KevinMD September 10, 2025
American College of Physicians

When I began my internal medicine residency in 1987 at Boston City Hospital, all new interns were enrolled in the Housestaff Association, the residents’ union. Some of my resident peers were active leaders in the union. Coming from Minneapolis and moving to Boston, I was trying to absorb all the new things (such as Fenway Park and the jinxed Red Sox, in the pre-world-champion days) and keep my head above water to do best by my patients, while also learning more about everything else, including the housestaff union.

Union activities at that time focused on minimizing the dreaded “scut work” (such as difficult blood draws) and how often interns really had to accompany patients from the emergency room to the...

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