are not directly supervising — doesn’t always provide the same benefits as external moonlighting, where young physicians in training are forced to think on their feet and make quick de- cisions in their own environment. Moreover, not all institutions have


the resources to support internal moonlighting arrangements, on top of their training responsibilities. In line with ACGME, the council’s


proposed policy recognizes that not all residents may be comfortable or pre- pared for moonlighting — for example, in settings outside of their discipline — and program directors should stay in- volved in the decisionmaking process, Dr. Young says. Within those bounds, however, he hopes programs look for ways to clear the runway for moon- lighting opportunities, rather than ground them. 


Amy Lynn Sorrel is associate editor of Texas Medi- cine. You can reach her by phone at (800) 880- 1300, ext. 1392, or (512) 370-1392; by fax at (512) 370-1629; or by email at amy.sorrel@texmed.org.


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