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August 21, 1967

Private Practice by Residents in Training

Author Affiliations

From the Section of Psychiatry, Mayo Clinic and Mayo Foundation, Rochester, Minn.

JAMA. 1967;201(8):609-611. doi:10.1001/jama.1967.03130080051011

Private practice for fee by residents, in either general or specialty areas, has been called colloquially "moonlighting." My attention was drawn to this by observation that it appeared to be quite extensive in some localities. Some residency training programs were on a 40-hour week, and the trainee used much of the remaining time in private practice. To my knowledge, one enterprising resident established a flourishing clinic and employed ancillary personnel. To ascertain the extent of such practices, a survey of all specialty boards was undertaken.

A large majority of the boards reported that this was not a problem in their field as far as they knew. Only four of those responding stated that they had a definite policy prohibiting such practice. The remainder indicated that they had no policy regarding this, many stating that although it had never been discussed, it was a personal opinion of the writer that such