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Policies and Procedures

12. Fellow Professional Activity Outside of the
Educational Program (Moonlighting)


I. Definition:

Moonlighting is the residents participation in any financially compensated activity of a
medical nature that occurs outside of the residency training program.

II. Moonlighting

1. Residents are not required to participate in moonlighting or other professional activity
outside of the scope of the residency program.

2. Before a resident may participate in moonlighting, s/he must notify the Program Director
in writing and receive a written statement of permission to moonlight from the Program
Director. Residents must also notify the Program Director in writing of any changes in
the nature or extent of the moonlighting activity. All such written documents must be a
part of the residents training file.

The Program Director shall monitor the residents moonlighting activities for the effect of
these activities upon performance. Permission to moonlight may be withdrawn if there
are adverse effects on the residents performance.

Failure of a resident to follow the above enumerated requirements and limitations
constitute grounds for disciplinary action.

Residents shall be made aware of this policy statement and agree to abide by it as a
condition of employment.

3. Licensure Requirement

Residents engaging in moonlighting must hold an unrestricted medical license.

4. Liability Insurance

Residents engaging in moonlighting, either within or external to Vidant Medical Center
must have appropriate medical liability insurance independent of that provided to
residents by Vidant Medical Center. The medical liability insurance provided to
residents by Vidant Medical Center does not provide insurance coverage for residents
while engaging in moonlighting activities.

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1. Funding

The employer pays monies and benefits earned by residents in moonlighting directly to
the resident.

2. Absence of Vidant Medical Center Liability

It is the responsibility of the entity employing the resident to moonlight to determine
whether such licensure is in place, adequate liability coverage is provided, and whether
the resident has the appropriate training and experience to carry out assigned duties.

III. Moonlighting within Vidant Medical Center

Clinical departments in the Brody School of Medicine, VMC and attending physicians
may engage residents to perform patient care activities within VMC and under these
circumstances:

1. The considerations and requirements enumerated in Section II. 1-6 above are
applicable.
2. The institution or individuals engaging residents shall insure that residents
have malpractice insurance equivalent to that provided to residents by the
hospital covering their residency activities.
3. Residents moonlighting within VMC shall be appointed as temporary
postgraduate fellows and as members of the consulting medical staff.
4. Residents employed by VMC may not moonlight within the same department
in which they primarily receive residency training except during segments of
the curriculum which have no clinical responsibilities or when specifically
recommended by the Graduate Medical Education Committee, the Graduate
Medical Education Policy Committee and approved by the Dean of the Brody
School of Medicine and the President of VMC.

IV. Prior Policies and Practices

All prior polices and practices related to resident moonlighting are hereby rescinded.

ECU Nephrology Policies and Procedures
Moonlighting

1. Nephrology fellows are allowed to moonlight outside of Vidant Medical Center or ECU
affiliated facilities. Effective 3/1/09, nephrology fellows will be permitted to moonlight within
the sponsoring institution. Any moonlighting must be pre-approved by the Nephrology
program director.

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Fellows who wish to moonlight within the sponsoring institution as hospitalists must be
credentialed and approved by hospitalist service referenced above in the Vidant Medical
Center policy.

Any other moonlightiong opportunities within the sponsoring institution will have to be
approved beforehand as an exception ref III, section 4 above.

2. Fellows are NOT allowed to moonlight either externally or within the sponsoring institution
during consult or service rotations. Fellows are limited to no more than 4 twelve hour shifts per
month. This may be re-evaluated at any time. Any month where moonlighting occurs,
nephrology fellows are required to submit duty hour logs to the program director through New
Innovations as they do on consult or service months.

3. All duty hours requirements shall be met as outlined in the Nephrology Duty Hours Policy.

4. Nephrology fellows must adhere to the GME policy outlined above.

Approved by Governing Body 7/17/06; 1/23/09
Revised 4/4/07; 2/6/09; 6/20/11