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Richard L. Cohen, MD
University of Pittsburgh (Pa) School of Medicine

JAMA. 1990;263(8):1065.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The article on moon-lighting by medical residents by Drs Cohen and Leeds¹ presents both a useful overview of this nagging problem and a realistic approach to its resolution.

The current economic status of most of these house officers (particularly their heavy indebtedness due to educational loans) makes it inevitable that moonlighting will remain a permanent fixture in postgraduate training.

Therefore, it seems logical to search for ways to convert a situation that carries potential for negative impact on training and on patient care into one that might actually improve both of these. Perhaps the most obvious and direct method is to accept its inevitability and incorporate the moonlighting into training. Since 1974, our faculty and hospital administration have done just this, with gratifying success.²

Briefly, the guidelines we have established are as follows:

1. The residency training director and the hospital administrator are designated the
   

Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West), and Don Riesenberg, MD, Senior Editor.

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