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.


Upcoming Conferences

Cardiology in the Valley

Mini Med School 2018

Sept. 4, 11, 18 and 25

Every Tuesday in September. The cost is $20 for the entire series. Pre-registration is required. Space is limited.

Research Day

At the end of the third year, all residents are expected to present the results of their research projects during the research day that is coordinated by Simon Paul, MD and Paul Mills, PhD. Selected research projects are presented during Grand Rounds for residents and faculty members.


faculty member with 2 residents at 2015


(First Place)
Ciz1b Variant as a Surrogate Marker in Surveillance of Lung Cancer Recurrence
Miguel Risco MD; Valentine Ifeacho MD; Artem Ryazantsev DO; Ololade James MD; Gary Rubiaco MD; Kyle Almodovar DO; Daya Upadhyay MD

(Second Place)
Differentiating Coccidioidomycosis from Lung Cancer in High Risk Individuals
V. Ifeacho, MD; O. James, MD; M. Risco, MD; G. Rubiaco, MD; A. Ryazantsev, MD; K. Almodovar, MD and D. Upadhyay, MD Lung Nodule Program, Division of Pulmonary and Critical Care Medicine, University of San Francisco, Fresno, California

(Third Place)
Frequency and Factors Associated with Thirty Day Hospital Readmissions among Systemic Lupus Erythematosus Patients in a Community Hospital in the Central Valley
A. Legesse MD, O. James, C. Yuvienco, MD, RhMSUS

Pulmonary Capillary Wedge Pressure (PCWP) and its role in determining outcomes in Pulmonary Arterial Hypertension (PAH)
Srilatha Venepally, MD, Reza Ronaghi, MD, Aysha Imtiaz Khan, Vijay Balasubramanian, MD. – UCSF Fresno

Circulating Stanniocalcin-1 in the diagnosis of Lung Cancer
A. Ryazantsev, MD; V. Ifeacho, MD; G. Rubiaco, MD; M. Risco, MD; O. James, MD; K. Almodovar, MD and D. Upadhyay, MD Lung Nodule Program, Division of Pulmonary and Critical Care Medicine, University of San Francisco-Fresno, California

Natural History of Coccidioidomycosis Lung Nodules
Sachdeva Mickey, Sahota Gurpartap, Rosario Jonathan T., Mills Paul K., Peterson Michael W., Bilello Kathryn L. University of California, San Francisco—Fresno Educational Program Fresno, California

Incidence of Takotsubo Cardiomyopathy in Patients Presenting with Seizures
Samim A, Ives-Tallman C, Khatri B, Reddy HK, Ambrose JA

Detection of Coccidioides Immitis Antigen Directly in Clinical Specimens Using Real-Time PCR in the Central California San Joaquin Valley
Dizon, D, Mitchell, M, Peterson, M, Libke, R, Chin, C, Mills, P and Oliver, D 1University of California–San Francisco, Fresno, California, USA, 2Microbiology Department, Community Regional Medical Center, Fresno, California, USA

Hemoglobin A1c level as a predictor of adverse events: A retrospective cross-sectional survey of hospitalized diabetics with common infectious diseases
Rebecca Flanagan, DO and Steven Stoltz, MD

Elevated Plasma Ciz1b Variant Expression In NSCLC Are Reduced After Surgical Resection of Stage I Lung Cancer
Gary Rubiaco MD, Valentine Ifeacho MD, Miguel Risco MD, Artem Ryazantsev DO, Ololade James MD, Kyle Almodovar DO, Daya Upadhyay MD

Group photo 2014


Effect of Thyroid Hormone Dose and Type On the Outcome of Patients with Myxedema Coma. Brittany Doremus DO, Linda Truong DO, Jarae Ng DO, Soe Naing MD

A Case-control Study of Risk Predictors for Opioid Overdose: Morphine and other Opioids Associated Unresponsiveness due to Respiratory Depression Requiring Nalaxone Treatment. Joshua Lin DO, Steven Stoltz MD, Nahera Adams MD, Raman Mattu MD, Leonid Vydro MD, et. al.

Finding and Evaluating Sleep-disordered Breathing as a Contributing Factor to Persistent Gastroesophageal Reflux Disease (GERD). Pegah Mashayekhi DO, Eyad Almasri MD, Mandeep Singh MD, Pradeep Doddamreddy MD.

