We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Moonlighting: Making a Buck, Compassion, and Quality Control-Reply

Richard L. Cohen, MD
JAMA. 1990;264(4):454. doi:10.1001/jama.1990.03450040042022.
Text Size: A A A
Published online


In Reply.—  I appreciate the opportunity to respond to Dr Piening since it permits me to clarify some points that could not be incorporated into my original, rather brief letter to the editor. I will take up each matter in the order in which he raises it:"Compassion" was not the motivating force that led the faculty to agree to this arrangement. It was something called quality control, an issue that is of increasing concern in postgraduate medical education in Pennsylvania (and I assume in South Carolina, also).The plan was not conceived by the faculty but by the hospital administration, which believed that some house officers were not exercising good judgment in the amount of moonlighting they were doing or in the degree of responsibility they were assuming in view of their level of training. At first, the faculty resisted the program, not wanting the added responsibility themselves.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.