The Resident & Fellow Physician Union – Northwest (RFPU-NW) is an independent labor union formed by the medical resident and fellow doctors at the University of Washington affiliated hospitals (members have graduated medical school but are completing specialty training in a residency or fellowship). RFPU-NW advocates for the residents and fellows with respect to compensation, workplace environment, and benefits. RFPU-NW also is expanding its work in inter-union coalition building for solidarity not only with other unionized workers at the University of Washington, but with other unions in Washington state that share common goals. RFPU-NW has existed as an organization since the 1960s; however, has only been legally recognized as a union since 2014. We represent approximately 1,400+ doctors in training, a large percentage of all physicians in King County, serving UW Medical Center, Harborview Medical Center, VA Puget Sound Healthcare System, Seattle Children’s, Seattle Cancer Care Alliance, and numerous affiliated clinics.