The $2 Billion Evaluation of Syncope: How Many Diagnostic Studies Completed Were Actually Indicated? Amir Najafi DO, Steven Tringali DO, Robert Ferdman DO, Nabil Baig DO.

Prevalence of Methamphetamine Use and Associated Mortality in Patients with Cocci Receiving Care at Community Medical Centers Between 2012-2014. Hau Nguyen MD, Anandit Mu DO, Noris Figueroa-Reyes MD, Jared Rutledge PhD.

Is Mastoiditis in Adults Over Diagnosed? Scott Price MD, Steven Tringali DO.

Lung Volume Indices Correlate Better with the Duration of Asthma than Spirometry. Kazi Rahman DO, Anupama Tiwari MD, Belayneh Abejie MD MPH, Vipul Jain MD, Jose V Joseph MD.

Management of Bleeding Complications in the Era of New Anticoagulation: A Retrospective Study. Jose Robles-Huerta DO MS, Joshua Krol DO, Christopher Chin DO, Paul Mills PhD, Hifaa Abdulhaq MD.

Central Valley Lung Nodule Calculator: Development and Prospective Analysis of a Newly Developed Calculator in a Cocci Endemic Area. Reza Ronaghi MD, Ali Rashidian MD, Paul Mills PhD, Michael W Peterson MD.

Choice of Antithyroid Drugs and the Outcome of Patients with Thyroid Storm. Leonid Vydro MD, Shruti Joglekar MD, Steven Sheh MD, Soe Naing MD.

Dr. Michael Peterson presenting award to resident


Frequent Premature Atrial Contractions and their Association with Incident Heart Failure, Stroke and Frequent Medical Contact. Tushar Acharya MD, Michael Cheng DO, Manminder Bhullar MD, Manmeet Singh MD, Brittany Doremus DO, Enrique Carbajal MD.

Nurse-Led Diabetes Medication Management Clinic: An Effective Resource to Improve Glycemic Control. Jacob Cohen MD, Linda Truong DO, Pritisheel Banga DO, Maria Arambulo MD, Ambar Rahman MD, Tiffney Colon DO, Dori Louie-Kai MS, Patricia Calderon RN, Steven Stoltz MD, Soe Nain MD.

Review of Central Venous Catheterization Complication Rates in UCSF-Fresno Residency Programs. Panos Danopoulos MD, Paul Mills PhD, Eyad Almasri MD.

Less Stringent Blood Glucose Target in Medical ICU Patients: Effect on the Frequency of Use of Insulin Infusion, Glycemic Control and Clinical Outcomes. Elizabeth Parra Garnica MD, Jacki Deguzman MD, Pritisheel Banga DO, Norman Orr DO, Paul Mills PhD, Vijay Balasubramanian MD, Soe Naing MD.

Adrenal Failure and Antiphospholipid Antibody Syndrome: A Case Report and Review of the Literature. Emerson De Jesus MD, Soe Naing MD.

Left Ventricular Diastolic Dysfunction Predicts Presence of Pleural Effusion Better than Left Ventricular Ejection Fraction in Congestive Heart Failure. Amita Kalra MD, Arang Samim MD, Amit Kalra BS, Jacki Deguzman MD, Belayne Abejie MD, Ralph Wessel MD, Jose Vempilly MD.

The Utility of Inferior Vena Cava (IVC) filter placement in management of Venous Thromboembolism-A Retrospective study. Malaygiri Aparnath MD, Heather Lee MD, Bhavik Khatri DO, Chandra Venugopal MD, Sachin Gupta MD, Vijay Balasubramanian MD.

A Retrospective Study of the Incidence and Presentation of Methamphetamine induced Cardiomyopathy in the Central San Joaquin Valley. John Ambrose MD, Richard Kiel MD, Manminder Bhullar MD, Marta Nalbandyan DO, Reza Ronaghi MD, Bhavik Khatri DO.

Asthma Education and Peak Flow Based Action Plan Decreases Health Care Utilization in Asthma. Mai Lee MD, Christopher Pease MD, Kristopher Richter DO, Nick Youssefi DO, Emerson DeJesus MD, Dominic Dizon MD, Vipul Jain MD.

