Program Director Message

Ivy Darden

Steven Tringali, DO

Program Director

We are proud of what we have to offer, and are happy you are visiting us online.



The UCSF Fresno Internal Medicine residency program offers a one-year preliminary ACGME-accredited program and a three-year categorical ACGME-accredited program. 

The UCSF Fresno Internal Medicine residency program participates in the National Resident Matching Program (NRMP).  All applications are handled through the Electronic Residency Application Service (ERAS) sponsored by the Association of American Medical Colleges.

Program Director – Steven Tringali, DO
Program Name: Internal Medicine
Program Code: 1022140C0
Program Name: Medicine Preliminary
Program Code: 1022140P0

For information about our application requirements please see below. For answers to specific questions, please contact:

155 N Fresno St, Fresno CA 93701
Telephone: (559) 499-6500
FAX: (559) 499-6501
Web address:

Application Requirements: ( Program Specific Information)
Pass each USMLE or COMLEX exam on first attempt; graduation from medical school by early June. We require all foreign medical graduates that have not completed rotations in the United States to complete at least 4 weeks of observerships in at least 2 different clinical settings. Hands on experience is preferred.

Minimum Employment Requirements
To be eligible for a residency/fellowship appointment contract with the UCSF Fresno Medical Education Program, all current or expected trainees must possess one of the following for the duration of their  anticipated years of training:

  • be a United States citizen
  • be in possession of a green card
  • be in possession of an EAD (work permit)
  • possess an ECFMG –sponsored J-1 visa

Please note that we accept applications with documentation of J-1 Visa status, but cannot accept any other category of visas (e.g. H1B).

As our trainees rotate to the VACCHCS, they must follow Federal Law and register for Selective Service. Trainees are not eligible for employment in programs that rotate to the VACCHCS if they have not registered for Selective Service or obtained a Status Information Letter from Selective Service indicating they were either not required to register with Selective Service or are exempt from the registration requirement. Additional information regarding Selective Service can be found at:

California Medical License-
Effective January 1, 2020, a Postgraduate Training License (PTL) is required for all trainees participating in a California ACGME program who have less than thirty-six (36) months of postgraduate training. A trainee must obtain a PTL within 180 days after enrollment in a board-approved postgraduate program. Trainees who have successfully completed thirty-six months of board-approved postgraduate training, with at least 24 consecutive months in the same program, must obtain a full and unrestricted California medical license.

Background Checks
UCSF Fresno is committed to selecting and hiring the most capable housestaff in order to pursue its strategic goals of excellence in teaching, learning, research, scholarship, creative activity and service to the community. All offers of appointment to UCSF Fresno sponsored GME programs are specifically conditioned upon a criminal background investigation. Background checks will be carried out by an agency on behalf of UCSF Fresno Graduate Medical Education Office. By signing the background check release form, prospective trainees are consenting to a background investigation

Additional Information for Foreign Medical Graduates
You must be in possession of an ECFMG (Educational Commission for Foreign Medical Graduates) certificate in order to begin residency training in the United States Please visit the ECFMG website at for additional information on how to obtain certification.

Fully accredited by the Accreditation Council for Graduate Medical Education.