Internal Medicine
About the Program
Residency Overview
This three-year program provides a broad clinical experience to general and subspecialty Internal Medicine within a community hospital setting. Residents may tailor their curriculum to prepare them for primary care IM or subspecialty residency training; outside electives are also available. ICU/IM call is scheduled on a tiered system. The program provides MKSAP and Uworld to all residents individually. DynaMed available online on Epic platform for immediate clinical reference. Program provides two other study guides picked by residents for collective use.
Fellowship Opportunities
Garden City Hospital offers fellowship training in the following subspecialties.
* Cardiology (3-year program)
Quick Facts
Program duration: 3 years
Approved positions: 33
Current filled positions: 30
Program Director
Dr. Kambhatla is a graduate of Jawaharlal Nehru Medical College in Raipur, India. She completed her internship and residency training in Internal Medicine at Wayne State University. Dr. Kambhatla is board-certified in Internal Medicine and has been a member of our teaching faculty for Internal Medicine since 2000.
Dr. Kambhatla is the Chief of Staff at Garden City Hospital and the Program Director for the Internal Medicine residency program.
Curriculum
PGY-1 (52 Weeks Total)
- 18 Weeks of Internal Medicine Floor
- 6 Weeks of Floor Nights
- 4 Weeks of ICU Days
- 4 Weeks of ICU Nights
- 4 Weeks of Infectious Disease
- 4 Weeks of Cardiology
- 4 Weeks of Neurology
- 4 Weeks of Emergency Medicine
- 4 Weeks of Nephrology
PGY-2 (52 Weeks Total)
- 17 Weeks of Internal Medicine Floor
- 12 Weeks of Electives
- 4 Weeks of ICU Nights
- 4 Weeks of Ambulatory Clinic
- 4 Weeks of Endocrinology
- 4 Weeks of Pulmonology
- 4 Weeks of Rheumatology
- 3 Weeks of Floor Nights
PGY-3 (52 Weeks Total)
- 10 Weeks of Internal Medicine Floor
- 12 Weeks of Electives/Research
- 4 Weeks of Hospitalist
- 4 Weeks of ICU
- 4 Weeks of Gastroenterology
- 4 Weeks of Hematology-Oncology
- 4 Weeks of Geriatrics
- 4 Weeks of Ambulatory Clinic
- 4 Weeks of Addiction Medicine/Palliative Medicine (2 Weeks Each)
- 1 Week of ICU Night
- 1 Week of Floor Nights
Academic Schedule
Daily morning report, noon lecture run by both attending physicians and residents, 2-hour didactics, Grand Rounds run by Wayne State University every Tuesday. Monthly there is M&M, Journal Club, COGMET lectures series from Michigan State University, Grand Rounds, Tumor Board.
- Didactics Wednesday
- Morning Report Monday through Friday
- Board Preparation Tuesday and Thursday
- Grand Rounds 4 Per Year
- M&M 2 Per Year for IM
- Tumor Board 2 Per Year
- Journal Club
Academic Accolades
HSPI JOURNAL OF PULMONOLOGY & RESPIRATORY REARCH
- An interesting case of COPD, exacerbation presenting with mixed features of intracranial hypertension and hypercapnic encephalopathy – C. Wu / G. Mendez / A. Gandhi / S. Kambhatla / F. Siddiqui / A. Pasha / R. Madhavan
CUREUS JOURNAL OF MEDICAL SCIENCE
- Post myocardial infarction (MI) left ventricular free wall rupture managed conservatively – N. Malik / A. Vadher / K. Pannikottu / S. Kambhatla / W. Harder
- Oculogyric crisis following dosage increase of aripiprazole: A case report – N. Malik / S. Othman / A. Tiwari / S. Mantravadi / S. Salari / A. Dabaja / S. Kambhatla.
