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Practice Management

Access Resources to Understand Surgeon Unionization

February 3, 2026

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Following publication of the article “Is It Time for Surgeons to Unionize?” in the November/December 2024 issue of the ACS Bulletin, the ACS Board of Regents received significant feedback from Fellows and members seeking additional information about physician unionization. In response, the Board formed the Optimal Working Environment for Surgeons Task Force in early 2025 to develop objective, evidence-based resources to help ACS members understand the current landscape of physician unionization.

The goal of the unionization materials is to provide factual, balanced information about how unionization may affect surgeons and surgical trainees, including what can occur under union structures, and the legal and ethical considerations involved. This is an issue that touches the entire House of Surgery. FAQs, supporting materials and bibliographic references are provided to help surgeons and residents make informed, independent decisions about unionization and their professional environment.

This new resource, in the Practice Management section of facs.org, will be updated on a periodic basis.

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