It takes 11 years or more to produce a practicing physician after high school, depending on the specialty.

UCSF Fresno last month celebrated the completion of years of training for more than 100 graduates including medical residents and fellow physicians, Oral and Maxillofacial Surgery dental residents, a Head and Neck Oncology and Microvascular Reconstruction fellow, and two Emergency Medicine physician assistants.

“Commencement is the celebration of the culmination of years of training, hard work, commitment, and dedication exhibited by our graduating residents and fellows,” said Stacy Sawtelle Vohra, MD,  Designated Institutional Official and Emergency Medicine Residency Program Director at UCSF Fresno.

“We applaud them as they enter the next phase of their careers and are thrilled that many are staying in the Valley to care, teach, heal and conduct clinical research that addresses Valley health issues.”

The San Joaquin Valley has one of the lowest number of doctors per 100,000 people in California. And, about 30% of the physicians in the region are at or nearing retirement age.

UCSF Fresno is the largest academic physician training program in the Valley, and the biggest contributor to adding physicians to the region’s workforce. For example, 83% of the residents completing training in UCSF Fresno’s four-year Psychiatry Residency Program this year are staying in the Central Valley to provide much-needed mental health care.

Residency Provides Hands-on Clinical Training

Residency is the required hands-on clinical training after medical school when clinicians fine-tune skills under the guidance of attending faculty members prior to practicing independently. Fellowships are advanced training after residency and are instrumental to retaining residents who wish to continue their medical education in a particular sub-specialty.

“For some of the graduates who completed medical school during the COVID-19 pandemic, this was the first time celebrating a medical education graduation in person,” said Steven Tringali, DO, Acting Director, Clinical Affairs, and Internal Medicine Residency Program Director at UCSF Fresno. “We are grateful for the tremendous teamwork they have afforded one another, the compassionate care they provide to our patients, and the contributions they have made to our regional campus and community.”

As a regional campus of the UCSF School of Medicine, UCSF Fresno carries out its training and patient care through a network of affiliated partners including Community Health System, VA Central California Health Care, Family HealthCare Network, University Centers of Excellence, and many other clinical sites.

2023 Commencement Highlights:

• 83% or five of the six graduating Psychiatry residents will stay in the Central Valley to provide much-needed mental health care;
• 52% or 13 of the 21 graduating internal medicine residents including chief residents will stay in the Central Valley to provide primary care;
• The Advanced Cardiac Imaging Fellow will stay at UCSF Fresno for a Cardiovascular Disease Fellowship and the Hepatology Fellow will stay at UCSF Fresno for a Gastroenterology Fellowship;
• 60% of UCSF Fresno graduates will remain in California to provide care;
• Graduates from Community Health Systems’ General Dentistry Residency program also were recognized during the commencement program.

Numerous Awards Presented:

Jeff Thomas, MD, Chief Quality and Medical Officer, Community Regional Medical Center, presented the Resident and Fellow Awards:

• Outstanding First-Year Resident: Nam Huynh, MD, Internal Medicine
• Outstanding Resident or Fellow Teacher: Tania Zavalza Jimenez, MD, Family and Community Medicine
• Outstanding Attending Teacher: Robert Julian, DDS, MD, Oral and Maxillofacial Surgery
• Outstanding Non-Physician Teacher: Francisco Ibarra, PharmD, BCCCP, Emergency Medicine Clinical Pharmacist (CRMC)

Eyad Almasri, MD, Assistant Dean for Research at UCSF Fresno, presented the Borba Research Awards:

• Borba Faculty Research Award: Geetha Sivasubramanian, MD, Internal Medicine
• Borba Research Award: Sujana Balla, MD, Internal Medicine
• Borba Research Award: Hunza Chaudhry, MD, Internal Medicine

Wessel Meyer, MD, Associate Chief of Staff for Education, VA Central California Health Care System, presented:

• VA ICARE Award: Rameen Atefi, DO, Internal Medicine

Steven Tringali, MD, FACP, Acting Director, Clinical Affairs, UCSF Fresno presented the:

• Henry J. Kaiser Award for Excellence in Teaching: Ivance Pugoy, MD, Internal Medicine

David Peters, vice president, Leon S. Peters Foundation, presented the Leon S. Peters Foundation Resident and Fellow of the Year Awards:

• Leon S. Peters Resident of the Year: Sarah Koser, MD, MPH, Emergency Medicine
• Leon S. Peters Fellow of the Year: Emmily Poole, MD, Internal Medicine

John Moua, MD, Chief of the Department of Pediatrics and Member, Board of Governors, Fresno Madera Medical Society (FMMS) presented:

• Steven N. Parks, MD, Leadership Award: Avinash Sharma, MD, Internal Medicine, Cardiology

Among the 2023 UCSF Fresno Graduates:

Selma native Monique Kaur Atwal, MD, (photo right) is completing a four-year residency training program in Psychiatry at UCSF Fresno. After graduation, Dr. Atwal will work for the Fresno County Department of Behavioral Health Transitional Age Youth Program and serve as volunteer Psychiatry faculty at UCSF Fresno. Dr. Atwal is a graduate of the UC San Joaquin Valley Program in Medical Education (SJV PRIME) and UCSF Fresno Sunnyside High School Doctors Academy. She became a physician because she enjoys helping others and grew up in a community where access to health care was limited.

Visalia native Brandon J. Croft, MD, (photo left) completed a three-year residency training program in Internal Medicine at UCSF Fresno. After graduation, he will continue his education in the three-year UCSF Fresno Pulmonary and Critical Care Medicine Fellowship. By the time he completes his graduate medical education, he will have spent six years training at UCSF Fresno, but Dr. Croft’s first exposure to the UCSF School of Medicine regional campus in Fresno was 10 years ago in 2013. Prior to entering medical school, he worked in the UCSF Fresno Clinical Research Center and as a scribe with the UCSF Fresno Department of Emergency Medicine. Scribes are employed by Central California Faculty Medical Group and work with UCSF Fresno Emergency Medicine physicians to document patient information at Community Regional Medical Center.  He also studied at UCSF Fresno from 2018 to 2020 as a student in the UC San Joaquin Valley Program in Medical Education (SJV PRIME).

Dan Ward, MD, (photo right) completed a four-year residency training program in Emergency Medicine at UCSF Fresno. After graduation, he will serve as an active-duty Emergency Medicine physician in the U.S. Air Force and will stay on at UCSF Fresno as per diem faculty.  Dr. Ward was motivated to pursue a career in medicine as a child when he watched his mother receive care for a debilitating autoimmune condition.  Dr. Ward was born and raised in Fresno. He attended Bullard High School and graduated Magna Cum Laude with a bachelor’s in chemistry from Fresno State as part of the Smittcamp Family Honors College. He also received associate degrees in engineering, Mathematics and Health Information Technology from Fresno City College. He earned a medical degree from the UCSF School of Medicine.

Tania Zavalza Jimenez, MD, (photo left) completed a three-year residency training program at UCSF Fresno in Family and Community Medicine. After graduation, she will stay on as faculty in the Family and Community Medicine Department. Born in Mexico, Dr. Zavalza Jimenez moved to San Francisco with her family and then relocated to Turlock. A desire to help people, especially the underserved and those who do not speak English, motivated her to become a physician. She also felt called to work with undocumented and migrant communities. Being undocumented herself at one point, made college and becoming a doctor more challenging, she said.

The 2023 UCSF Fresno Resident and Fellow Commencement Program is available here.

About the Author

Brandy Ramos Nikaido is the director of public affairs, communications, and government relations for UCSF Fresno.