- Recognizing debilitating and fatal dysautonomia in patients with parkinson’s disease in the emergency room: A case report and narrative report – C. Wu / K. Ariff / S. Kambhatla / B. Brenner
PUBMED NIH NATIONAL LIBRARY OF MEDICINE
- Clozapine related functional bowel obstruction: A rare adverse effect unmasking quetiapine and beztrophine interaction raising need for bowel surveilance – A. Tiwari / S. Kambhatla / N. George / P. Chalasani / N. Malik / S. Kambhatla
WORLD CONGRESS ON INFECTIOUS DISEASE
- Right Thalamic abscess in a caucasian man with Rheumatoid Arthritis, an interesting case report – M. Zeb
CHEST PRESENTATIONS
- Insterstitial Lung Disease in Anti-Synthetase Syndrome – A. Gandhi / R. Yedidi / K. Singh / A. Pasha / A. Ware
- Lower GI Bleeding w/ Legionnaires Disease – A. Jha / P. Gupta / A. Tiwari / S. Kambhatla
- Infective Endocarditis in an immunosuppressed patient presenting w/ diarrhea – A. Jha / R. Yedidi / A. Gandhi / W. Harder / S. Kambhatla / P. Gupta / A. Tiwari / N. Malik
- Gram Negative Bacteremia resulting in Infective Endocarditis: A rare presentation, Boston, MA – A. Gandhi / A. Jha / Soueidan AS
- Medical Management of Left Ventricular Free Ventricular Free Wall Rupture – A. Gandhi / R. Yedidi / A. Pasha
5TH EDITION CARDIOLOGY WORLD CONFERENCE – SPAIN
- Insulin resistance spawns Hypertriglyceridemia induced Acute Pancreatitis and Diabetic Ketoacidosis: Unboxing a new metabolic crisis – C. Wu / C. Saad
ACP MICHIGAN CHAPTER
- Empowering clinical excellence in Sepsis Diagnosis and Treatment: A resident focused quality improvement study – A. Vadher / M. Zeb / P. Chalasani / R. Devireddy / S. Kambhatla / A. Pasha
- Immunologic Disease initially presented with cough and skin changes – R. Yedidi / A. Gandhi / A. Tiwari / S. Kambhatla / A. Ware
- Deciphering the Enigma: A case report on new onset Graves Disease presenting as Thyroid Storm in the 1st Trimester of Pregnancy, managed in ICU setting – M. Zeb / S. Salari / A. Tiwari / A. Vadher / S. Kambhatla
- Role of Beta Blockade in Cocaine Induced Aortic Dissection / A. Gandhi / S. Mantravadi / C. Cross / A. Vadher / A. Tiwari / S. Kambhatla
- A rare case of Hafnea Alvei Causing Urosepsis in a critically ill patient – N. Malik / A. Shehadeh / U. Malik / A. Pasha / S. Kambhatla
- Enhancing Healthcare Team Awareness and Confidence for IN-Hospital Hypoglycemia: A quality improvement initiative to improve patient safety – A. Tiwari / M. Zeb / S. Kambhatla
- A case of Gastric GIST presenting as massive rebleeding – P. Chalasani / A. Jha / A. Gandhi / S. Kambhatla / B. Hmoud
- Psoas abscess due to group B Streptococcus presenting as diabetic ketoacidosis – H. Mazen / L. Johnson
- A case of recurrent Subdural Hematoma treated with middle meningeal artery embolization – S. Mantravadi /A. Jha / G. Faria Mendez / R. Yedidi / R. Madhavan / S. Kambhatla
- A Case of Chronic Cavitary Pulmonary Aspergillosis – A. Gandhi / R. Yedidi / A. Pasha
AMA RESEARCH CHALLENGE VIRTUAL POSTER SYMPOSIUM
- Insulin Resistance Spawns Hypertriglyceridemia-Induced Acute Pancreatitis and Diabetic Ketoacidosis: Unboxing a new metabolic crisis – C. Wu
- Complex presentation of IGA Nephropathy and FSGS Leading to Severe Nephrotic Syndrome in a 23 year old female with morbid obesity – S. Othman / S. Kambhatla / C. Saad
- Hyperlactatemia in Septic Shock, Unmasking the false Notion; An Intriguing Case Report – M. Zeb / A. Tiwari / M. Hasan / A. Dabaja / S. Kambhatla / Oral Presentation Dr. Mazan Hasan
AMERICAN COLLEGE OF GASTRONENTEROLOGY CONFERENCE 2024 – PHILADELPHIA
- A rare presentation of Extra-Pancreatic Acinar Cell Carcinoma as Duodena Polyp. – P. Chalasani / A. Tiwari / S. Kambhatla / B. Hmoud