VA Readmission Rates: Efforts to Risk Stratify the patients for readmission at the VA Central California Health Care System. Heather Lee MD, Christopher Pease MD, Paul Goebel MD.

Trends in Demographics and Aggressiveness of Primary Thyroid Cancer at the Community Medical Centers in California’s Central Valley. Alexander Pi DO, Joshua Lin DO, Tina Nhan DO, Kyle Panzulan, Belayneh Abejie MD, Paulette Ginier MD, Soe Naing MD.

A CT Based Measurement of Left Atrial Area Predicts and Echocardiographic Assessment of Left Atrial Volume and Left Ventricular Function in Heart Failure. Amita Kalra MD, Jacki Deguzman MD, Arang Samim MD, Steven Ratcliff DO, Belayneh Abejie MD, Ralph Wessel MD, Jose Vempilly MD.

The Demographics, Clinica Factors and Outcomes of Acute Coccidiodomycosis Infection Evaluated at CRMC as an In-Patient from October 2009 to December 2013. Kristopher Richter DO, Gail Osijo MD, Mickey Sachdeva MD, Kazi Rahman DO, Christopher Russo DO, Belayneh Abejie MD.

Implementation of a Standardized Approach to Family Meetings in the Intensive Care Unit to Improve Resident Experience and Family Satisfaction. Kathy Edalat Parsi DO, James Simmons DO, Ivy Darden MD, Susan Hughes MS.

Preeclampsia-Is there a Correlation with Obstructive Sleep Apnea? Puja Thakkar DO, Lynn Keenan.

The Prevalence of Diabetes Retinopathy in Pregnant Hispanic Women with Preexisting Diabetes Mellitus or Gestational Diabetes Mellitus. Nick Youssefi DO, Apinunt Khemthong DO, Linda Truong DO, Christopher Russo DO, Ragini Sastry DO, Dori Louie Kai MS, Conrad Chao MD, Soe Naing MD.


Dr. Miachel Peterson with 2012 winners

Subclinical Left Ventricular Dysfunction in Women at Risk for Peripartum Cardiomyopathy. Samer Moghaddam MD, Heather Lee MD, Farhad Rafii MD, Munir Janmohamed MD, Sarkis Baghdasarian MD, John Ambrose MD.

Rapid Reversal of Severe Heart Failure after Plasmaphoresis in a Patient with Thyrotoxicosis-Induced Dilated Cardiomyopathy and Thyroid Storm. Ahmad Ahmadzia MD, Jacki Deguzman MD, Soe Naing MD.

COPS (Chest Pain Observational Prospective Study)- An Inpatient Analysis of Chest Pain Management. Eveleen Bhasin MD, Manminder Bhullar MD, Mai Lee MD, Bhavik Khatri DO, Manmeet Singh MD.

Descriptive Epidemiology of Pancreatic Cancer in the San Joaquin Valley. Mickey Sachdeva MD, Paul Mills PhD, Haifa Abdulhaq MD.

Study of Demographic Factors in Tylenol Overdose Among Hispanics and Caucasions in a Community Hospital in Central Valley. Amitha Gona MD, Amita Kalra MD, Giri Kalra MD, Pradeep Atla MD, Muhammad Sheikh MD, Mandeep Singh MD.

Takotsubo Cardiomyopathy may be more common than previously reported in postmenopausal women presenting with an Acute Coronary Syndrome. Hong Zheng DO, Manminder Bhullar MD, Fridolin Sy MD, Jagroop Basroan DO, Jonathan Richina, John Ambrose MD.

Gastroparesis in Systemic Lupus Erythematosus: A Case Report. Janet Chou DO, Hong Zheng DO, Richard Bertken MD.

Epidemiology of Lung Nodule in Central California. Natalia Johnson MD.

Comparison of Clinical Outcomes and Resource Utilization in Hispanic Versus Non Hispanic Patients presenting with Gallstone Pancreatitis. Kimpreet Aulakh, Vishnu Illineni MD, Mandeep Singh MD, Pradeep Atla MD, Adnan Ameer MD, Jayanta Choudhury MD, Rabi Kundu MD.

Barriers to Breast Cancer Screening: The Central California Experience at the Community Regional Medical Centers. Jay Patel MD, Andrew Yue MD, Terence Sio MD.

Dr. Michael Peterson presenting award to Dr. Soe Naing