff and privileges shall be approved prior to being placed on any schedules. 
2. All House Staff Officers who are engaged in moonlighting activities must be licensed in the State of Florida for unsupervised medical practice and possess a valid and active license. 
3. Exception: All House Staff Officers sponsored by ECFMG are prohibited from moonlighting, regardless if they are licensed in the State of Florida per ECFMG regulations/standards.
4. House Staff Officers are allowed to moonlight upon approval by the Program Director and Jackson Health System Administration.
5. All House Staff Officers must provide the Medical Staff Office with a letter of good standing from the Program Director that must state the maximum number of hours allowed to work per pay period.  (The institution will comply with the Florida Board of Medicine regulations and ACGME requirements).
6. All House Staff Officers shall follow their program policy or Board policy regarding moonlighting activities. Program policy should require that moonlighting will not interfere with Housestaff training responsibilities/schedules as well as stipulate consequences for Housestaff who do not comply with the training program policy. 

Compliance with the Accreditation Council of Graduate Medical Education(ACGME)
A. House Staff Officers must not be scheduled for more than 80 hours averaged over a four-week period.
B. House Staff Officers must have one full day in seven off free of duties, averaged over a four-week period.
C. House Staff Officers must not be assigned call more often that every third night, averaged on a four-week period.
D. House Staff Officers must have a minimum rest period of 10 hours between duty periods.
E. Continuous time on call is limited to 24 hours. House Staff Officers may not assume responsibility for new patients after 24 hours.
F. When House Staff take call from home and are called in to the hospital, the time spent in the hospital must be counted toward the weekly duty hour limit.
G. Programs are encouraged to monitor all individual resident moonlighting hours each month to assure that moonlighting activities do not contribute to excess fatigue or detrimental educational performance. Permission to moonlight may be withdrawn if the activities adversely affect House Staff performance.
H. Residents found to be in violation of this policy will be subject to disciplinary action as detailed in the Collective Bargaining Agreement between the Public Health Trust and the Committee of Interns and Residents (CIR). 

RECEIPT OF MOONLIGHTING ACTIVITES POLICY AND DUTY HOUR REQUIREMENTS
You must have received a copy of the PHT Policy on Moonlighting activities, Policy # 514 which describes the procedures and requirements that govern the time spent in patient care activity external to the educational program(“moonlighting”).

You understand that it is your responsibility to read and be in compliance with this policy and will monitor your work hours and comply with the Accreditation Council of Graduate Medical Education(ACGME) duty hour requirements as listed below:

A. House Staff Officers must not be scheduled for more than 80 hours averaged over a four-week period.
B. House Staff Officers must have one full day in seven off free of duties, averaged over a four-week period.
C. House Staff Officers must not be assigned call more often that every third night, averaged on a four-week period.
D. House Staff Officers must have a minimum rest period of 10 hours between duty periods.
E. Continuous time on call is limited to 24 hours. House Staff Officers may not assume responsibility for new patients after 24 hours.
F. When House Staff take call from home and are called in to the hospital, the time spent in the hospital must be counted toward the weekly duty hour limit.
G. Time spent in patient care activity external to the educational program (“moonlighting”) is counted toward the duty hour limit requirements.
H. Permission to moonlight must be obtained from the Program Director and Jackson Health System Administration.  Permission to moonlight may be withdrawn for violations of this policy or if the activities adversely affect my House Staff performance.

You also understand that any violation of this policy will be subject to disciplinary action as detailed in the Collective Bargaining Agreement between the Public Health Trust and the Committee of Interns and Residents (CIR). 

It is your responsibility to obtain appropriate credentialing and privileges from  the Medical Staff in order to be  approved for moonlighting prior to being placed on any schedule.

Please see the form below that must be signed and submitted to the Program Directors / Coordinators prior to you initiating any moonlighting activities. 
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George Marzouka,
Jul 1, 2014, 8:07 PM
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