MSU-SPARTAN JOURNAL_RESEARCH SYMPOSIUM-PUBLISHED
- Hyperlacatemia in Septic Shock, Unmasking the False Notion; An Intriguing Case Report – M. Zeb / A. Tiwari / M. Hasan / A. Dabaja / S. Kambhatla
MAYO CLINIC NEPHROLOGY, HYPERTENSION AND KIDNEY TRANSPLATATION UPDATE FOR THE CLINICIAN 2025
- Complex Presentation of IgA Nephropathy and FSGS Leading to Severe Nephrotic Syndrome in a 23-Year-Old Female with Morbid Obesity – S. Othman / S. Kambhatla / C. Saad
- Paradoxical Hyperkalemia in Barter Syndrome: A case Report of Severe Resistant Hyperkalemia Requiring Hemodialysis – A. Vadher / M. Zeb / S. Joseph / A. Dabaja / S. Kambhatla / C. Saad
ACC
- Crushing Stemi, Hidden Dissection – R. Devireddy / S. Ramireddy / K. Mohammad / K. Pannikottu / O. Qaqish / A. Kumar / P. Venigalla
- Sudden Onset Right Arm Pain – R. Yedidi / K. Pannikottu / A. Kumar / O. Qaqish / S. Ramireddy / M. Zlatopolsky / K. Sharma / A. Kondur
SOCIETY FOR VASCULAR MEDICINE
- A case of Dialysis vascular access thrombectomy using a novel device INARI INTHRILL thrombectomy system on an outpatient basis – Interventional Cardiology case report. Accepted for Poster presentation at Vascular scientific session 2023 of the SOCIETY FOR VASCULAR MEDICINE – R. Devireddy / O. Qaqi
CHEST PRESENTATIONS
- Monge’s disease in a Michigan man – a case report – A. Jha / SP Reddy / S. Kambhatla
- A rare case of Lymphangiomyomatosis with an atypical presentation – K. Singh / P. Anumolu / A. Mohammad
- A case report – Idiopathic tracheobronchomalacia in an adult female with bronchiectasis and review of clinical manifestations, diagnosis, and management – K. Singh / P. Anumolu / A. Mohammad
MI CHAPTER OF ACP
- Clozapine and Benztopine, Associated Functional Bowel Obstruction – R. Yedidi / A. Tiwari / P. Shabou / S. Kambhatla
- Insulin as an alternative to treat hypertriglyceridemia-induced pancreatitis in resources limited settling care report – A. Tiwari / P. Shabou / R. Asbahi / S. Kambhatla
- Pneumomediastinum due to vaping lung injury – A. Gandhi / A. Tiwari / S. Kambhatla / A. Pasha
- Appendicitis: the importance of the physical exam and effective interdepartmental communication – N. Malik / P. Gupta / A. Jha / S. Kambhatla / R. Asbahi
- A case of chronic cavitary pulmonary aspergillosis – R. Yedidi / A. Tiwari / P. Anumolu / A. Pasha
EUROPEAN SOCIETY OF MEDICINE
- Challenges faced by acutely III Covid 19 patients with obesity: A Narrative Review – A. Anebarrassou / S. Kambhatla
ASN
- Impact of chronic kidney disease on complications of hypertensive emergency – A. Surapaneni / A. Kavcar / O. Khadeir / H. El Sharu
- Impact of acute kidney injury on outcomes in patients hospitalized with SARS-CoV-2 Pneumonia – A. Surapaneni /A. Kavcar / O. Khadeir / H. El Sharu
- A case autoimmune enteritis presenting as hypogammaglobulinemia – R. Yedidi / R. Din / C. Akim
AMERICAN HEART JOURNAL PLUS: CARDIOLOGY & PRACTICE
- Research Paper: Chronic total occlusion rotational artherectomy (CTO-RA) verses non-CTO RA in coronary artery disease; a meta analysis of clinical outcomes and complications – R. Devireddy / O. Qaqish / K. Pannikottu / S. Ramireddy / A. Kumar / C. Saad / S. Kambhatla / A. Kondur / N. George / S. Hasan
MSUCOM RESEARCH DAY
- Acute kidney injury induced by rhabdomyolysis in a young male, previously undiagnosed hypothyroidsm – S. Mantravadi
- The importance of recognizing diabetic dysautonomic complications: A narrative review – C. Wu
- A rare case of acute pulmonary embolism masqueading as acute myocardial infarction-not all ST elevations on EKG indicate myocardial infarction – K. Doshi
- A case report of dapaglifozin associated pancreatitis – A. Jishi
