- The M.D.
- Posts
- From Moonlighting to Meaning
From Moonlighting to Meaning
How to Make Extra Income Work for You
Was this email forwarded to you? Subscribe here.

You didn’t start moonlighting because you enjoy giving up your evenings or weekends.
You probably took on the extra shifts to get ahead (financially speaking). Maybe to chip away at student loans, build up some savings, or reduce the stress of unexpected expenses.
The problem is, without a plan, that extra income often disappears. It blends into regular spending like takeout, upgrades, and impulse buys. Before long, you're still exhausted and not much closer to your financial goals.
Here’s how to make the most of your moonlighting income so the time you trade now pays off later.
Why Moonlighting Can Be a Powerful Tool
A few extra shifts per month can lead to thousands of dollars in extra annual income. For most physicians in training, it’s the first time they have some control over their financial situation.
This income can help you:
Pay down high-interest debt
Build a real emergency fund
Start investing earlier than most
Create margin that makes burnout less likely
But the benefits only happen if you're intentional.
Where to Find Moonlighting Opportunities
Moonlighting isn’t one-size-fits-all. The best opportunity depends on your specialty, schedule, and license status. Here are a few ways physicians typically find extra work:
Ask Within Your Own Program or Hospital
Some hospitals offer internal moonlighting for residents. These shifts are often easier to pick up since you already know the system and staff. Start by checking with your program director or chief residents.
Network With Alumni or Upper-Level Residents
Former trainees often know of open roles or clinics in need. Ask those a year or two ahead of you where they picked up shifts and whether those places are still hiring.
Use Physician-Focused Job Boards
Look for boards like:
Moonlighting Solutions (moonlight-specific job board)
LocumTenens.com (temporary full-time roles)
These platforms often list flexible, part-time, or weekend shifts suited for trainees with a license.
Consider Telemedicine
If you're licensed in at least one state, platforms like Teladoc, Amwell, or Sesame Health offer flexible remote gigs. These are especially useful for primary care, psych, urgent care, and some subspecialties.
Explore Urgent Care or Community Clinics
Local urgent cares often need weekend coverage and are open to hiring residents or early-career attendings. Community health centers may offer part-time work during training or as a bridge between fellowship and attending roles.
Want to Make Extra Money, but Don’t Want to Moonlight? Try Sermo!
Physicians can earn $15,000+ through medical surveys and community contributions on Sermo.
“The surveys are flexible and simple to do because they're within your own scope of knowledge and specialty.”
How to Make the Most of Your Extra Income
Once you’ve found a moonlighting gig, you’ll want to be deliberate about how you use that income. Here's a basic framework:
Pay Down High-Interest Debt
Start with any loans or credit cards over 6% interest. These grow fast and can quietly eat away at your progress. Future posts on paying off debt coming soon.
Build Your Emergency Fund
Aim for one to three months, ideally six, of expenses in a separate account. This gives you room to breathe when life throws a curveball.
Read previous articles on budgeting and investing like:
Beyond the Checking Balance: Building wealth, savings and early investing
The 4 Types of Money Personalities: What type are you? This helps determine how you think about money
Start Investing, Even if It’s Small
Open a Roth IRA or brokerage account and start contributing consistently. You don’t need a lot to get started. $250/mo now matters more than waiting for perfect timing.

“Time in the market beats timing the market.”
Scenario | Monthly contribution | Start time | Nest egg after 35 years* |
---|---|---|---|
Save during residency | $250 | Today | $450k |
Wait 5 years | $250 | Month 61 | $305k |
*Assumes monthly compounding and consistent contributions.
7% average returns over 35 years.
Skipping 60 payments means you miss $15k of deposits plus roughly $130k of growth those dollars could have generated.
Spend to Reduce Stress
If you want to use some of the money today, choose expenses that lower friction. A cleaning service, weekly meal delivery, or even therapy sessions can make a real difference.
Quick Tips to Avoid Burnout from Moonlighting
Don’t stack too many shifts in a row
Track your hours and your pay to make sure the tradeoff is worth it
Set a clear goal so you know when to pull back
Try to save or invest the money before it hits your checking account
Action Plan for This Week
✅ Ask someone in your program or hospital if internal moonlighting is available
✅ Open a separate account for moonlighting pay; auto withdraw funds from your pay to this account to build a savings habit
✅ Choose one goal to put your next paycheck toward
✅ Set up automatic transfers or investments so you don’t have to think about it
Moonlighting can be one of the fastest ways to accelerate your financial progress. Just make sure the hours you trade today actually give you something back tomorrow.
Meme of the Week

In the event that there is a world-resetting apocalypse, which specialties would be the most & least useful to have trained in prior to the apocalypse? Reply to the email with your candid take.
Feedback Corner
Anything you liked this week? Want to hear more about a specific topic? Reply to the email.
Best,
M&H
Reply