Physician Locums Updated April 14, 2025

A Guide to Moonlighting for Physicians and Residents

Moonlighting is more popular than ever among physicians and medical residents in 2025. But what exactly does it entail? At its core, moonlighting refers to working a secondary job alongside your primary role. For many in medicine, this can mean picking up shifts at different healthcare facilities, teaching, volunteering, or even exploring telemedicine opportunities.  

This guide will walk you through the ins and outs of moonlighting as a doctor, explore its benefits, and provide tips for those looking to get started. Whether you’re a seasoned physician looking for variety or a medical resident wondering, "What is moonlighting in residency?" we’ve got you covered. 

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Why Moonlighting Is on the Rise 

Financial Incentives  

It’s no secret that finances often drive physician moonlighting. Whether it’s paying off student loans, saving for a home, or achieving financial freedom faster, extra shifts can significantly boost your income. With increasing inflation rates and rising living costs, more doctors are tapping into moonlighting opportunities to secure their financial stability.  

For residents, financial pressures can feel even greater. Moonlighting during residency often provides a much-needed buffer to counteract relatively modest stipends.  

Expanding Career Opportunities  

Moonlighting introduces physicians to diverse practice settings and specialties. For example, moonlighting as a doctor in urgent care can significantly differ from a hospital environment, delivering new skills and career insights.  

Residents, in particular, can benefit from these experiences. Exploring smaller clinics, telehealth platforms, or emergency departments while moonlighting in medicine allows for growth, skill enhancement, and networking opportunities.  

Flexible Work Models  

2025 has made way for a booming market of part-time and flexible work. Telehealth opportunities especially make moonlighting more accessible than ever. Physicians can now provide virtual care from the comfort of their homes, cutting commute times and enhancing work-life balance. 

Meeting Growing Demand  

Healthcare worker shortages persist across the U.S., and moonlighting physicians often step in to fill workforce gaps. Rural and underserved areas, for instance, may lack full-time physicians, offering ample opportunities for doctors to diversify their patients and practice styles. 

The Benefits of Physician Moonlighting  

If you're debating whether moonlighting is right for you, consider the following benefits beyond the financial rewards.  

Career Variety and Revitalization  

Moonlighting allows physicians to break free from routine. Whether it means serving in a teaching position, exploring telehealth platforms, or working in urgent care clinics, variety can enhance job satisfaction and reduce burnout while sharpening cross-functional medical skills.  

Broadening Clinical Experience  

Working across different settings exposes you to a wide range of patients, conditions, and challenges. For instance, moonlighting in a rural clinic could present opportunities to practice medicine with limited resources, requiring creativity and adaptability.  

Mentorship and Networking  

Moonlighting opens doors to meeting other healthcare professionals, fostering collaboration and mentorship. The relationships you develop can lead to valuable guidance, partnerships, and even future professional opportunities. 

Developing Teaching or Research Skills  

Teaching moonlighter positions or volunteering in academic roles can strengthen your ability to guide young physicians. For those with an interest in academia, moonlighting can be a steppingstone into teaching or research-related roles.  

Gaining Insights into Emerging Trends  

From telemedicine to concierge medicine, moonlighting allows you to explore cutting-edge healthcare trends while optimizing your skills for the future. It’s an excellent way to remain competitive in medicine's evolving landscape.  

Moonlighting Challenges to Watch Out For 

While the benefits are enticing, moonlighting requires thoughtful consideration. Here are key factors to keep in mind.  

Licensing and Credentialing  

Double-check that state licensure requirements align with the location of your moonlighting role. Some states require additional licenses, separate DEA numbers, or background checks. Here at AMN Healthcare, we can simplify this process by providing expert guidance on state-specific requirements, assisting with licensure applications, and ensuring all necessary paperwork is completed efficiently, so you can focus on your work without the stress of compliance issues. 

Scheduling Conflicts  

Moonlighting can stretch your already demanding schedule. Start small and ensure your primary responsibilities aren't compromised by additional shifts. Balancing moonlighting with rest is critical to avoiding burnout.  

Contractual Restrictions  

Are there clauses in your primary employment contract preventing moonlighting physician opportunities? Many employers outline "no compete" restrictions that could limit where and how you work outside your institution. Always review your agreement or consult legal counsel if needed.  

Malpractice Insurance  

Not all moonlighting employers will provide malpractice coverage. It’s essential to confirm whether you’re insured for your work outside your primary job. If not, consider obtaining your own coverage to avoid liability.  

Exams and Residency Rules  

For residents asking, "What is moonlighting in residency?" or more specifically, “Can I moonlight during residency?”, it’s critical to first clarify program rules. Most residency programs have strict requirements regarding work hour limits set by ACGME (Accreditation Council for Graduate Medical Education). Ensure moonlighting doesn’t jeopardize compliance or preparation for your moonlight exams.  

Physician working on a laptop entering in patient information
See Also
DEA License and Renewal


How to Get Started with Moonlighting as a Doctor  

Looking to jumpstart your moonlighting career? Here's a step-by-step guide to ease you in.  

1. Define Your Goals  

What do you hope to achieve from moonlighting? Whether it’s financial freedom, skill development, or broadening your experience, understanding your goals will guide where and how you should pursue opportunities.  

2. Research Opportunities  

Surround yourself with resources like job boards tailored to healthcare professionals. Websites like locum tenens platforms or direct contact with rural clinics often reveal hidden moonlighting gems!  

3. Talk to Mentors or Supervisors  

Always consult trusted mentors or supervisors if you’re unsure about moonlighting. They’ll provide guidance and may even alert you to opportunities within their network.  

4. Ensure Compliance  

Review potential moonlighting questions such as: 

  • Does your employer contract allow external work?
  • Is malpractice coverage provided?
  • Are residency hours intact under moonlighting conditions? 

5. Maintain a Schedule  

Once your moonlighting shifts are set, adopt planning habits early. Effective time management maximizes energy, minimizes risk, and ensures time for rest.  

6. Start Small  

Don’t overcommit when starting out. Aim for light shifts (perhaps one weekend shift per month) before scaling up based on your comfort. 

Is Moonlighting Right for You?  

Medical moonlighting offers career flexibility, financial support, and diverse opportunities, but it’s not without challenges. By carefully considering the pros and cons, reviewing program specifics, and planning accordingly, you’ll discover whether or not jumping into physician moonlighting aligns with your career goals. 

Physicians and residents, are you ready to start your moonlighting adventure? Explore opportunities designed just for you with AMN Healthcare physician jobs. Expand your career possibilities with locum tenens jobs or telemedicine platforms today. 

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