Collective bargaining by medical residents

 The WSJ has the story:

Medical Residents Unionize Over Pay, Working Conditions. Doctors-in-training say they want to advocate for themselves and patients  By Dominique Mosbergen

"Physicians-in-training at top teaching hospitals across the country are joining unions, demanding higher pay and better working conditions.

"The Committee of Interns and Residents, the largest group representing doctors in residency and fellowship programs, said it added chapters at five teaching hospitals last year and two in 2021, up from a prepandemic pace of roughly one a year. CIR, which is affiliated with the Service Employees International Union, said it represents about 15% of the nation’s 140,000 residents and fellows. 

"The pandemic’s strains spurred residents to organize, said Simranvir Kaur, a fourth-year resident specializing in obstetrics and gynecology at Stanford Medicine, where most of some 1,400 Stanford residents voted to form a union last May. 

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"Stanford, which is based in Palo Alto, Calif., said it is negotiating a union contract with its residents and declined to comment further.

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"The American Medical Association’s ethics code advises physician unions not to engage in strikes by withholding essential medical services from patients. 

"CIR said that residents’ first priority is patients and that unionized residents would vote to strike only as a last resort. The last time a CIR union went on strike was in 1981."

Medical residents organize to bargain collectively

Medpage has the story:

A Tale of Two Hospitals: Resident Mistreatment and Exploitation— The pandemic has ignited a wave of resident unionization by Jessie Ge, MD, and Rayyan Kamal, MD 

Stanford Health Care

"In December 2020, Stanford Health Care rolled out a COVID-19 vaccination plan that excluded nearly all 1,400-plus resident and fellow physicians from eligibility. For the residents and fellows who had been working tirelessly at the frontlines of the pandemic, this was the last straw. In our view, this didn't appear to be a one-time mistake of some algorithm, but a continued pattern of employer neglect and exploitation of our labor. That's when we knew we had to start organizing for real power.

"A little over a year later, on February 22, 2022, we had gathered supermajority support from our co-workers to unionize with the Committee of Interns and Residents (CIR). However, our request for voluntary recognition from Stanford was denied. In the face of potential anti-union tactics from Stanford, we communicated through our own website and tweetorials, re-centering our mission for a meaningful voice and focusing on widespread support, not only from our own residents, but also from our local elected officials and other labor unions.

"The Stanford nurses were some of our biggest supporters -- we shared a need for better working conditions to deliver better patient care. They have been unionized for over 50 years, and their collective strength protected them from being stretched even thinner during the pandemic. ... Despite a tough employer campaign to defeat our union, we won our election 835 to 214 this week.

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Greater Lawrence Family Health Center

"On March 15, 2022, we officially won our union. While the hospital's efforts did manage to turn a few who had initially supported the union, 72% of our unit voted in favor of CIR in an election where every single resident participated. A 100% turnout rate is unprecedented even in a small program. It speaks volumes to how connected we've become throughout this process. We are in solidarity with house staff everywhere going public, filing for unionization, and taking the next step toward social progress and justice for academic medicine.

"While we don't know where this new movement in resident unionization will ultimately lead, we know we're headed in the right direction. Doctors are people too and we must rehumanize medicine for everyone -- both our patients and the people who make hospitals run.

"Jessie Ge, MD, is a fourth-year urology resident at Stanford Health Care. Rayyan Kamal, MD, is a second-year family medicine resident at Greater Lawrence Family Health Center.

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Related:

Wednesday, December 22, 2021

Will unionization at universities change the United Auto Workers?

Will unionization at universities change the United Auto Workers?

 There is an increasing presence of labor unions at American universities, which may well bring big changes to those universities. Here is an article from the Chronicle of Higher Ed suggesting that it may also bring big changes to some labor unions.

A New Force in American Labor: Academe--One in five members of the United Automobile Workers is in higher education.By Barry Eidlin, NOVEMBER 29, 2021

"But why would a philosophy major at UC Berkeley join a campaign to change how an auto-worker union chooses its leadership? As a tutor in the University of California system, Huang is a member of UAW Local 2865 — along with other academic workers like graduate-student instructors and “readers,” students hired to grade assignments. With 19,000 members, Local 2865 is now the second-largest local in the entire union.

"Organizing those members has been challenging. “It’s hard enough to get them to recognize themselves as workers,” explained Keith Brower Brown, a Ph.D. candidate in the UC Berkeley geography department. “It’s a whole other step to get them to embrace that they’re a part of this international union, and they have a stake in changing the leadership of the union.” To help colleagues take that step, Cyn Huang tries to connect the referendum to familiar issues: “You explain how the ability to elect top leadership could lead to better contracts, greater accountability, new organizing. It makes sense to people. Once they hear that, it’s pretty intuitive.”

"In recent decades, academic workers like Huang and Brown have become an increasingly large part of the UAW. This group — which includes undergraduate tutors, graduate-student teachers and researchers, postdoctoral fellows, and adjunct instructors — now constitutes roughly one-fifth of the UAW’s active membership."

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The UAW has organized student workers at Harvard, and just reached an agreement on a new contract. Some details are here:

https://studentunionization.harvard.edu/contract-overview