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- Each House Officer must submit to his/her Program Director a written request for approval of all moonlighting, which must be signed and approved by the Program Director and/or Department Head and maintained as part of the House Officers permanent training record. Each request for moonlighting must include the nature, duration and location of the moonlighting and must be accompanied by a completed Disclosure of Outside Employment Form https://www.lsuhsc.edu/administration/pm/pm11form.pdf#page=1 in accordance with LSU System PM-11 https://www.lsuhsc.edu/administration/pm/pm-11.pdf.
- Completion of the House Officer PM-11s:
- Describe the activity
- Descriptions on the PM-11 request should include:
- Work will be done outside of LSUHSC work hours. If not the case, annual leave will be taken.
- Malpractice will be provided by _______________________________
- These moonlighting hours count towards my 80-hour work week limitation and the number of hours has been approved by the residency program director.
- Note- Do not fill out PM-11 Form B unless answer is "yes" to #3 on page 1 or #10 on page 2.
- Second boxes for #7, 8, 9, 10 on page 2 should be left blank for the Dean's office to complete.
- Send to Dean's office, not to Chancellor's office.
- Completion of the House Officer PM-11s:
- House Officers participating in moonlighting activities must be fully licensed to practice medicine in each state where he/she moonlights and must have their own Federal DEA number. Neither a training license nor a training DEA number is valid for moonlighting.
- House Officers, who are moonlighting, will not be covered for medical malpractice under the LSU Health Sciences Center's Professional Liability Insurance Policy. House Officers must maintain adequate professional liability coverage or ensure that his/her outside employer provides adequate professional liability coverage. It is the responsibility of the House Officer and his/her outside employer to determine what constitutes adequate coverage. It is also the responsibility of the House Officer and his/her outside employer to determine if the House Officer is appropriately licensed and has the appropriate training and skills to carry out his/her assigned duties.
- Program Directors are responsible for ensuring that moonlighting does not interfere with the ability of the House Officer to meet the goals, objectives, assigned duties, and responsibilities of the educational Program. Each Program Director will monitor all moonlighting activities in his/her Program; if moonlighting activities are believed to adversely affect the House Officer's performance in the Program, the Program Director may withdraw permission to moonlight.
- Permission for moonlighting may be withdrawn at any time by the Program Director, Department Head, and/or the Associate Dean for Academic Affairs - Graduate Medical Education.
- House Officers moonlighting without prior written approval will be subject to disciplinary action.
- Any House Officer violating any School of Medicine moonlighting rule, policy, or procedure will be subject to disciplinary action.
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