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MOONLIGHTING REQUEST FORM - Faculty of Medicine

MOONLIGHTING REQUEST FORM - Faculty of Medicine 2026

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The document is a Moonlighting Request Form for residents, outlining the process and requirements for moonlighting during residency training. It specifies that forms must be submitted two business days in advance, requires approval from relevant authorities, and includes guidelines on eligibility, licensure, and compliance with health authority regulations. The document emphasizes the importance of adhering to the Moonlighting Policy established by the Postgraduate Medical Education Committee.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and program in the designated fields at the top of the form.
Fill in your CMPA code number and PGY level, ensuring accuracy for proper processing.
Select the category of moonlighting you are applying for, such as Emergency/General Practice or Final Year Specialty Locum, and provide the location.
Indicate your on-call category and ensure you have completed at least one rotation in that specialty.
Complete the date and time fields using a 24-hour clock format for both start and end times.
Sign and date the form, certifying that all information is correct. Ensure that any leave requests are approved prior to submission.
Finally, submit the completed form to the PGME office at least two business days before your intended start date.

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2021	4.4 Satisfied (29 Votes)
2015	4.6 Satisfied (33 Votes)

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What is the meaning of moonlight duty?

Moonlighting refers to the practice of working a second job outside normal business hours. Therefore, an employee may work a normal 9-to-5 job as a primary source of income but work nights at a different job in order to earn extra money.

How do you moonlight during residency?

Pick Up Shifts as a Temporary Physician The most common moonlighting jobs for residents include picking up shifts as a temporary physician at urgent care clinics or hospitals. You can take on shifts after your residency hours, and you can usually choose shifts that are five to 12 hours in length.

What counts as moonlighting?

What is a moonlighting employee? Moonlighting is when an employee takes up a side hustle or a second job while being on the payroll of a primary employer usually without their knowledge. Generally, the primary job is a full time position, while the moonlighting one may be part-time.

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