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.


Executive VP:
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.


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.