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 17,000 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.


Keriann Shalvoy, MD

Our union has created a culture at our hospital where residents are happy and are fairly compensated for their work. They also are not afraid to stand up and fight for the issues.


Lily Ostrer, MD
Regional VP – FL

CIR remains a vital platform to address issues with patient safety and resident well-being. We can appropriately represent residents by continuously modifying our strategies to find solutions to resident issues.

Photo by Morgan Lieberman © 2019 All Rights Reserved

Aneesh Nandam, MD
Regional VP – Northern California

I’m passionate about increasing resident’s awareness of their own power, voice and ability. Together, we’ve helped unify housestaff around resident and patient safety and foster an great working relationship with hospital executives.