The Issues:

We surveyed 700 residents across the country and this is what we found:

Doctors are 2X more likely to kill themselves than those in other professions.

28% have fallen asleep at the wheel post-call.

10% of 4th year medical students and 1st year residents report having suicidal thoughts.

40% have felt bullied by an attending, resident or nurse.

Female doctors are 4X more likely to commit suicide than women in other professions.

62% of residents have felt so burned out that it has affected their work.

*Data from CIR member surveys and academic literature. 3West, CP et al, JAMA 2006; Desai et al, JAMA 2013; Sen S, JAMA Intern Med 2013

Root Causes

Residents have increasing workloads with no match for resources or time.

Residents don’t feel empowered to talk about their issues with administration.

Residents experience high levels of burnout on a regular basis.

Dysfunctional culture of medicine encourages resident to endure abuse in the workplace.

Our Solutions:

We believe that medical training doesn’t have to be a demoralizing experience. CIR leaders are addressing the root causes of burnout and un-wellness and finding ways to address them collectively. Check out CIR’s well-being resolution for 2017.

We identify systemic issues that lead to physician burnout and address well-being in ways that are enforceable through CIR contracts and labor management mechanisms. Our framework is one which allows us to come up with innovative solutions to address systemic issues in medical training:

Re-design resident clinical responsibilities to eliminate inefficient systems and work that should be done by other hospital personnel.

Our Process

  • Specializes in hospital-based implementation with structures that ensure housestaff engage in contract negotiations.
  • Utilizes labor management meetings as a forum for solving ongoing issues.
  • Partners with administration to implement strong contracts and track implementation of policies that affect resident and patient safety & well-being.

By Hospital

San Francisco General Hospital: Working with inadequate space is impossible in residency. After moving to a new building, we lacked resident call rooms and work spaces. But through our collective voice in bargaining, we were able to form a taskforce with hospital administration to secure adequate space in the hospital. – Dr. Latoya Frolov

University of New Mexico: We work hard. We save lives. And it can sometimes feel like we’re taking care of everyone except ourselves. Our bargaining committee negotiated and won a half wellness day each quarter. With increases in workloads, having protected time for study, our family and rest is a necessity.

Maimonides: Our committee worked together to expand FMLA (Family Medical Leave Act) protection, allowing residents to take necessary time off when they are sick care for themselves or a sick family member, without the fear of losing their job. – Dr. Nicole Bilbro

Boston Medical Center: Out of title work is an issue for almost every residency program. At BMC we’ve worked diligently with administration to end out-of-title work by ensuring that systems throughout the hospital function properly and various positions are adequately staffed. – Dr. Amir Meiri

Contact Us

The CIR Office is moving to:
10-27 46th Avenue, Suite 300-2
Long Island City, NY 11101
on April 29th, 2019

Regional Offices

Phone: (212) 356-8100
Email: info@cirseiu.org

Benefits Office

Phone: (212) 356-8180
Email: benefits@cirseiu.org

Our Union

The Committee of Interns and Residents is the oldest and largest housestaff union in the country, representing more than 15,000 interns, residents, and fellows in California, Florida, Massachusetts, New Jersey, New Mexico, New York, and Washington, D.C.

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