Moonlighting House Officers

To the Editor: The Sounding Board article by Dr. Moss (Nov. 22 issue)* neglects at least one dimension of the moonlighting problem. Today's residents and fellows are less able to care for the plethora of medical problems encountered in a community-hospital emergency room — a common moonlighting situation. I practice in a rural area in proximity to a major teaching center, and to make the call schedule bearable, six of my colleagues and I engage residents to cover the emergency room in our small hospital from Friday night through Monday morning and on holidays. In another nearby community, residents have.