Patrick J. Macmillan, MD


Dr. Patrick Macmillan is the Chief of Hospice and Palliative Care, and is serving as the fellowship director.  He is board certified in Internal Medicine, Psychiatry and Hospice and Palliative Medicine.  He was on the faculty at East Tennessee State University for six years before moving to Fresno to devote his energy to caring for chronically and terminally ill patients.  He is dedicated to academic teaching and has been involved in training residents and medical students all of his career.   

Lidia Rodriguez-Carranza, MD


Lidia Rodriguez Carranza joined the faculty for the Hospice and Palliative Medicine fellowship in April 2015.  She is board certified in Internal Medicine, Geriatrics and Hospice & Palliative Medicine.  Before coming to Fresno Dr. Rodriguez-Carranza was Clinical Director of Geriatric Services at Golden Valley Health Centers.  She also precepted University of the Pacific and UC Davis students.  Dr. Rodriguez-Carranza did her residency training at Harrisburg Hospital in Pennsylvania and completed a one-year fellowship in Geriatrics at the University of Pittsburgh.  Born and raised in Peru Dr. Rodriguez-Carranza is fluent in both Spanish and English.  She enjoys outdoor activities:  hiking, sightseeing, rafting and exercising.  She also enjoys traveling and listening to music.

David Sine, MD


Dr. David Sine obtained his BScN/RN and medical degree at McMaster University in Canada.  He completed his Pediatric Residency at UCSD/Rady Children's Hospital, and served as Chief Resident.  Following residency he accepted a position as a teaching attending and Hospitalist at Rady Children’s Hospital.

He worked tirelessly from internship on with San Diego Hospice toward the development and partnership with Rady Children’s Hospital and UCSD.


He and his wife Kealani, also a pediatrician, moved to central California 21 years ago to raise their three daughters (Malia Kalei and Leiana) in a more rural setting.  They were Hospitalists and then opened their own practice 4 years ago. David now works with his wife three days, and in a rural clinic for underserved/special needs children one day a week


He serves as the Medical Director for Palliative Care at Valley Children’s Hospital performing consultations and teaching the UCSF HPM fellows one day a week. He has been the Medical Director for Tulare Pediatric Hospice for over 10 years and Hinds Hospice for over a year.


His other interests outside of medicine include spending time with three very busy daughters, Brazilian Jujitsu, and relaxing time on the Coast

After reflecting on 22 years of working with children facing life threatening limiting illness Dr. Sine remarked, “I cannot affect the final outcome but will do everything I can do maximize quality of life and comfort.”

Ivy Darden, MD

Dr. Darden is the UCSF Fresno Internal Medicine Residency Program Director. She attended medical school at UCLA and completed her Internal Medicine Residency at UCSF Fresno.  Dr. Darden is board certified in Internal Medicine and Critical Care Medicine.  Dr. Darden has had numerous awards and recognitions including the Henry J. Kaiser award for Excellence in Teaching, UCSF Fresno in 2008.  Outside interests include baking (especially for her residents) and woodworking.

Greg Copeland, DO


Dr. Greg Copeland was born & raised in Fresno Ca, and completed his medical training in Kansas City. He is board certified in both Family Medicine and Hospice/Palliative medicine. He enjoys working alongside his dad in private practice in north Fresno as well as serving as a hospice medical director. He rejoined the UCSF faculty as associate program director in the summer of 2016. When not at work, he enjoys spending time with his beautiful wife & four children.

Arlin Venturina, MD


Dr. Venturina is the Assistant Program Director of the Family Medicine Residency Program. She is a UC San Diego graduate where she received a BS in Biochemistry and Cell Biology. Her Doctor of Medicine degree is from Ross University School of Medicine. She is a graduate of UCSF Fresno Family Medicine Residency (CMC pathway). Dr. Venturina is Board certified in Hospice and Palliative Medicine. She is very involved in the outpatient Palliative Care Clinic at CRMC.


Lisa Lamberth, MD


Dr. Lamberth is an attending physician at the VA Medical Center in Fresno.  Her background is in Oncology and Palliative Medicine.  She has been part of the HPM Fellowship faculty since 2008.

Duc Chung, MD


Dr. Chung is a recent graduate of the UCSF Fresno HPM fellowship. Prior to this, he completed a residency in physical medicine and rehabilitation at the UCLA/VA Greater Los Angeles Multicampus Program where he was selected as Chief Resident. Dr. Chung is currently a palliative care provider at Kaiser Permanente and Hinds Hospice. He enjoys clinical teaching, research, and incorporating alternative medicine into his practice. Outside of work, he enjoys spending time with friends/family, trying new cuisines, reading, and writing. Dr. Chung has a deep passion for the field of hospice and palliative medicine and currently serves on the AAHPM Public Policy Committee where he helps review and craft new legislation impacting our field.

Susan hughes

Susan Hughes, MS


Ms. Hughes is Family Medicine’s Research Director and Associate Adjunct Professor in Family & Community Medicine.  She works closely with HPM Fellows on all aspects of research from conception, searching for funding, refinement of question to a testable hypothesis, recruiting and overseeing personnel necessary to complete the study, writing Institutional Review Board applications, data management, data entry, data cleaning, data analysis, to finding an appropriate forum to disseminate results, preparing abstracts, presentations and manuscripts. She has a BA in mathematics from California State University, Fresno and a MS degree in Biostatistics from the School of Public Health at the University of California, Los Angeles. Her interests include Geographic Information Systems (GIS) and database design.  She has co-authored several manuscripts with fellow faculty.

Kathryn Veyna, NP


Kathy began working with UCSF Family Practice Palliative Medicine in May of 2014 and has recently been appointed faculty clinical Instructor with the UCSF Department of Family Medicine. She has Advanced Certified Hospice and Palliative Nurse Certification as well as American Academy of Nurse Practitioners National Certification. Kathy graduated from the UC Davis School of Family Medicine PA/NP program and then worked for 12 years with a private Fresno Oncology group. A lymphoma and stem cell transplant survivor herself, she has a great interest and empathy for people diagnosed with cancer, as well as those who are chronically ill. 

She enjoys working with the Palliative multidisciplinary team, and in her spare time enjoys the outdoors, hiking, cycling, painting and dancing.