Program Director Message

Ivy Darden

Steven Tringali, DO

Program Director


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.


Thyroid Dysfunction in a Patient with Malignant Melanoma Treated with Immune Checkpoint Blockade.  Shaveta Gupta MD and Ngwe Yin MD

Multicentric Reticulohistiocytosis: A Case Report with Response to Adalimumab.  Shirley Kim DO, Emily Khatchaturian DO, and Luis Dehesa MD

Clinical Pathological Features and Outcomes of Double-Hit and Double-Expressor Lymphomas in Hispanics versus non-Hispanics Population.  Matthew Lee DO, Tanner Mortenson DO, Noori Mahboub MD, Diana Moers DO, Shirley Kim DO, and Haifaa Abdulhaq MD.

Elevated Serum Complement (C3/C4) Patterns as Inflammatory Marker for Infection in Patients with Fever: A Retrospective Study.  Zi Ying Li MD, Jimmy Saleh, SiYi Huang MD, Mohammed Elhassan MD and Candice Reyes MD

Things We Do for No Good Reason: A Retrospective Study on the Utility of Stool Real-Time Polymerase Chain (PCR) Testing in Management of Patients with Acute Diarrhea at Community Regional Medical Center (CRMC). Zi Ying Li MD, Siyi Huang MD, Kartheek Dasari DO, Mohammed Elhassan MD and Lin Li MD

Reactivation of Chronic Hepatitis C as a Potential Trigger for Guillain-Barré Syndrome. Ogochukwu Molokwu MD, Brittany M. Young MD, Manjit Singh MD, Krishe Menezes MD and Raza Mian, MD

Mutation profile of Colon Cancer in Hispanic Population of Central California.  Sanjay Hinduja MD, Mir Ali, Mohammed Bukari MD, Uzair Bashir Chaudhary MD, Tanner Mortenson MD, Omar Mahmood MD, Matthew Lee DO, and Fihr Chaudhary.

An Eye-Opening Presentation of Complete Oculomotor Nerve Palsy in an Otherwise Healthy Young Adult.  Anthony Tabet DO, Angela Sehgal MD, Faye Pais MD, Mark Stecker MD

PL-7 Antibody Associated Amyopathic Dermatomyositis Causing Interstitial Lung Disease.  Andrew Sumida DO, Brandon Croft MD and Tigran Tiraturyan MD

When in Doubt, It Must be Gout?  A case of Coccidioidal Arthritis in Multiple Myeloma Patient.  Lu Zhao DO

Severe Vitamin B12 Deficiency Mimicking Acute Liver Failure. Humza Maqbool MD, Steve Hu MD, Devang Prajapati MD

Title: Methamphetamine Abuse – Characteristics, Outcomes, Logistics in Pulmonary Hypertension in a Center at Central Valley of California (MEA CULPA II -CVC Study).     P Ebrahimzadeh DO, K Gill MD, M Beutner MD and V Balasubramanian MD

Plasma Lung Cancer Specific Molecular Marker Stanniocalcin-1 Is Highly Upregulated in Non-small cell Lung Cancer with PI3 Kinase Mutation.  M. Lee, DO; S. Umekawa, MD; K. Almodovar, DO; S. Tonthat, DO; S. Lee, DO; S. Khanvilkar and D. Upadhyay, MD

Basal-Prandial Insulin versus Basal-Sliding-Scale Insulin in the Management of Hyperglycemia in Non-Critically Ill Hospitalized Patients.    Victoria Malkhasyan, MD, Michele Maison-Fomotar, MD, Naga Swathi Palakodety, MD and Soe Naing, MD

Feel It or See It: Is There an Association between Ultrasound Use and Success of Lumbar Puncture Performed by Internal Medicine Residents?    Mosaab Mohameden, MD; April Manalaysay; May Kam, MD; Ratnali Jain, MD; Mohammed Elhassan, MD

The Failed ACTH Stimulation Tests in Non-Critically-Ill Inpatients: Predictors and Associations.    Deepti Mundkur, MD; Phuong Dang, MD; Soe Naing, MD,

The FRESNO Project: Fresno Resident’s Prevalence and Severity of Obstructive Sleep Apnea.     Paymon Ebrahimzadeh, DO; Kyle Almodovar, DO; Chloe Brandow, DO; Natasha Singh, MD; Chelsea Park, DO; Dinithi Ketagoda, MD; Lynn Keenan, MD, FAASM

Achieving control of resistant hypertension: Not just the number of blood pressure medications.    Kara Schmidt, DO; William Kelley, DO; Steven Tringali, DO and Jian Huang, MD

The FRESNO (Fresno Residents’ Experience in Sleep and Nighttime Optimization) Project.     Kyle Almodovar, DO, Chloe Brandow, DO, Scott Drew, DO, MPH, Paymon Ebrahimzadeh, DO, MPH, Natasha Singh, MD, Ibrahim Raphael, MD, Charlie Abraham, MD, MBA, FACP, Lynn Keenan, MD, FAASM

Reduction of plasma Engulfment and cell motility protein 3 post-surgery indicates specificity in the detection of Non-small cell Lung Cancer.    K. Almodovar, MD; G. Choi, MD; V. Ifeacho, MD; M. Sachadeva, MD; and D. Upadhyay

