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To the Editor:—
Dr. Trimble concluded his remarks on moonlighting (Critique and Cavil, JAMA189:538 [Aug 17] 1964) with the question, "Well—what do you think?" Well, this is what I think:Most residents are driven to moonlighting by the pressure of economic necessity. Virtually no one would do it if he were paid $25,000 a year. Most moonlighters stop their extracurricular work the moment they get fellowships or staff appointments paying as little as 20% of that figure. In my own experience, the added income was the difference between solvency and the now-popular alternative of deliberate deficit spending. My strongest disagreement is with the quote, "The resident who subordinates intellectual solvency to financial gain during his graduate training period may discover too late that he paid too much for his whistle." The implication is that any knowledge or experience gained in moonlighting is valueless or even detrimental. This is
Seeley CB. Moonlighting: Wax Without the Wane. JAMA. 1964;190(5):474. doi:10.1001/jama.1964.03070180072021