Program Director Message

Ivy Darden

Steven Tringali, DO

Program Director



We provide an unparalleled opportunity to develop procedural competencies while in residency.  Our graduates complete training with a broad set of procedural skills.  All resident will become privileged in the following procedures:

  • Central venous catheter insertion
  • Arterial catheter insertion
  • Lumbar puncture
  • Thoracentesis
  • Paracentesis
  • Arthrocentesis
  • Pelvic exam

In addition to our required procedural competencies, many residents develop competencies in endotracheal intubation, incision & drainage, and punch biopsies.

In just this last academic year, our residents logged over 1400 procedures.

logged procedures 2019-20

How do we do this?

It all starts on day one.  During Intern Bootcamp you will be exposed to the fundamentals of sterile technique, ultrasound-guidance for central line insertion, and endotracheal intubation.

In 2015, we created a procedure rotation to add more opportunities and focused experience in procedural training.  All interns will spend a minimum of 2-week on the rotation.  The rotation includes dedicated time in one of our state of the art simulation centers, training in ultrasound techniques, and bedside procedural training.

Additionally, residents will perform various procedures on their patients while rotating on our robust critical care and wards rotations.

While the number and variety of procedures that internists perform has dwindled over the years, the strength of our procedural training has only grown.  We ensure that all of our graduates have the confidence and competence to perform all of the common medicine bedside procedures.

As an example, below is the tally or procedures logged by each of our recent grads:

Resident Graduation Procedure Tally

procedure tally 2020 grads