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Postgraduate Practising Licence – Internal Moonlighting

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Purpose

The purpose of this policy is to allow postgraduate trainees to provide coverage for another trainee on the same or different service in the tertiary care teaching hospitals in Halifax.

This policy describes the criteria that must be met when a postgraduate trainee applies to provide peer coverage at a facility or health care centre external to their primary site of training.

Scope

Postgraduate training Program Directors and trainees have a shared responsibility to ensure that moonlighting must not:

  1. interfere with the ability of the trainee to achieve the goals and objectives of their postgraduate training program;
  2. interfere with the trainee’s fitness to train; or
  3. compromise patient safety.

This policy applies to postgraduate trainees satisfactorily and actively participating in a postgraduate training program at Dalhousie University.

Policy

Postgraduate trainees must only practise to the extent that is justified by their competence and experience.

Supervision

Trainees must:

  • function under the direct supervision of the most responsible physician (MRP) who retains primary responsibility of the patient; and
  • have clear and immediate access to supervision including the availability of direct (on-site) supervision when necessary.

Eligibility

Applicants must submit an application approved by the Registrar satisfying all of the following criteria to be deemed eligible for a postgraduate practising licence:

  1. Trainees must have satisfactorily completed a rotation on the same service and at the same level for which they will be moonlighting.
  2. Be in good standing in their postgraduate training program. Postgraduate trainees on a leave of absence or suspensions from their training program are not eligible to engage in moonlighting during the leave/suspension period. Postgraduate trainees in a remedial training program or those who appear to be in academic difficulty are not eligible for a postgraduate practising licence.
  3. Be a Licentiate of the Medical Council of Canada.
  4. Be deemed competent by their Program Director. The College must have written confirmation and approval from the Program Director confirming the postgraduate trainee has demonstrated the required competence to practice under appropriate supervision. The approval must be site specific for each location in which the applicant wishes to provide peer coverage. This confirmation must be sent directly to the College of Physicians and Surgeons of Nova Scotia (College). Approval may be revoked at any time, if there is any indication that the trainee is in academic difficulty or may compromise patient safety.
  5. Have a College approved Supervisor.The Department Head at the hospital or his/her designate must be accountable for the appropriate supervision of the trainee. It is intended that the postgraduate trainees will be supervised in the same fashion as they are during their postgraduate training program.
  6. Provide confirmation of hospital privileges with the Nova Scotia Health Authority (NSHA) or the Izaak Walton Killam (IWK) Health Centre.
  7. Provide evidence of appropriate medical liability insurance coverage.

Subject to the Registrar’s discretion, postgraduate trainees may be required to provide:

  • Adult Medicine – Advanced Cardiac Life Support (ACLS)
  • Pediatric Medicine – Pediatric Advanced Life Support (PALS)
  • Neonatal Medicine – Neonatal Resuscitation Program (NRP)
  • Trauma Medicine – Advanced Trauma Life Support (ATLS)

Fees

Please refer to the Fee Schedule for the current fees.

Applicable Legislation

Medical Practitioners Regulations – Sections 32 to 35

Approved By

Registration Policy Committee
Council

Approval Date

March 10, 2020
March 27, 2020

Review Date

April 2021