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COMPARISON: Physicians for Responsible Negotiation (PRN)
vs
Traditional Labor Organization With Physician Membership
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CATEGORY/ACTIVITY
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PRN
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TRADITIONAL UNION
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Membership
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MD’s & DO’s only
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Professionals, skilled & unskilled workers
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Board of Directors
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Selected by AMA BOT *
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Elected by delegates from locals
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Affiliation w/other labor groups/professions/vocations
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No
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Yes
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Commitment to quality patient care
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Quality of care may not be sacrificed in lieu of physician interests
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May have quality of care statement in constitution
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Work/organized in conjunction with state, county & medical specialty societies
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Yes
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Generally no**
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Goals of Organization:
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Represent physician interests
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Yes
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Yes
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Represent patient interests
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Yes
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Some
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Organizational growth (Increasing dues base)
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Not necessarily
|
Yes
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Offers alternatives to membership in labor organization
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Yes, encourages it
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No
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Actively solicits formation of new local units
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No, advertises availability but will only begin discussions by invitation
|
Yes
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Membership required as condition of employment (closed shop)
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No
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Most
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Bargain on academic issues for residents
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No
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May, but discouraged
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Subscribe to AMA Code of Ethics and CEJA opinions
|
Yes
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No
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Honor union picket lines
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No
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Yes
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Negotiation Tactics:
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Strikes/withholding necessary medical services
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No
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Yes, but generally discouraged for physician units
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Information pickets
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Yes
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Yes
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Non-disruptive public demonstrations
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Yes
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Yes
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Lobbying and publicity campaigns
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Yes
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Yes
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Provision of free medical service work
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Yes
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No
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CATEGORY/ACTIVITY
|
PRN
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TRADITIONAL UNION
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* After five years the Board must be elected by the delegates to a national meeting of
the labor organization
** Committee of Interns and Residents (CIR) has forged a membership agreement with
California Medical Association and may reach out to other medical associations.
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