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Medical Education
Graduate Medical Education

Learning & Working Environment and Moonlighting

Learning and Working Environment


Because graduate medical education is a full time endeavor, residents and ACGME clinical fellows must ensure that moonlighting does not interfere with their ability to achieve the goals and objectives of their educational program. Residents and clinical fellows are responsible for ensuring that moonlighting and other outside activities do not result in fatigue that might affect patient care or learning.

Residents and clinical fellows are responsible for complying with their program duty hours policy, which is approved by the Graduate Medical Education Committee (GMEC) and is consistent with the UCSF policy on duty hours.

Note: The ACGME requires program director pre-approval of all moonlighting activity by residents and ACGME fellows.

Educational Resources on Fatigue and Sleep Deprivation for Residents