Policy of the Graduate Medical Education Committee
Section: Institutional Responsibilities
Subject: Supplemental Clinical Activities
Number: 3.400
Date Developed: 2/99
Purpose
The
policy will define supplemental clinical activities (internal moonlighting)
resulting in additional financial support, the procedure for approval of such
activities, and approval for the participation of residents in these activities.
The
policy should also serve as a guideline against inappropriate use of resident
service, in activities that residents may have covered previously as part of the
educational program, occurring in teaching institutions.
Supplemental clinical activities
are voluntary, compensated, medically-related
work (not related with trainee’s current required or elective curriculum)
performed within the institution in which the resident is in training or at any
of its related participating sites.
Supplemental clinical activities are covered by the housestaff malpractice
insurance and count toward the 80 hour week.
PGY-1s may not engage in these activities.
A
resident must obtain a prospective written statement of permission of
his/her Program Director for supplemental clinical activity. The Program
Director and the individual resident must closely monitor the activity to ensure
it does not interfere with the resident’s ability to achieve the goals and
objectives of the educational program.
If a resident is no longer performing satisfactorily in the program, the
Program Director may withdraw the permission to participate in the supplemental
clinical activity.
Development of a
supplemental clinical activity is made by a request from the Departmental
Chairperson and/or Training Program Director to the Associate Dean for GME and
must be approved by the Dean. Approval of a supplemental clinical activity is
done according to the following procedure:
Procedure
1. The Departmental
Chairperson and/or Training Program Director submits a written request to the
Associate Dean for GME describing the clinical activity to include the location,
the responsibilities of the resident, the time commitment of the resident,
supervision of the resident, and sources of additional compensation (if
applicable).
2.
The Associate Dean for GME discusses the request with the
Director of FGP Risk Management regarding liability coverage and then submits a
recommendation to the Dean.
3.
Once approved by the Dean, written documentation of approval
is provided to the Program Director and Departmental Chairperson.
4.
The Associate Dean for GME maintains a file on approved
supplemental clinical activities.
5.
Supplemental clinical activities are reviewed as part of the
program’s mid-cycle internal review (type and worth of activity, number of
residents participating, duty hours, etc).