Internal Medicine Residency

Welcome from the Program Director

Welcome to the Orlando Health Internal Medicine Residency. Our training program is the cornerstone of the Medical Education Department at Orlando Health and our residency offers a rewarding and enriching environment where our residents receive individualized learning opportunities and maximize their full potential as clinicians, educators, and healthcare leaders.

Our faculty is committed to ensuring that all members of our house staff fulfill these goals, while recognizing that each individual resident has a somewhat different background, needs and career objectives. Whether in the hospital or outpatient center, our purpose is to prepare graduates for the challenges of patient care in today's environment. We provide a rigorous academic foundation combined with patient diversity, sub-specialty exposure, research opportunities, and complete ancillary support.

Our program is progressive in outlook and continuously introducing progressive educational ideas and reforms to complement our teaching system. Our faculty and housestaff also work together as a team to attain the above goals. We consider ourselves a family, supporting and sustaining one another, to maintain and advance a solid educational system.

Thank you for your interest in our program. Please take some time to review this page outlining our residency. Please contact us if you have any questions.

Mario J. Madruga, MD, FACP

Program Director
Internal Medicine Residency Program
DIO, Graduate Medical Education
Orlando Health
Associate Clinical Professor
Department of Clinical Sciences
Florida State University College of Medicine

About the Program

With over 40 years of experience, the Internal Medicine Department at Orlando Health has been training gifted internists for general primary care and future subspecialty training. The department offers a three-year ACGME-accredited residency-training program designed to provide the necessary experience for board certification, and a successful practice in internal medicine, and/or future subspecialty/fellowship training.

We offer 13 categorical and 2 preliminary PGY-1 positions each year. The full-time faculty is composed of academic internists dedicated to resident education and mentoring.

As a not-for-profit, tertiary care teaching facility and the only Level I Trauma Center in Central Florida, Orlando Health services a diverse patient population and functions as a referral center for surrounding communities. Training is conducted in state-of-the-art facilities equipped with the latest technology and 24-hour ancillary services.

Our program has a formal affiliation with:

Our affiliations allow for clinical researchers and subspecialists from outside institutions to lecture and participate in our residency program. In addition to this, medical students from these universities rotate at our institution during their third and fourth years. This exchange enhances the exposure and educational opportunities for our housestaff and fosters an environment of continued medical education.

Our residents are highly sought after for their clinical expertise and receive competitive job offers and fellowships upon completion of the program.


Our curriculum is tailored to individual career goals and elective rotations are selected to accommodate special interest in primary care, hospitalist medicine, or subspecialty training. Our residents receive one-on-one faculty mentoring throughout their training.

Morning Report: Held every day at 11AM, morning report is the highlight of the day! The relaxed environment allows for group discussion of clinical cases with a multidisciplinary approach; residents and attendings from various specialties and subspecialties are present to provide their input. Patient history, physical exam findings, diagnostic imaging, laboratory data, and procedures are analyzed and reviewed with a special focus on differential diagnosis. This session is the inspiration for Madruga and Marvel's Medical Black Book: Guide to Differential Diagnosis, Mnemonics, and Clinical Pearls.

Noon Conferences: Held daily following Morning Report our residents receive lectures and/or a case discussion led by our attendings and subspecialty faculty. Special features include:

  • Emergency Medicine Lecture Series: These lectures are provided by selected Emergency Medicine and subspecialty faculty members during the first month of each academic year and are designed to prepare the resident to recognize and manage all major medical emergencies.
  • Morbidity and Mortality Conference: Selected cases with clinical/pathological findings are reviewed and discussed amongst our residents to improve patient outcomes.
  • Journal Club: Our residents are trained to critically review clinical papers from major medical journals at these monthly sessions.
  • EKG Conference: Each month residents receive instruction on EKG interpretation by Dr. Roland Filart, voted attending of the year by current residents.
  • Medical Jeopardy Competition: Each month, the residents compete with one another for knowledge of general and subspecialty medicine. This conference is a fun and exciting way to review material for the Internal Medicine Boards.

Grand Rounds: Twice Monthly, an in-house or visiting professor presents a comprehensive review of special topics in medicine.

Simulation Training: In scheduled sessions throughout the year, our residents receive training and instruction on ACLS/code simulation, evaluation and care of the critically ill patient, and procedures which include intubation, placement of central lines, and lumbar punctures.

Internal Medicine Faculty

Mario Madruga, MD, FACP
Program Director, Internal Medicine

Medical School: University of Missouri - Kansas City, MO
Residency: Orlando Health
Chief Resident: Orlando Regional Medical Center
Areas of Interest: Consultative Medicine and General Internal Medicine
Special Responsibilities: Orlando Health DIO, Graduate Medical Education
Special Appointments: Associate Clinical Professor, Florida State University College of Medicine
Personal Interests: Graduate Medical Education (GME)

Kwabena Ayesu, MD
Associate Director, Internal Medicine

Medical School: Charles University, Prague, Czech Republic
Residency: George Washington University, Providence Hospital
Fellowship: Clinical Pharmacology and Therapeutics, Georgetown University Medical Center
Areas of Interest: Therapeutics, diabetes, congestive heart failure, research and preventive care
Special Responsibilities: Quality Improvement/Patient Safety Officer for GME; Faculty Quality Improvement/Patient Safety Development
Special Appointments: Assistant Clinical Professor, Florida State University College of Medicine; Improvement Scholar, Institute of Health Care Improvement (IHI)
Personal Interests: Travel, languages, soccer, and athletics