The Prevalence and Clinical Characteristics of Rheumatoid Arthritis with Interstitial Lung Disease in the San Joaquin Valley of Central California.     Matthew White, Harpreet Sidhu, Kyle Heber, Ratnali Jain, Candice Yuvienco

Residual Volume Correlated with Severity of Wheeze and Frequency of Inhaler Use in Patients with Persistent Asthma.  Pais, S. Gullapalli, A. Rashidian, T. Tyner, B. Abejie, V. Jain, J. Vempilly

Are we still underutilizing Metformin, the first-line agent to treat the patients with type 2 diabetes?    William Kelley, DO; Armen Bedrosian, MD; Jonathan Pham, DO; Nidhi Saini, DO; Paulette Ginier, MD; Cho C Khine, MD; Soe Naing, MD

Pulmonary Hypertension – Prevalence & Incidence amongst Methamphetamine users (PH-PRIME study).    Scott Drew, Manjit Singh, Christopher Smith, Linda Stokes, Vijay Balasubramanian

Peer Teaching in Hospital Medicine: The Second Year of Implementing the Hospitalist Huddle.    Antonio Toribio, MD; Mohammed Elhassan, MD 

Diastolic Dysfunction is the Predominant Mechanism in the Pathogenesis of Pleural Effusion in Heart Failure.    Chirag Rajyaguru DO, Amita Kalra MD, Arang Samim MD, Amit Kalra BS, Belayneh Abejie MD, Ralph Wessel MD, Jose Joseph Vempilly MD

Echocardiographic Predictors Of Heart Failure In Hypertensive Cardiomyopathy.    Amarbir Bhullar, MD, Manminder Bhullar, MD, Manmeet Singh, MD, Kamil Muhyieddeen, MD, Bhavik Khatri, DO, Robert Ferdman, DO, Amir Najafi, DO, Chandra Katikireddy, MD

Left Atrial To Left Ventricular End Systolic Volume Index Ratio By Echocardiography Can Predict Elevated Left Atrial Pressure In Heart Failure With Preserved Ejection Fraction.    Amarbir Bhullar, MD, Manminder Bhullar, MD, Manmeet Singh, MD, Kamil Muhyieddeen, MD, Bhavik Khatri, DO, Ryan Berg, MD, Enrique Carbajal, MD, Chandra Katikireddy, MD

‘Real World’ Response Rates with Direct-Acting Antiviral Agents Among Veterans with Chronic Hepatitis C Treated at a local VA Medical Center.    Dekey Lhewa MD, Deanna Oliver MD, MBC, Pradeep Atla MD, MPH, Thimmaiah Theethira MD, Nasir Halim MD, Shilpi Gupta MD, Devang Prajapati MD

Prevalence of Cardiovascular disease in the population of Psoriatic Arthritis patients in Fresno, CA.   Maria Bisaha, MD; Lorean Nwosu, MD; Abbas Hasnain, MD and Candice Yuvienco, MD

Incidence of Primary CNS Lymphoma at tertiary care facility in Central Valley, California. Drs. Sanjay Hinduja, Karamjit Dhaliwal, Miguel Risco, Haifaa Abdulhaq

Cancer Incidence in the Hmong of California, 2002-2013: A Comparison of Patients Treated at a Tertiary Care Center in Fresno, CA, the County and Statewide.     Priya Jayachandran, MD, Paul Mills, PhD, MPH

Improvement in Glycemic Control in Patients with DM Is Not Dependent on Weight Loss in a Diabetes Self-Management Education Program.    Christine McElyea, Srilatha Venepally, Jennifer Hoang and Soe Naing, MD

The occurrence and re-occurrence of Hepatocellular Carcinoma in the setting of recent direct acting antiviral therapy.  Drs Omid Tehrani, Christine McElyea, Ryan Pierce & Hiral Patel

The Association Between Co-Morbid Conditions And Clinical Outcomes In Patients Undergoing Lower Extremity Amputation.    Reddy P, Bikk A, Mills P, Mo L, Huang J

Assessment Of Comprehensive Cytokines Profile In Patients With Decompensated Cirrhosis With Various Complications.     Sheikh M MD FACP,FACG,AGAF, Singh R MD, Roshan B MD, Atla P MD, Ravindran R MD, Khan I MD, Haq T MD.

What are the Diagnostic ECHO markers of Atrial Fibrillation Tachyarrhythmia Induced Cardiomyopathy?    Nitin Thinda, MD; Chandra Katikireddy, MD; Ratnali Jain, MD; Nahera Adams, MD

The FRESNO (Fresno Residents’ Experience in Sleep and Nighttime Optimization) Project.    Charlie Abraham, MD, MBA, FACP, Kyle Almodovar, DO Armen Bedrosian, MD, Chloe Brandow, DO, Grace Choi, MD, Rajpreet Saini, DO, Natasha Singh, MD, Lynn Keenan, MD, FAASM

Colonic Diverticulosis Associated with Increased Risk of Adenomas.    Raj Shah, MD; Arjun Mann, BA; Jonathan Kung, MD; Devang Prajapati, MD, FRCPC

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