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Resident and Fellow Moonlighting Approval Form Emory University School of Medicine Trainee Name Date Year of Training (PAY) Training Program Department Program Director Moonlighting Location/Name
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How to fill out resident and fellow moonlighting

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How to fill out resident and fellow moonlighting

01
Check if moonlighting is allowed by your institution: Before filling out the resident and fellow moonlighting form, make sure that your institution allows moonlighting. Many institutions have strict policies regarding moonlighting for residents and fellows.
02
Obtain the moonlighting form: Contact your residency or fellowship program coordinator to obtain the resident and fellow moonlighting form. This form is usually provided by the institution and may require specific information to be filled out.
03
Fill out personal information: Start by filling out your personal information such as your name, contact details, and residency or fellowship program information.
04
Provide moonlighting details: Indicate the dates and times you plan to engage in moonlighting activities. Be specific about the shifts and the location where you plan to work as a resident or fellow moonlighter.
05
Obtain necessary signatures: Ensure that the form is signed by your residency or fellowship program director and any other required authorities in your institution.
06
Review and submit the form: Review the completed form for accuracy and completeness. Make sure all required fields are filled out properly. Once you are satisfied, submit the form to the appropriate department or authority within your institution.

Who needs resident and fellow moonlighting?

01
Residents: Residents who want to supplement their income or gain additional clinical experience may need moonlighting opportunities. Moonlighting can offer additional financial support and the chance to work in different clinical settings outside of their primary residency program.
02
Fellows: Similar to residents, fellows may also need moonlighting as a means to supplement their income or gain additional experience. Moonlighting can provide fellows with the opportunity to work in a different clinical setting or specialty and broaden their knowledge and skillset.
03
Institutions with flexible policies: Institutions that have more flexible policies regarding moonlighting may encourage or allow residents and fellows to engage in moonlighting. In such cases, residents and fellows may have the option and need for moonlighting to meet their personal and professional goals.
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Resident and fellow moonlighting refers to medical trainees working additional hours outside of their regular training program to earn extra income.
Residents and fellows who engage in moonlighting activities are required to file resident and fellow moonlighting.
Residents and fellows can fill out resident and fellow moonlighting by providing details of the additional hours worked and the income earned.
The purpose of resident and fellow moonlighting is to allow medical trainees to supplement their income and gain additional clinical experience.
Information that must be reported on resident and fellow moonlighting includes hours worked, income earned, and any potential conflicts of interest.
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