Bazzoli G J, Culler S D
J Med Educ. 1986 Oct;61(10):797-802. doi: 10.1097/00001888-198610000-00003.
Moonlighting by residents has been a major concern of residency program administrators, since extensive moonlighting by residents in addition to their already demanding residency work schedule might jeopardize patient care. In this paper, the authors examine the influence of several factors on residents' decisions to moonlight. The results indicate that the main motivating factor behind their moonlighting is economic and that residents moonlight more frequently when they have the opportunity to do so. In addition, the residents with higher levels of medical school indebtedness were significantly more likely to moonlight than residents with less indebtedness. Personal characteristics of the residents and their specialties also influenced moonlighting but had a smaller impact than amounts of stipends and indebtedness and the number of off-duty hours. The results also suggest that residency administrators can influence their residents' decisions to moonlight.
住院医师的兼职工作一直是住院医师培训项目管理人员主要关注的问题，因为住院医师在本就要求严苛的培训工作安排之外还大量兼职，可能会危及患者护理。在本文中，作者研究了几个因素对住院医师兼职决定的影响。结果表明，他们兼职背后的主要动机是经济因素，并且当有机会时，住院医师会更频繁地兼职。此外，医学院债务水平较高的住院医师比债务较少的住院医师更有可能去兼职。住院医师的个人特征及其专业也会影响兼职，但影响程度小于津贴数额、债务数额和非工作时间的数量。结果还表明，住院医师培训项目管理人员可以影响其住院医师的兼职决定。
