The Johns Hopkins School of Medicine
GRADUATE MEDICAL EDUCATION COMMITTEE POLICY
EXTRACURRICULAR ACTIVITIES OF
JOHNS HOPKINS TRAINEES
(Physicians in Training Who Are Not Enrolled
in An Accredited Johns Hopkins Training Program)
Effective Date
Page
Supersedes
3/12/14
1 of 6
5/11/11
BACKGROUND:
The Johns Hopkins University School of Medicine (JHUSOM) is committed to meaningful and enriching educational experiences for
those physicians who are enrolled in all Johns Hopkins graduate medical education training programs. A Johns Hopkins training
program may be accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the American Board of
Medical Specialties (ABMS) or may not be accredited by ACGME or ABMS. Johns Hopkins training programs that are not
accredited by ACGME or ABMS are referred to in this policy as “Non-Accredited Johns Hopkins Training Programs.”
APPLICABILITY:
This policy applies only to the Extracurricular Activities (defined below) of those physicians (whether called residents, fellows or
senior fellows), enrolled in a Non-Accredited Johns Hopkins Training Program. These physicians are referred to in this Policy as
“Trainees”.
ADDITIONAL DEFINITIONS:
“Extracurricular activities” means patient care activities that are external to the trainee’s Non-Accredited Johns Hopkins
Training Program.
“Accredited Johns Hopkins Training Program” refers to a Johns Hopkins Training Program that is accredited by the ACGME
or ABMS and includes all years through the final required year of the Program, as designated by the Program Director; it does not
include voluntary years of training in the same specialty/subspecialty subsequent to the final required year of the Program.
“Trainee” means a physician who is enrolled in a Non-Accredited Johns Hopkins Training Program. Physicians who have
completed an Accredited Johns Hopkins Training Program and are continuing for an additional year or years in training for the same
specialty/subspecialty are trainees under this policy. This Policy does not apply to physicians who have received a faculty
appointment (Assistant or Instructor) from JHUSOM.
“Johns Hopkins Medical Institutions” means The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns
Hopkins Medical Services Corporation/Johns Hopkins Community Physicians, Howard County General Hospital, Suburban Hospital,
Sibley Hospital and All Children’s Hospital.
.
CONDITIONS AND REQUIREMENTS:
A.
No trainee may be required, as a condition of his or her Johns Hopkins Training Program, to perform extracurricular
activities.
B.
Trainees may engage in extracurricular activities, but only after filing an Extracurricular Activities Request Form * and
receiving prior written/signed approval of his/her Training Program Director and the Associate Dean for Graduate Medical Education.
Approved Extracurricular Activity Request Forms are to be made a part of the trainee’s file.
C.
No trainee may engage in extracurricular activities without the trainee first having obtained both an unrestricted license to
practice medicine and controlled dangerous substance registration in the state in which the extracurricular activity is to take place as
well as DEA registration.
*Please see Attachment X to this policy for the Extracurricular Activities Request Form.
The Johns Hopkins School of Medicine
GRADUATE MEDICAL EDUCATION COMMITTEE POLICY
EXTRACURRICULAR ACTIVITIES OF
JOHNS HOPKINS TRAINEES
(Physicians in Training Who Are Not Enrolled
in An Accredited Johns Hopkins Training Program)
Effective Date
Page
Supersedes
3/12/14
2 of 6
5/11/11
D.
No trainee may engage in extracurricular activities without first having been appropriately credentialed by the hospital or
facility where the extracurricular activity is to occur.
E.
Extracurricular activities are prohibited if they are inconsistent with the principles of providing trainees with sufficient time
for rest and restoration to promote the trainee’s educational experience and safe patient care. Therefore, the Training Program
Director shall monitor the effect of extracurricular activities on trainee performance. The Training Program Director or the Associate
Dean for Graduate Medical Education may withdraw permission for extracurricular activities at any time if they determine, in their
sole discretion, that the extracurricular activity is having an adverse effect upon the trainee’s participation in the educational program
in which he/she is enrolled.
F.
If a trainee is approved for extracurricular activity under Paragraph B above, the trainee may bill for these services (directly
or through his/her employer/contractor). A trainee who intends to engage in and bill for extracurricular activities (directly or through
his/her employer/contractor) must comply with the Requirements for Trainees Who Intend to Bill at JHMI Facilities for Patient Care
Activities. (Please see Attachment X-2 to the Extracurricular Activity Request Form, which is Attachment X to this Policy.)
