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Abbreviation | CIR/SEIU Healthcare |
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Formation | 1957 |
Type | labor union, professional organization |
Headquarters | New York, NY |
Region served | CA, FL, ID, IL, MA, NM, NY, NJ, PA, VT, WA, Washington, D.C. |
Membership | 34,000+ interns, residents and fellows |
President | Dr. Taylor Walker |
Affiliations | Service Employees International Union |
Website | http://www.cirseiu.org |
The Committee of Interns and Residents (CIR) is the largest union of resident and fellow physicians (collectively referred to as "housestaff") in the United States, representing more than 34,000 interns, residents, and fellows in California, Florida, Idaho, Illinois, Massachusetts, New Jersey, New York, New Mexico, Pennsylvania, Vermont, Washington, Washington, D.C. CIR contracts seek to improve housestaff salaries and working conditions as well as enhance the quality of patient care.
CIR was founded in 1957 by residents in New York's public hospital system. [1]
In a landmark achievement in 1975, CIR won contractual limits for on-call schedules of one night in three. In the late 1980s and early 1990s, CIR successfully negotiated innovative maternity leave clauses, won provisions for pay for housestaff covering for absent colleagues, and in 1989 helped shape New York State's regulations that set maximum work hour limits for housestaff. [2] Since then, CIR members have negotiated hours limitations and program security clauses in Miami, Los Angeles, and Boston.
In May 1997, CIR affiliated with the two-million member Service Employees International Union (SEIU), which represents over one million healthcare workers across the country. [1]
In the 2021–2022 and 2022–2023 academic years, CIR's membership increased from 17,000 to over 30,000 represented physicians, over 20% of the total of nearly 150,000 residents and fellows in the U.S. [3] In a historic union wave, [4] [5] [6] [7] residents and fellows won high-profile union elections at academic teaching institutions such as Mass General Brigham, [8] University of Pennsylvania, [9] Stanford Health Care, [10] and George Washington University. [11]
William Harrison Frist is an American physician, businessman, conservationist and policymaker who served as a United States Senator from Tennessee from 1995 to 2007. A member of the Republican Party, he also served as Senate Majority Leader from 2003 to 2007. Born in Nashville, Tennessee, Frist studied government and health care policy at Princeton University and earned a Doctor of Medicine degree from Harvard Medical School. He trained as a cardiothoracic transplant surgeon at Massachusetts General Hospital and Stanford University School of Medicine, and later founded the Vanderbilt Transplant Center. In 1994, he defeated incumbent Democratic Senator Jim Sasser.
Internal medicine, also known as general internal medicine in Commonwealth nations, is a medical specialty for medical doctors focused on the prevention, diagnosis, and treatment of internal diseases in adults. Medical practitioners of internal medicine are referred to as internists, or physicians in Commonwealth nations. Internists possess specialized skills in managing patients with undifferentiated or multi-system disease processes. They provide care to both hospitalized (inpatient) and ambulatory (outpatient) patients and often contribute significantly to teaching and research. Internists are qualified physicians who have undergone postgraduate training in internal medicine, and should not be confused with "interns", a term commonly used for a medical doctor who has obtained a medical degree but does not yet have a license to practice medicine unsupervised.
The American Medical Association (AMA) is an American professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was 271,660 in 2022.
Service Employees International Union (SEIU) is a labor union representing almost 1.9 million workers in over 100 occupations in the United States and Canada. SEIU is focused on organizing workers in three sectors: healthcare, including hospital, home care and nursing home workers; public services ; and property services.
Residency or postgraduate training is a stage of graduate medical education. It refers to a qualified physician, veterinarian, dentist, podiatrist (DPM) or pharmacist (PharmD) who practices medicine or surgery, veterinary medicine, dentistry, podiatry, or clinical pharmacy, respectively, usually in a hospital or clinic, under the direct or indirect supervision of a senior medical clinician registered in that specialty such as an attending physician or consultant.
A primary care physician (PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis. The term is primarily used in the United States. In the past, the equivalent term was 'general practitioner' in the US; however in the United Kingdom and other countries the term general practitioner is still used. With the advent of nurses as PCPs, the term PCP has also been expanded to denote primary care providers.
The American Medical Student Association (AMSA), founded in 1950 and based in Washington, D.C., is an independent association of physicians-in-training in the United States. AMSA is a student-governed national organization. They have a membership of 68,000 medical students, premedical students, interns, medical residents and practicing physicians across the country.
New York State Department of Health Code, Section 405, also known as the Libby Zion Law, is a regulation that limits the amount of resident physicians' work in New York State hospitals to roughly 80 hours per week. The law was named after Libby Zion, the daughter of author Sidney Zion, who died in 1984 at the age of 18. Sidney blamed Libby's death on overworked resident physicians and intern physicians. In July 2003, the Accreditation Council for Graduate Medical Education adopted similar regulations for all accredited medical training institutions in the United States.
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The Pennsylvania Association of Staff Nurses and Allied Professionals (PASNAP) is a labor union in Pennsylvania that represents about 8,300 nurses and allied health professionals.
In the United States, the term "assisted suicide" is typically used to describe what proponents refer to as medical aid in dying, in which a terminally ill adult is prescribed and self-administers barbiturates if they feel that they are suffering significantly. The term is often used interchangeably with physician-assisted suicide (PAS), "physician-assisted dying", "physician-assisted death", "assisted death" and "medical aid in dying" (MAiD).
The Specialty Society Relative Value Scale Update Committee or Relative Value Update Committee is a volunteer group of 31 physicians who have made highly influential recommendations on how to value a physician's work when computing health care prices in the United States' public health insurance program Medicare.
Matthew H. Liang is a physician specializing in general internal medicine and rheumatology, Professor of Medicine at Harvard Medical School, Professor of Health Policy and Management at Harvard School of Public Health, and the Director Emeritus of Special Projects of the Robert B. Brigham Arthritis and Musculoskeletal Diseases Clinical Research Center which he founded. He is a founding faculty of the Division of General Internal Medicine and Primary Care at the Brigham and Women's Hospital and a founding faculty of the Clinical Effectiveness Program at the Harvard School of Public Health and is a Study Director in the Veterans Administration Cooperative Studies Program.
Leana Sheryle Wen is an American physician, author, professor, speaker, consultant, newspaper columnist and television commentator. She is former health commissioner for the city of Baltimore and former president of Planned Parenthood. She has written two books based on her experiences as a medical professional.
Fitzhugh Mullan was an American physician, writer, educator, and social activist. He participated in the founding of the Student Health Organization, the National Coalition for Cancer Survivorship, Seed Global Health, and the Beyond Flexner Alliance. Mullan was a professor of Health Policy and Management and of Pediatrics at the George Washington University and the George Washington University Health Workforce Institute, now renamed the Fitzhugh Mullan Institute for Health Workforce Equity. He was an elected member of the National Academy of Medicine.
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Intern: A Doctor's Initiation is a 2007 nonfiction autobiographical account of Sandeep Jauhar's first year as a medical intern, immediately following medical school. At New York Hospital, he kept journals about his daily activities regarding patients and interaction with other doctors.
A teaching hospital is a hospital or medical center that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities and are often co-located with medical schools.
Bisola Ojikutu is an American physician, infectious disease specialist, public health leader and health equity researcher. In July 2021, she was appointed as the Executive Director of the Boston Public Health Commission. Ojikutu is the fifth Commissioner of Public Health for the City of Boston and the first Black woman to permanently hold this position. She currently serves on the Cabinet of Mayor Michelle Wu.