Jorge Parellada, MD
Associate Director

Medical School: University of Havana
Residency: Orlando Health; Chief Resident
Areas of Interest: Infectious Disease and General Internal Medicine
Personal Interest: Travel, reading and spending time with family and friends.
Special Responsibilities: Doctor’s Dilemma (medical jeopardy) Coach

Alex Rico, MD
Faculty, Internal Medicine

Undergraduate: University of Miami (Medical Scholars Program), Coral Gables, FL
Medical School: University of Miami Miller School of Medicine
Residency: University of Miami/Jackson Memorial Hospital, Miami, FL; Chief Resident
Special Appointments: University of Miami Assistant Professor of Medicine (2007-2011); Co-Director of Internal Medicine Clerkship (2008-2011): 3 George Paff Teaching Awards; Orlando Health Site Director, University of Central Florida College of Medicine Internal Medicine Clerkship
Personal Interests: Perioperative Medicine; Golf.

Federico Montalvo, MD
Faculty, Internal Medicine

Medical School: Universidad Ibero Americana
Residency: Orlando Health
Areas of Interest: Process Improvement; Clinical Effectiveness
Personal Interest: Culinary Arts; Baseball; Running; Family
Special Appointments: Member Pharmacotherapy Committee; Incoming Chair 2015 Medication Use Subcommittee; Member, ACP, SHM, HFMA, ACPE


Orlando Regional Medical Center (ORMC) is where our residents receive the majority of their training.

  • 808-bed hospital in downtown Orlando
  • One of the state's six major teaching hospitals
  • Home to Central Florida's only Level One Trauma Center

Orlando Regional Medical Center (ORMC) - North Tower

Our new addition: The North Tower expansion project, entails a ten-story tall, 345,000 sq. ft., new tower with 192 inpatient beds. The North Tower expansion will continue to enhance the training experience at Orlando Health, offering the very latest technology and diagnostic imaging capabilities.

Orlando Health UF Health Cancer Center is a fully integrated statewide cancer treatment and research program with University of Florida Health. Our residents have the opportunity to participate in the medical care of patients with hematological and oncological diseases.

Winnie Palmer Hospital for Women & Babies is an Orlando Health Facility which is dedicated to the unique needs of women and babies. The Internal Medicine Consultation service offers the upper-level resident a unique opportunity to participate in the care of patients during the peri-partum.

Resident Benefits

Orlando Health offers competitive salaries and benefits.


  • Low-cost medical, vision and dental insurance for resident and family
  • Long-term disability
  • Professional liability insurance
  • Group life and AD&D equal to annual salary
  • Worker's compensation insurance


  • 403(b) value plan

Time Off

  • Three weeks of paid vacation in addition to a week during the December holiday or New Year's.
  • Sick leave
  • Leave of absence
  • Fellowship or job search leave available to PGY-2 and PGY-3 residents
  • One week of professional leave (in addition to vacation time) available during PGY-2 and PGY-3 years to attend approved conferences or meetings
  • Maternity/Paternity Leave

Other Benefits

  • All meals provided. Meals are provided in the Doctor' s Lounge and residents are given an additional allowance for meals in the cafeteria.
  • Free on-campus parking
  • Lab coats are provided free of charge at the beginning of each academic year
  • Pagers, ASCOM phones for residents to use on-campus, and lap top computers
  • Fully electronic medical record and order entry (inpatient and at the outpatient continuity clinic)
  • Access to hospital computer system from home
  • Access to electronic library resources on all computers (ie. Up-to-Date, MD Consult, First Consult, and access to a journal collection of more than 375 full-text subscriptions)
  • Comfortable call rooms
  • Education allowance for conferences, books and other materials
  • Direct deposit and membership in federal credit union
  • Free ACP membership and MKSAP books for all categorical residents

Application Information

Applicants must have received an M.D. degree from an approved school of medicine within 3 years of applying to the residency program.

International Medical Graduates must have a valid ECFMG certificate. These applicants must pass the Clinical Skills Assessment exam on the first attempt by the rank order list deadline, and also pass the USMLE Step 1 and 2 on the first attempt with a score of 220 or higher. Some U.S. clinical experience is required.

All applications for first-year positions are accepted only through the Electronic Residency Application Service (ERAS) along with the following documentation:

  • Dean's letter
  • Medical school transcript
  • Personal statement
  • USMLE Step 1 and 2 scores
  • A photograph
  • Two rel="noopener noreferrer" letters of recommendation

For information on ERAS, you may access their website at Current medical students can also obtain additional information at their medical school dean's office. International Medical Graduates can contact ECFMG for more information.

Completed application by December 1st.

Invitations for interviews are extended following review of each completed application. Interviews are conducted from November to the end of January. During their visit, candidates are invited to dinner the night before their interview and have the opportunity to interact with current residents. On the day of the interview, candidates will receive an overview of the program, tour our facilities, and attend morning report. They will also meet with our program director and interview with two faculty members. Lunch is provided and hosted by one of our chief residents as well as our residents at various levels of training.

For the Medical Students
Our program welcomes third and fourth year medical students. Orlando Health is affiliated with the University of Central Florida College of Medicine, Florida State University College of Medicine, University of Florida College of Medicine, University of South Florida College of Medicine and is a member of the Association of American Medical Colleges, Council of Teaching Hospitals and the Association for Hospital Medical Education. For more information, please review our Medical Student Clerkship webpage.

Contact Us

Internal Medicine Residency Program Coordinator
Orlando Health
21 W. Columbia Street / Suite 102
Orlando, FL 32806
407.841.5145 phone
407.841.5101 fax