Resident physicians call on U of M to get serious in first-contract talks

Dr. Schuyler Gaillard, a resident in the U of M Medical Center’s internal medicine and dermatology programs, describes first-contract talks as “antagonistic.”

Residents at the University of Minnesota Medical Center are fed up with their employer’s “antagonistic” approach to bargaining a first union contract, and asking for public support in pressuring the U of M to settle a fair deal.

Resident physicians and fellows formed their union with the Committee of Interns and Residents, a Service Employees (SEIU) affiliate, in March 2025. The bargaining unit brings together nearly 1,000 medical-school graduates who treat patients under the supervision of a senior physician while training in specialized care.

Contract negotiations with the university began over a year ago, and union members’ demands include fair wages, better health and dental benefits, and a matching contribution to their retirement savings, as well as language that codifies protections for immigrant and LGBTQ staff members.

But during a press conference last month outside the U’s East Bank hospital, union members said the employer has failed to match their sense of urgency at the bargaining table – slow-walking the process “to the point where they have been union-busting,” CIR bargaining team member Schuyler Gaillard said.

The third-year resident, training in internal medicine and dermatology, offered several examples of bad-faith bargaining by the university, including an attempt to schedule sessions in the middle of the workday without allowing members of the bargaining team paid time off to attend.

The U also has flatly refused to discuss some union proposals, while its own have often been insulting. Supriya Reddy, a resident in the pediatrics program, recalled being among 100 CIR members who showed up to a session where university administrators made their initial wage offer.

“They sat in front of over 100 of us and offered a 1% raise, less than the cost of inflation,” Reddy said. “Moreover, they proposed broad fiscal emergency language that would allow them to get rid of the raises entirely under any circumstances they choose.”

As the university drags its feet at the bargaining table, Reddy said, she and other resident physicians continue to struggle with widespread burnout, understaffing, workweeks that sometimes exceed 80 hours and the rising cost of living – not to mention the burden of a debt load that averages $250,000 for medical school graduates.

“We are proud of the care that we provide to our patients, but it is increasingly harder to be the best version of ourselves,” Reddy said.

A first contract that improves residents’ working conditions, Gaillard added, will improve patient care, too.

“We took an oath to protect our patients, and that starts at the bargaining table,” she said. “We won’t settle for anything less than what we need to continue to provide quality care for our patients.”

Resident physicians and fellows at the U of M Medical Center are asking members of the public to sign onto their petition for a fair first contract at act.seiu.org/a/umn-cir-community-petition.

– Michael Moore, Union Advocate editor

Workers call on Fairview, other health systems to adopt best practices for ICE interactions

Dr. Kaitlin McLean offers a message to community members who have been avoiding health care facilities: “We want you to get the care you need. We are here asking the hospital to support us in caring for you.”

Health care facilities have not been spared the aggressive tactics deployed by federal agents during the recent surge of immigration enforcement in Minnesota. Now, local unions, immigrant-rights groups and lawmakers are demanding health systems adopt new “best practices” to keep patients and workers safe and uphold their rights.

Union nurses, doctors and support staff called a press conference Feb. 20 outside the U of M Medical Center after delivering a list of demands to Fairview, citing unanswered questions and persistent concerns about how the system is navigating the immigration chaos.

Kirby Crow, a Fairview Riverside worker and member of SEIU Healthcare Minnesota and Iowa, cataloged a list of incidents workers have witnessed at Fairview facilities, from agents covering up security cameras to verbally and physically intimidating health care workers – even following some to their homes.

“Despite a need for new, improved procedures, Fairview hasn’t offered workers any updated policies in the last few weeks,” Crow said. “So us workers stepped up.”

Workers’ top concern, speakers at the event said, is that community members are foregoing health care to avoid encounters with federal agents.

Kirby Crow, a member of SEIU Healthcare Minnesota and Iowa, catalogs the troubling incidents Fairview workers have seen in their facilities since the immigration surge began in late December.

Soon after Operation Metro Surge began in December, workers across the health care industry began sounding the alarm that immigrant patients were avoiding hospitals and clinics, deferring needed care and going without their medications.

“Our No. 1 priority will always be and has always been the safety and well being of our patients,” Dr. Kaitlin McLean, a member of Council of Interns and Residents (CIR-SEIU), said. “It is the hospitals’ job to allow us to do that safely. We need to know that the hospital has our back while we do that important work.”

A coalition of union doctors, nurses and health care workers at Fairview, working with the immigrant-rights group UNIDOS MN, drafted best practices that, they say, would offer assurances to patients fearful of seeking care.

Demands include alerting the public when immigration agents approach a Fairview facility. Workers also want Fairview to provide them with education about patients’ rights under civil detention, and clear protocols to follow when immigration agents arrive at their facilities. That includes requiring agents to sign in, remove any non-medical face coverings and stay out of private or secure areas unless they have a judicial warrant to enter.

“I wish I could tell you with absolute certainty that it is safe for you to leave your home sand come to the hospital,” McLean said. “We want you to get the care you need. We are here asking the hospital to support us in caring for you.”

The proposed best practices also would protect health care workers, barring agents from parking lots, break rooms and other staff spaces and allowing for immediate reassignment from areas immigration agents have entered.

The coalition also wants amendments to Fairview’s attendance policy that would accommodate workers experiencing immigration-related safety or legal emergencies.

“These are phenomenal health care workers that show up every day to serve as a vessel for healing and a helping hand for humanity,” Jamey Sharp, a health care organizer with UNIDOS MN, said.

UNIDOS is organizing with workers in other health care systems, including Hennepin Health Care and North Memorial, to establish strong protocols around immigration enforcement.

“Our goal is simple,” Sharp added. “Hospitals must be places of care, healing and trust – not fear.”

– Michael Moore, UA editor