G.
Trainees performing approved extracurricular activities at any of the Johns Hopkins Medical Institutions will be covered
under Johns Hopkins Professional Liability Insurance. However, trainees performing approved extracurricular activities at any
hospital/facility other than a Johns Hopkins Medical Institution will not be covered under Johns Hopkins Professional Liability
Insurance. A trainee who intends to engage in extracurricular activities at hospitals/facilities other than the Johns Hopkins Medical
Institutions must ensure that he/she will be covered by professional liability insurance at the location at which the extracurricular
activities take place.
H.
A Non-Accredited Johns Hopkins Training Program may adopt policies governing trainees in that program which are stricter
than the conditions and requirements of this policy.
The Johns Hopkins School of Medicine
GRADUATE MEDICAL EDUCATION COMMITTEE POLICY
EXTRACURRICULAR ACTIVITIES OF
JOHNS HOPKINS TRAINEES
(Physicians in Training Who Are Not Enrolled
in An Accredited Johns Hopkins Training Program)
Effective Date
Page
Supersedes
3/12/14
3 of 6
5/11/11
Attachment X
EXTRACURRICULAR ACTIVITY REQUEST FORM
NAME:
APPOINTMENT:
VISA STATUS (If applicable):
TRAINING PROGRAM DIRECTOR:
NAME OF MY JOHNS HOPKINS TRAINING PROGRAM:
1.
Proposed moonlighting activity:
2.
Location of this moonlighting activity:
3.
Approximate number of hours per week to be spent in this activity:
4.
The chairman/division chief/medical director in the department/division/hospital/facility where I wish to perform
extracurricular activities is:
5.
I understand that the person listed in Paragraph 4 above must sign this Extracurricular Activity Request form before I may
submit it for consideration by my Training Program Director and the Associate Dean for Graduate Medical Education.
6.
I have obtained an unrestricted license to practice medicine in the state in which the extracurricular activity is to take place.
7.
I understand that I must receive a medical staff appointment letter and an approved privilege delineation from the hospital/
facility where the extracurricular activity will take place before I begin the extracurricular activities.
8.
I recognize that this activity is not an approved part of my Johns Hopkins Training Program and must be approved by my
Training Program Director and the Associate Dean for Graduate Medical Education.
9.
I understand that my Training Program Director will monitor the effect of extracurricular activities on my performance in my
training program. I understand that the Training Program Director or the Associate Dean for Graduate Medical Education may
withdraw permission for extracurricular activities at any time if they determine, in their sole discretion, that the extracurricular activity
is having an adverse effect upon my participation in my training program.
10.
I understand that I will be covered under the Johns Hopkins professional liability insurance policy for extracurricular
activities at the Johns Hopkins Medical Institutions. "Johns Hopkins Medical Institutions” means The Johns Hopkins Hospital, Johns
Hopkins Bayview Medical Center, Johns Hopkins Medical Services Corporation/Johns Hopkins Community Physicians and Howard
County General Hospital. I understand that I AM NOT COVERED BY HOPKINS PROFESSIONAL LIABILITY INSURANCE
FOR EXTRACURRICULAR ACTIVITIES AT INSTITUTIONS THAT ARE NOT PART OF THE JOHNS HOPKINS MEDICAL
The Johns Hopkins School of Medicine
GRADUATE MEDICAL EDUCATION COMMITTEE POLICY
Effective Date
EXTRACURRICULAR ACTIVITIES OF
JOHNS HOPKINS TRAINEES
(Physicians in Training Who Are Not Enrolled
in An Accredited Johns Hopkins Training Program)
3/12/14
4 of 6
Page
Supersedes
5/11/11
INSTITUTIONS. I understand that I am responsible for obtaining my own professional liability insurance for extracurricular
activities at hospitals/facilities other than the Johns Hopkins Medical Institutions.
11.
I have obtained an unrestricted license to practice medicine and controlled dangerous substance registration in the state in
which the moonlighting is to take place as well as DEA registration.
12.
(If applicable) I will provide the described extracurricular activities in accordance with the hour limitations (limited to 600
hours during the approved time period) as set forth by The Johns Hopkins University School of Medicine Guidelines for Hour
Limitation for Trainees. (See Attachment X-1.)
13.
