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 20,000 resident physicians and fellows who are dedicated to improving residency training and education, advancing patient care, and expanding healthcare access for our communities.

About Us

We empower our nation’s interns, residents and fellows to fight for excellence for our patients, our training and our healthcare system through organizing, collective bargaining and advocacy.

Collective bargaining means that we are responsible to ourselves and each other. 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.

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.


CIR is a democratically run organization composed of interns, residents, and fellows from all member hospitals. It is governed by the Executive Committee and the House of Delegates, which is composed of members who are elected by their peers.


Darshan Patel, MD, MSEd

University of New Mexico, Family Practice | I believe that we can bring about positive, democratic change for CIR and our patients. I am committed to valuing medicine and public health over profits in healthcare.


Executive Vice President: Lorenzo González, MD, MPL

Harbor UCLA, Family Medicine
CIR gives us the leverage to challenge how medicine, health, and wellness are engendered within our current society, and by advocating for the Housestaff of our nation, we move one step closer to improving the lives of the neglected and disenfranchised communities we took an oath to serve. Let us not forget disease is the manifestation of an oppressive system, and I am committed to using my skills as a union leader to build on the victories to the labor movement to make our world a better place for all.  La union hace la fuerza, pero la participación hace la diferencia!


Oluyemi Omotoso, MBBS

Lincoln Medical & Mental Health Center, Emergency Medicine | I’m a proud, active member of CIR. Working across New York H+H hospitals to create a strong team during contract negotiations, we were able to win strong contracts and stage peaceful demonstrations across the city in support of Black Lives Matter.