The Committee of Interns and Residents (CIR) is the largest housestaff union in the United States. We are a local of Service Employees International Union (SEIU), representing over 40,000 resident physicians and fellows who are dedicated to improving residency training and education, advancing patient care, and expanding healthcare access for our communities.
Our Mission
We empower interns, residents and fellows to fight for excellence for our patients, our training, and our healthcare system through organizing, collective bargaining, and advocacy.
Medical training doesn’t have to be a demoralizing experience. CIR leaders are addressing the root causes of burnout. Our framework is one which allows us to come up with innovative solutions to systemic issues in medical training. Every day, we treat patients whose health has been compromised by a system that costs too much and leaves too many behind. We believe that a commitment to health justice for all requires us not only to be healers for our patients, but advocates.
Our History
CIR was founded by approximately two thousand interns and residents in New York City’s public hospitals in 1957. Our first collective bargaining agreement was signed in 1958. Staff pushed for higher salaries (which were raised from $852 to $1,212 per year), on-call rooms, hour limitations, better working conditions and quality of patient care – all of which we still continue to strive for today for our members. In the 1990s, CIR became a national union and in 1997 the delegates voted to affiliate with SEIU. Today, we are the largest housestaff union in the United States and we continue to grow. Read more.
What is Collective Bargaining?
CIR is not just an organization that we belong to. We are responsible to ourselves and each other, and it’s up to us to ensure that every single patient can get the care they need. Having a union helps us to do that.
We raise the standards for residency programs everywhere by transforming patient care and partnering with hospital administrators to make real change locally and nationally.
Every day, we treat patients whose health has been compromised by a system that costs too much and leaves too many behind. We believe that a commitment to health justice for all requires us not only to be healers for our patients, but advocates.
2026-28 Regional Vice Presidents
East
Central
West

































