Internal Medicine Program | Training

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: 31

Program Director

Sujata Kambhatla, MD

Internal Medicine

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

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 HSPI JOURNAL OF PULMONOLOGY AND RESPIRATORY RESEARCH July 2024.
Post myocardial infarction (MI) left ventricular free wall rupture managed conservatively – N. Malik / A. Vadher / K. Pannikottu / S. Kambhatla / W. Harder CURES JOURNAL OF MEDICAL SCIENCE July 2024.
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 CURES JOURNAL OF MEDICAL SCIENCE July 2024.
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 PUBMED NIH NATIONAL LIBRARY OF MEDICINE July 2024.

Crushing Stemi, Hidden Dissection – R. Devireddy / S. Ramireddy / K. Mohammad / K. Pannikottu / O. Qaqish / A. Kumar / P. Venigalla ACC Sept 2023.
Sudden Onset Right Arm Pain – R. Yedidi / K. Pannikottu / A. Kumar / O. Qaqish / S. Ramireddy / M. Zlatopolsky / K. Sharma / A. Kondur ACC Sept 2023.
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 Sept 2023.
Monge’s disease in a Michigan man – a case report – A. Jha / SP Reddy / S. Kambhatla. Accepted for presentation at CHEST October 2023 conference.
A rare case of Lymphangiomyomatosis with an atypical presentation – K. Singh / P. Anumolu / A. Mohammad – Accepted for presentation at CHEST Oct 2023.
Clozapine and Benztopine, Associated Functional Bowel Obstruction – R. Yedidi / A. Tiwari / P. Shabou / S. Kambhatla MI CHAPTER OF ACP Oct 2023.
Insulin as an alternative to treat hypertriglyceridemia-induced pancreatitis in resources limited settling care report – A. Tiwari / P. Shabou / R. Asbahi / S. Kambhatla MI CHAPTER OF ACP Oct 2023.
Pneumomediastinum due to vaping lung injury – A. Gandhi / A. Tiwari / S. Kambhatla / A. Pasha MI CHAPTER OF ACP Oct 2023.
Appendicitis: the importance of the physical exam and effective interdepartmental communication – N. Malik / P. Gupta / A. Jha / S. Kambhatla / R. Asbahi MI CHAPTER OF ACP Oct 2023.
Challenges faced by acutely III Covid 19 patients with obesity: A Narrative Review – A. Anebarrassou / S. Kambhatla EUROPEAN SOCIETY OF MEDICINE Oct 2023.
A case of chronic cavitary pulmonary aspergillosis – R. Yedidi / A. Tiwari / P. Anumolu / A. Pasha MI CHAPTER OF ACP Oct 2023.
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. Accepted for presentation at CHEST Oct 2023.
Impact of chronic kidney disease on complications of hypertensive emergency – A. Surapaneni / A. Kavcar / O. Khadeir / H. El Sharu ASN Nov 2023.
Impact of acute kidney injury on outcomes in patients hospitalized with SARS-CoV-2 Pneumonia – A. Surapaneni /A. Kavcar / O. Khadeir / H. El Sharu ASN Nov 2023.
A case autoimmune enteritis presenting as hypogammaglobulinemia – R. Yedidi / R. Din / C. Akim Nov 2023.
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 AMERICAN HEART JOURNAL PLUS: CARDIOLOGY & PRACTICE Nov 2023.
MSUCOM RESEARCH DAY – APRIL 2024
- 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
- 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 – ACP NATIONAL ABSTRACT
Augmentation of blood pressure with norepinephrine in a normotensive patient, targeting SBP 180 for management of acute ischemic stroke – A. Vadher AAPI CONFERENCE May 2024.
ACP MICHIGAN CHAPTERS & SHM – MAY 2024
- 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
Rhabdomyolysis in diabetic emergencies: A rare complication highlighting the necessity of prompt creatine kinase monitoring – S. Salari ACP NATIONAL ABSTRACT April 2024

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 – First prize at MAPI ANNUAL RESIDENT POSTER COMPETION.

MSUCOM Statewide Research Day case/poster competition –

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 ABSTRACT PRESENTATION:

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- CHICAGO APRIL 2022

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 attenidng physician in clinic.

VISA Sponsorship – Program Sponsors J1 Visa.