 It negotiates with the provincial government on behalf of the interns and residents, like the Ontario Medical Association for physicians with a certificate of registration for independent practise.PAIRO was responsible for initiatives that lead to the recognition of the dual status of interns and residents as trainees and first-line physicians in hospitals in Ontario.In 1996, the union negotiated a home after 24/28 hour call rule, similar to the 80-hour week in place in training centres in the United States.