- Streptococcus viridans necrotizing fasciitis presenting as fournier gangrene in diabetic patient – A. Gandhi
- Hyperlactatemia in septic shock, unmasking the false notation; an intriguing case report – M. Zeb
- Improving antibiotic stewardship in community acquired pneumonia – R. Yedidi
ACP NATIONAL ABSTRACT
- Rhabdomyolysis in diabetic emergencies: A rare complication highlighting the necessity of prompt creatine kinase monitoring, declining renal function warrants daily monitoring of creatine kinase in diabetic emergencies (HHS-DKA) – A. Tiwari
- Rhabdomyolysis in diabetic emergencies: A rare complication highlighting the necessity of prompt creatine kinase monitoring – S. Salari
AAPI CONFERENCE
- Augmentation of blood pressure with norepinephrine in a normotensive patient, targeting SBP 180 for management of acute ischemic stroke – A. Vadher
ACP MICHIGAN CHAPTERS & SHM
- A rare case of pulmonary valve endocarditis without typical risk factors in the intensive care unit – A. Gandhi
- Quality Improvement: Improving antibiotic stewardship in community acquired pneumonia oral presentation – R. Yedidi
- Insulin resistance spawns hypertriglyceridemia induced acute pancreatitis and diabetic ketoacidosis: A narrative review – C. Wu
- Right Thalamic abscess in a caucasian man with rheumatoid arthritis, an intriguing case report – M. Zeb
- Dermatological adverse effects of cortisol pukp: A case report – A. Tiwari
- Thalamic brain abscess in a caucasian man with rheumatoid arthritis; an intriguing case report – M. Zeb
- Arrythmia induced or unmasked by medication and illness? A case report – S. Othman
MAPI ANNUAL RESIDENT POSTER COMPETITION – FIRST PLACE!
- Streptococcus agalactiae meningitis and endocarditis complicated by septic emboli and a possible cerebral abscess in an elderly patient – N. Malik / N. Kumar / G. Mendez / I. Rahal / S. Kambhatla / R. Madhavan / T. Swaminathan
MSUCOM RESEARCH DAY
- A report of two patients with possible association of Focal segmental glomerulosclerosis and NICM – R. Devireddy, / C. Saad / S. Kambhatla
- Bradycardia in Addison’s crisis in setting of normokalaemia- a rare case – A. Tiwari / A. Dabaja / S. Kambhatla
- A rare case of Gastrointestinal Vasculitis confirmed by radiological modality – R. Moss / S. Elassouli / S. Kambhatla
- Venous gangrene in a patient with HIT – An atypical case of thrombocytopenia with thrombosis – A. Anebarassou / S. Ambati / S. Kambhatla
- Calcium channel blocker toxicity in an elderly patient and an approach to management – K. Singh / P. Anumolu / A. Pasha
MICHIGAN CHAPTER OF ACP
- Bradycardia in Addison’s crisis in setting of normokalaemia – A. Tiwari / A. Dabaja / S. Kambhatla
- Hemodialysis: A possible treatment modality for Valproic acid overdose? – S. Miryala / P. Anumolu / L. Okragleski / J. Biederman / S. Kambhatla
- Spontaneous Forearm Compartment Syndrome – P. Anumolu / S. Miryala / L. Okragleski / H. Fertel
- A report of two patients with possible association of Focal segmental glomerulosclerosis and NICM – R. Devireddy / C. Saad / S. Kambhatla
- Hypertensive crisis as a cause of recurrent PRES – A. Anebarassou / C. Doig
NATIONAL ACP CONFERENCE
- Case report – primary Pulmonary B Cell Non-Hodgkin’s Lymphoma in an asymptomatic patient – A rare entity with a favorable prognosis – R. Moss / A. Mohammad
Moonlighting – Requires permission of Program Director and compliance with ALL policies and procedures. No moonlighting during PGY-1.
Ambulatory Clinic – Resident will go to clinic for half a day per week, in their first year. Residents are supervised by an attending physician in clinic.
VISA Sponsorship – Program Sponsors J1 Visa