Resident and Fellow Unions

Lin, Grant L.; Ge, Tao; Pal, Ria

doi:10.1001/jama.2022.12838

Cited by 18 publications

(27 citation statements)

References 8 publications

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“…Rising housing prices have affected many sectors; however, education debt, training requirements, long working hours, and general lack of control over compensation may make residents uniquely vulnerable to financial challenges . Our findings suggest that there remain opportunities for GME reimbursements and sponsoring institutions to adjust for cost-of-living considerations and provide supplemental financial benefits, particularly in urban areas.…”

Section: Discussionmentioning

confidence: 90%

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Evaluation of Housing Affordability Among US Resident Physicians

et al. 2023

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Section: Discussionmentioning

confidence: 90%

“…Our findings suggest that there remain opportunities for GME reimbursements and sponsoring institutions to adjust for cost-of-living considerations and provide supplemental financial benefits, particularly in urban areas. Of note, resident labor union participation has been shown to be associated with improved access to housing stipends …”

Section: Discussionmentioning

confidence: 99%

Evaluation of Housing Affordability Among US Resident Physicians

et al. 2023

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“…Labor unionization efforts have recently resurged throughout the US, with the National Labor Relations Board receiving a 57% increase in union election petitions in the first half of 2022 . Workers in multiple industries, including those in health care, are unionizing to bargain for better pay, better noncash benefits, and safer work conditions . For health care workers, the toll of the COVID-19 pandemic—including struggles obtaining personal protective equipment, inconsistent testing and notification of COVID-19–positive exposures, and inadequate pay with increased work hours—against the backdrop of increasing burnout prior to the pandemic has amplified calls for labor unionization to improve working conditions in the US health care system …”

Section: Introductionmentioning

confidence: 99%

“…1 Workers in multiple industries, including those in health care, are unionizing to bargain for better pay, better noncash benefits, and safer work conditions. 2,3 For health care workers, the toll of the COVID-19 pandemicincluding struggles obtaining personal protective equipment, inconsistent testing and notification of COVID-19positive exposures, and inadequate pay with increased work hours-against the backdrop of increasing burnout prior to the pandemic has amplified calls for labor unionization to improve working conditions in the US health care system. 4 Although labor unions have been shown to improve working conditions in other industries, 5 empirical evidence about their role in the health care workforce is limited.…”

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confidence: 99%

Trends in Labor Unionization Among US Health Care Workers, 2009-2021

Ahmed

Kadakia

Ahmed

et al. 2022

JAMA

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ImportanceLabor unionization efforts have resurged in the US, and union membership has been shown to improve worker conditions in some industries. However, little is known about labor unionization membership and its economic effects across the health care workforce.ObjectivesTo examine the prevalence of labor unionization among health care workers and its associations with pay, noncash benefits, and work hours.Design, Setting, and ParticipantsThis cross-sectional study was conducted using data from the Current Population Survey and Annual Social and Economic Supplement from 2009 through 2021. The US nationally representative, population-based household survey allowed for a sample of 14 298 self-identified health care workers (physicians and dentists, advanced practitioners, nurses, therapists, and technicians and support staff).ExposuresSelf-reported membership status or coverage in a labor union.Main Outcomes and MeasuresPrevalence and trend in labor unionization. Further comparisons included mean weekly pay, noncash benefits (pension or other retirement benefits; employer-sponsored, full premium–covered health insurance; and employer’s contribution to the worker’s health insurance plan), and work hours.ResultsThe 14 298 respondents (81.5% women; 7.1% Asian, 12.0% Black, 8.5% Hispanic, 70.4% White individuals; mean [SD] age, 41.6 [13.4] years) included 1072 physicians and dentists, 981 advanced practitioners, 4931 nurses, 964 therapists, and 6350 technicians and support staff. After weighting, 13.2% (95% CI, 12.5% to 13.8%) of respondents reported union membership or coverage, with no significant trend from 2009 through 2021 (P = .75). Among health care workers, those who were members of a racial or ethnic minority group (Asian, Black, or Hispanic individuals compared with White individuals) and those living in metropolitan areas were more likely to report being labor unionized. Reported unionization was associated with significantly higher reported weekly earnings ($1165 vs $1042; mean difference, $123 [95% CI, $88 to $157]; P &lt; .001) and higher likelihood of having a pension or other retirement benefits at work (57.9% vs 43.4%; risk ratio [RR], 1.33 [95% CI, 1.26 to 1.41]; P &lt; .001) and having employer-sponsored, full premium–covered health insurance (22.2% vs 16.5%; RR, 1.35 [95% CI, 1.17 to 1.53]; P &lt; .001). Union members reported more work hours (37.4 vs 36.3; mean differences, 1.11 [95% CI, 0.46 to 1.75]; P &lt; .001) per week. White workers reported mean weekly earnings that were significantly more than members of racial and ethnic minority groups among nonunionized workers ($1066 vs $1001; mean difference, $65 [95% CI, $40 to $91]; P &lt; .001), but there was no significant difference between the 2 groups among unionized workers ($1157 vs $1170; mean difference, −$13 [95% CI, −$78 to $52]; P = .70).Conclusions and RelevanceFrom 2009 through 2021, labor unionization among US health care workers remained low. Reported union membership or coverage was significantly associated with higher weekly earnings and better noncash benefits but greater number of weekly work hours.

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“…8 This challenge has contributed to the phenomenon of unionization amongst postgraduate trainees. 9 Physicians-in-training are not alone in struggling with debt. Debt is a reality for all in the health professions, and may be an even greater challenge for students in dentistry, nursing, optometry, pharmacy, psychology, and veterinary medicine.…”

mentioning

confidence: 99%