Philibert notes. Communities may have more of a demand for primary and emergency care or psychiatry, for example, creating more opportunities for family medicine or general surgery residents.
On the other hand, specialties like
neurosurgery may require more ex- tensive training first. Still other resi- dents may find moonlighting uncom- fortable or burdensome. And regardless of specialty, with
the duty-hours regulations, “there is clearly a shorter number of hours in which to learn the craft and the art of your specialty,” she acknowledged. ACGME rules aim to balance all of those factors, Dr. Philibert says. TMA leaders emphasize that the Council on Medical Education’s pro- posed policy shares that goal. It states: “TMA believes moonlighting residents, working in compliance with the insti- tutional guidelines of their sponsoring programs, can serve valuable roles in filling gaps in physician staffing in un- derserved communities and can reap substantial personal and profession- al benefits. It is acknowledged that moonlighting may not be in the best interest of every resident and may be more appropriate for certain medical specialties and more senior, experi- enced residents.” The proposal goes on to recognize
that “residency program directors serve in the critical role of ensuring compliance with institutional moon- lighting requirements and assessing whether residents have the competen- cies needed to balance residency train- ing and moonlighting. On this basis, TMA encourages medical schools and residency training programs in Texas to reconsider broad institutional or local policies that impose strict limi- tations or even prohibitions on moon- lighting by residents.” TMA’s Committee on Physician Distribution and Health Care Access also evaluated emerging research that shows residents may be getting a less well-rounded training experience under the restricted duty hours. A re-
MED I CAL
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www.lexiconmedical.com (855)MED-REPS April 2015 TEXAS MEDICINE 39
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