Baker Stephen R, Romero Michelle J, Patel Amish, Maaty Mona
Department of Radiology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, University Hospital, 150 Bergen Street, Newark, NJ 07103, USA.
Acad Radiol. 2009 Aug;16(8):1029-33. doi: 10.1016/j.acra.2009.02.022. Epub 2009 May 14.
Time devoted to internal moonlighting is constrained by various components of Accreditation Council for Graduate Medical Education (ACGME) duty hour regulations. Hours spent in external moonlighting, however, are not necessarily tabulated in accordance with ACGME requirements. This study sought to gain a better understanding of the extent of both internal and external moonlighting.
A survey was sent to all members of the Society of Chairs of Academic Radiology Departments. Respondents were asked to indicate the number of trainees in their program and whether they participated in internal or external moonlighting. If internal moonlighting occurred, the chair was asked in which postgraduate year residents were permitted to moonlight internally. If external moonlighting was permitted, the respondents were asked which postgraduate year trainees were permitted to moonlight outside of their institution.
Response rate for the study was 36% (62 of 172 chair), who together supervised 1726 (37.9%) of current radiology residents. Eighty-seven percent of respondents allowed internal or external moonlighting. Sixty percent allowed internal moonlighting, predominantly permitting senior residents this privilege. Fifty-eight percent acknowledged external moonlighting: 13.7% of residents and 24.6% of fellows. Of the programs who allowed residents, 20% allowed second years, 68.6% third years, 85.7% fourth years, and 65.7% fellows. Forty-three percent of programs accounted for hours worked externally and only three programs accounted for travel time.
Moonlighting is a means for radiology residents and fellows to decrease their financial burdens. Its practice appears to be widespread and it is at tolerated by most chair of radiology, although programs differ in their support of moonlighting and their acceptance of external moonlighting.
研究生医学教育认证委员会（ACGME）的值班时间规定的各个组成部分限制了用于内部兼职的时间。然而，外部兼职所花费的时间不一定按照ACGME的要求进行统计。本研究旨在更好地了解内部和外部兼职的程度。
向学术放射科主任协会的所有成员发送了一份调查问卷。受访者被要求指出其项目中的受训人员数量，以及他们是否参与内部或外部兼职。如果发生内部兼职，要求主任指出住院医师在哪个研究生年级被允许进行内部兼职。如果允许外部兼职，则询问受访者受训人员在哪个研究生年级被允许在机构外兼职。
该研究的回复率为36%（172位主任中的62位），他们共同监督了1726名（占当前放射科住院医师的37.9%）住院医师。87%的受访者允许内部或外部兼职。60%的受访者允许内部兼职，主要是给予高年级住院医师这种特权。58%的受访者承认存在外部兼职：13.7%的住院医师和24.6%的研究员。在允许住院医师外部兼职的项目中，20%允许二年级住院医师，68.6%允许三年级住院医师，85.7%允许四年级住院医师，65.7%允许研究员。43%的项目记录了外部工作时间，只有三个项目记录了通勤时间。
兼职是放射科住院医师和研究员减轻经济负担的一种方式。这种做法似乎很普遍，并且大多数放射科主任都予以容忍，尽管各项目在对兼职的支持程度以及对外部兼职的接受程度上存在差异。