I understand that if I intend to bill for my extracurricular activities (either directly or through my employer/contractor), I must
comply with the Requirements for Trainees Who Intend to Bill at JHMI Facilities for Patient Care Activities. (See Attachment X-2.)
14.
The hiring department/division/hospital/facility at a Johns Hopkins Medical Institution
intends / does not intend (circle one) to bill third party payors for my activities.
__________________________________
Signature of Trainee
_________________________
Date
APPROVAL OF REQUEST TO PERFORM EXTRACURRICULAR ACTIVITIES
This approval covers the above described extracurricular activity for the period from
current academic year).
__________________________________
Training Program Director
_________________________
Date
__________________________________
Chairman/Division Chief/Medical Director
in the Department/Division/Hospital/Facility
Where Extracurricular Activity Will Take
Place
_________________________
Date
__________________________________
Associate Dean for Graduate Medical
Education
_________________________
Date
to
(not to exceed the end of the
******************************************************************************************************
Return to Office for Graduate Medical Education, Miller Research Building, Suite 147, School of Medicine for Dean’s Office signature. Fully
executed copies will be returned to the Training Program Coordinator and Trainee.
cc: Senior Director, Office of Billing Quality Assurance, Reed Hall, Suite 220.
Medical Staff Administrative Manager of Medical Staff Information Systems.
The Johns Hopkins School of Medicine
GRADUATE MEDICAL EDUCATION COMMITTEE POLICY
EXTRACURRICULAR ACTIVITIES OF
JOHNS HOPKINS TRAINEES
(Physicians in Training Who Are Not Enrolled
in An Accredited Johns Hopkins Training Program)
Effective Date
3/12/14
5 of 6
Page
Supersedes
5/11/11
ATTACHMENT X-1
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE GUIDELINES
FOR HOUR LIMITATION FOR TRAINEES
The maximum time permitted for extracurricular activities is 600 hours per year.
This policy applies to services rendered within the Johns Hopkins Medical Institutions that are separately identified from services
which are part of the training program. The Training Program Director and the Associate Dean for Graduate Medical Education must
approve all requests for extracurricular activities prior to initiation of such activities.
An Extracurricular Activity Request form and the Training Program Director's approval of the form must be submitted by the
preceptor to the Associate Dean for Graduate Medical Education. After approval by the Associate Dean for Graduate Medical
Education, the hiring department must:
1.
Obtain preceptor approval before hiring
2.
Give notification of hour (600) limitation
3.
Notify preceptor when employment commences
Office for Graduate Medical Education
School of Medicine
Rev. 12-13-06
The Johns Hopkins School of Medicine
GRADUATE MEDICAL EDUCATION COMMITTEE POLICY
EXTRACURRICULAR ACTIVITIES OF
JOHNS HOPKINS TRAINEES
(Physicians in Training Who Are Not Enrolled
in An Accredited Johns Hopkins Training Program)
Effective Date
Page
Supersedes
3/12/14
6 of 6
5/11/11
ATTACHMENT X-2
REQUIREMENTS FOR TRAINEES WHO INTEND TO BILL
AT JHMI FACILITIES FOR PATIENT CARE ACTIVITIES
The following are requirements for all trainees in Non-Accredited Johns Hopkins Training Programs who intend to bill (directly or
indirectly) for patient care activities at JHMI facilities.
A.
A trainee must have a completed and approved Attachment X to the Policy Regarding Extracurricular Activities of Johns
Hopkins Trainees.
B.
When Paragraph A above is met, the trainee will be enrolled by the Clinical Practice Association’s Physician Billing Service
and third party payers, including Medicare, in accordance with payer procedures.
C.
The trainee must successfully complete the CPA’s Billing Compliance Training Program prior to submitting any bills for
professional service. (Course: Provider Training with Evaluation & Management content or Provider Training Without Evaluation &
Management Content, as appropriate to the specialty or subspecialty where the services will be performed.)
D.
The Office of Billing Quality Assurance will direct the Physician Billing Service to place edit controls in the IDX
professional fee billing system to restrict billing to the approved practice setting (if applicable). The Office of Billing Quality
Assurance will verify the billing system edit controls on a quarterly basis.
E.
Ongoing inquiries regarding the billing policies as they relate to trainees in a specific program should be addressed to the
Associate Dean for Graduate Medical Education and the Senior Director of Billing Quality Assurance of the Johns Hopkins University
School of Medicine.
F.
All billing for trainees is subject to approval by the Senior Director, Office of Billing Quality Assurance.