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<body lang=3DEN-US style=3D'tab-interval:.5in'>

<div class=3DSection1>

<h1><span style=3D'font-size:10.0pt;mso-bidi-font-weight:bold'>MOONLIGHTING
DIRECTIVES<o:p></o:p></span></h1>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:10=
.0pt'>The
Residency Programs at PBCGME are full time employment commitments that
challenge the resident to grow and mature in medical knowledge, clinical
experience, and personal skills that are necessary for the capable practice=
 of
primary care medicine.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:10=
.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:10=
.0pt'>During
the years of postgraduate medical education, it is the resident&#8217;s
responsibility to devote their full efforts to the program.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Off hours moonlighting employment =
may
present the resident with opportunities for financial gain and to test his/=
her
medical skills.<span style=3D'mso-spacerun:yes'>&nbsp; </span>At no time may
moonlighting activities conflict with or diminish the resident&#8217;s
responsibilities to the residency program.<span style=3D'mso-spacerun:yes'>=
&nbsp;
</span><span style=3D'color:black'>Outside employment (moonlighting) by res=
idents
may be done only with approval of the Program Director who will assure that=
 no
conflicts exist with the program requirements.<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:10=
.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:10=
.0pt'>The
following guidelines will be strictly enforced relative to Moonlighting:<o:=
p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:10=
.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'mso-list:Ignore'>1. <span style=3D'font:7.0pt "Times New Roman"'>&=
nbsp;&nbsp;&nbsp;
</span></span><![endif]><span style=3D'font-size:10.0pt'>No resident may
moonlight from <st1:time Minute=3D"0" Hour=3D"7" w:st=3D"on">7 a.m.</st1:ti=
me> to <st1:time
Minute=3D"0" Hour=3D"17" w:st=3D"on">5 p.m.</st1:time> daily Monday through=
 Friday.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in'><span style=3D'font-size:10=
.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>2. <span style=3D'fon=
t:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;color:black'=
>The
resident must be in good standing within the residency program.<o:p></o:p><=
/span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;color:black'><o:p>&nbs=
p;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>3. <span style=3D'fon=
t:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt;color:black'=
>All
residency requirements, institutional requirements, logs, evaluations, and
medical records must be up-to-date.<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>4. <span style=3D'fon=
t:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt'>No resident=
 may
moonlight while &#8220;on call.&#8221;<span style=3D'color:black'><o:p></o:=
p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>5. <span style=3D'fon=
t:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt'>No resident=
 may
moonlight within nine (9) hours of beginning &#8220;duty.&#8221;<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Duty commences at <st1:time Minute=
=3D"0"
Hour=3D"7" w:st=3D"on">7 a.m.</st1:time> Monday through Friday.<span
style=3D'color:black'><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>6. <span style=3D'fon=
t:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt'>No resident=
 may
pursue moonlighting activity that will represent the program in a negative
fashion.<span style=3D'color:black'><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>7. <span style=3D'fon=
t:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt'>The DME/Pro=
gram
Director may limit an individual resident&#8217;s moonlighting activity if =
the
DME/Program Director thinks the resident&#8217;s activities are interfering
with the residents learning or responsibilities.<span style=3D'color:black'=
><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>8. <span style=3D'fon=
t:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt'>First year
Residents are asked not to moonlight during the first two (2) months, as th=
ey
become oriented to the program.<span style=3D'color:black'><o:p></o:p></spa=
n></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>9. <span style=3D'fon=
t:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-size:10.0pt'>While
moonlighting, residents are not covered by the professional liability insur=
ance
of the hospital. Residents need to obtain proper part-time malpractice
insurance before she/he starts to work.<span style=3D'mso-spacerun:yes'>&nb=
sp;
</span>The Residency Program's insurance coverage does not extend beyond the
duties of the Resident.<span style=3D'color:black'><o:p></o:p></span></span=
></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>10. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>The requirements of the Residency Program supers=
eded
any moonlighting commitments.<span style=3D'color:black'><o:p></o:p></span>=
</span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>11. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>The appropriate forms must <u>be completed and
approved by the Residency Director</u> before the Resident can start to
moonlight.<span style=3D'color:black'><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>12. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>Moonlighting will be limited to no more than 24 =
hours
per week.<span style=3D'color:black'><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>13. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>Residents must notify the Program Director 30 da=
ys
before accepting any moonlighting position.<span style=3D'color:black'><o:p=
></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>14. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>Resident should not work more than 24 consecutive
hours.<span style=3D'color:black'><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>15. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>Any interference with Residency duties due to
moonlighting will result in suspension of moonlighting privileges.<span
style=3D'color:black'><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>16. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>Interns are NOT permitted to moonlight.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'color:black'><o:p><=
/o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>17. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>A Program Director may elect to prohibit all res=
idents
in a given program from moonlighting, if in the best academic interests of =
the
Program.<span style=3D'color:black'><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>18. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>These guidelines may be changed or amended at the
discretion of the program director.<span style=3D'color:black'><o:p></o:p><=
/span></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;color:black'><o:p>&nbs=
p;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>19. </span></span><![=
endif]><span
style=3D'font-size:10.0pt;color:black'>Any other criteria established by the
institution, program, DME, Program Director or OPTI must be satisfied.<o:p>=
</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'margin-left:.5in;text-indent:0in;mso-list:l0 =
level1 lfo1'><![if !supportLists]><span
style=3D'color:black'><span style=3D'mso-list:Ignore'>20. </span></span><![=
endif]><span
style=3D'font-size:10.0pt'>Exceptions to the above guidelines can only be m=
ade by
the program director.<span style=3D'color:black'><o:p></o:p></span></span><=
/p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

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