Program Director Message

Ivy Darden

Steven Tringali, DO

Program Director



The UCSF Fresno Internal Medicine residency program offers 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

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

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

Application Requirements ( Program Specific)

  • Graduation from medical school by early June.  For international medical graduates, we prefer a graduation date by early May.
  • Passing score on the first attempt of each USMLE or COMLEX.  We do not have a minimum score, but competitive applicants usually score above the 50th percentile nationally on their exams.
  • We require all international 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.  We will consider international graduates who are applying less than 3 years since graduation.

COVID-19 Update

In response to the COVID-19 pandemic, we are following the Alliance for Academic Internal Medicine recommendations for the residency application cycle.  All interviews for the 2020-2021 interview season will be held virtually.  Additionally, we have no requirements for the completion of USMLE Step 2 CK/CS or COMLEX Level 2 CE/PE prior to interviews or ranking.  We will require 2 letters of recommendation (LOR), with at least one being a clinical LOR from an internal medicine faculty .  We also encourage a department chair’s summary letter of evaluation when available.  While we continue to value the experience that students gain on a traditional MS4 sub-internship, we are not requiring completion of a sub-i for this application cycle.

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 house staff 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.