McCue J D, Janiszewski M, Stickley W T
Department of Medicine, Baystate Medical Center, Springfield, Mass. 01199.
Arch Intern Med. 1990 Jul;150(7):1511-3.
The opportunity for residents to moonlight is threatened by legal liability concerns and legislation designed to limit the duration of workdays and workweeks. We sought the opinion of all 40 second- or third-year residents and fellows in a hybrid university/community hospital internal medicine residency program regarding their motivation to moonlight and the value of their experiences. Sixty-five percent were moonlighters; moonlighters had a higher average debt ($41 644) than nonmoonlighters ($32 917). Residents viewed moonlighting as a positive educational experience that helped them with career decisions. They believed they acquired important skills and knowledge not learned elsewhere, and that moonlighting did not interfere with their job and educational responsibilities. A program in operation for 10 years that was designed to control, monitor, and facilitate moonlighting experiences is described. We believe our residents' positive views may be in part a result of the supervision and integration of moonlighting in a residency training program with a controlled workload.
住院医师从事兼职工作的机会受到法律责任问题以及旨在限制工作日和工作周时长的立法的威胁。我们征求了一所混合型大学/社区医院内科住院医师培训项目中所有40名二年级或三年级住院医师及研究员关于他们从事兼职工作的动机以及他们兼职经历的价值的意见。65%的人从事兼职工作；从事兼职工作的人平均债务（41644美元）高于不从事兼职工作的人（32917美元）。住院医师将兼职视为一种积极的教育经历，有助于他们做出职业决策。他们认为自己获得了在其他地方学不到的重要技能和知识，并且兼职并没有干扰他们的工作和教育职责。本文描述了一个已实施10年的旨在控制、监督和促进兼职经历的项目。我们认为，我们的住院医师的积极看法可能部分归因于在一个工作量可控的住院医师培训项目中对兼职工作的监督和整合。
