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​​The House Staff Association of Cook County represents interns, residents, and fellows at John H. Stroger, Jr. Hospital of Cook County.
Since 1974, HSA has used the collective voice of housestaff to improve our working conditions, protect our rights, strengthen our training, and advocate for the patients and communities we serve. HSA is affiliated with NUHHCE, the National Union of Hospital and Health Care Employees, AFSCME, AFL-CIO.​​​​​
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​​​​What HSA Fights For
2026
For Housestaff
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Fair salary, stipends, and benefits
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Safer schedules and better working conditions
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Due process, representation, and contract enforcement
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Educational protections and training support
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Resident and fellow wellbeing​​
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1979
​​For Patients
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Stronger patient care standards
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Safe staffing and appropriate support services
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A voice for frontline physicians in hospital decision-making
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Advocacy for the communities served by Cook County Health​​
What Do You Need Today?
Join HSA
Become a dues-paying member and help strengthen our ability to enforce the contract, organize around workplace issues, and advocate for housestaff.
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Read the Contract
View the current Collective Bargaining Agreement, extension agreement, and commonly used contract sections.
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Find Your Representative
Identify your department representative or HSA board member and learn how to get involved.
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Request Support
Have a workplace issue, scheduling concern, pay problem, remediation concern, or question about your rights? Start here.
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Report a Patient Care or Safety Concern
Share concerns related to patient care, safety, staffing, workflow, or working conditions.
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Recent HSA Priorities
HSA continues to organize around the issues that matter most to residents and fellows, including compensation, scheduling, educational protections, benefits, reimbursements, patient care, safety, and contract enforcement.
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Our union is strongest when members participate, raise issues early, and stay connected with their representatives.
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Get Involved
You do not need to be a contract expert to get involved with HSA. Members can serve as department representatives, join committees, support outreach, participate in labor-management priorities, and help build a stronger union at Cook County.
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