Get the free RESIDENT MOONLIGHTING REQUEST - wichita kumc

RESIDENT MOONLIGHTING REQUEST (To be submitted no less than 2 weeks prior to planned activity.) 1. Approval is requested for Name of Resident to Level participate in a moonlighting activity (for compensation)

How to fill out resident moonlighting request

How to fill out resident moonlighting request?

1. Obtain the resident moonlighting request form from your institution's administration or human resources department.
2. Read the instructions carefully to understand the required information and any supporting documentation that needs to be submitted along with the request.
3. Start by filling out your personal details, including your name, contact information, and resident identification number.
4. Provide information about your current residency program, such as the name of the institution, department, and the specific residency program you are enrolled in.
5. Indicate the dates and times you intend to work as a moonlighter. Be specific about the shifts or hours you are available to work outside of your regular residency program commitments.
6. Include the details of the moonlighting opportunity, such as the name and address of the facility or organization where you intend to work, the type of work you will be performing, and any supervision or oversight arrangements.
7. If required, attach any necessary supporting documents, such as copies of medical licenses, certifications, or proof of malpractice insurance.
8. Review the completed form for accuracy and completeness before submitting it. Make sure that all the necessary information has been provided and that any required signatures or approvals have been obtained.
9. Submit the resident moonlighting request form to the designated authority or department within your institution. Follow any specific submission instructions or deadlines mentioned in the instructions.

Who needs resident moonlighting request?

1. Residents who wish to work additional shifts outside of their regular residency program commitments.
2. Residents who want to gain more experience or earn extra income by taking on supplemental work.
3. Residents who have received approval from their institution to engage in moonlighting activities as part of their training or professional development.

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What is resident moonlighting request?

A resident moonlighting request is a formal request made by a resident physician to be allowed to work additional hours outside of their regular residency program.

Who is required to file resident moonlighting request?

Resident physicians who wish to work additional hours outside of their regular residency program are required to file a resident moonlighting request.

How to fill out resident moonlighting request?

Residents can fill out a resident moonlighting request form provided by their institution or program coordinator. They will need to provide details about the additional work they intend to undertake, including dates, hours, and the nature of the work.

What is the purpose of resident moonlighting request?

The purpose of a resident moonlighting request is to ensure that residents are not overworked and are able to balance their professional responsibilities with any additional work they may undertake.

What information must be reported on resident moonlighting request?

Residents must report details about the additional work they intend to undertake, including dates, hours, and the nature of the work.