Debt, moonlighting, and career decisions among internal medicine residents

Rebecca A. Silliman, Robert S. Dittus, Ramon Velez, Steven A. Wartman, Mark J. Young, Robert H. Fletcher

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


In the study reported here, medical residents were surveyed to determine their patterns of educational indebtedness, the effects of debt on their decisions about training and career, the frequency with which they begin making loan payments during training, the extent to which they moonlight and the reasons for doing so, and their opinions about the effects of moonlighting on house staff training. A total of 223 residents from four residency programs were surveyed; 181 responded. Most (86 percent) had educational debt (mean = $20,500), and more than half of those with debt were making loan payments. Forty percent of the residents moonlighted, and moonlighting was related to the presence of educational debt, monthly loan payments, and number of dependents.

Original languageEnglish (US)
Pages (from-to)463-469
Number of pages7
JournalJournal of Medical Education
Issue number6
StatePublished - 1987
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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