Program Leadership

Program director: Breck Nichols, MD MPH

Medical School: Tulane
Residency: LAC+USC
Positions Since Residency:
Chief Residency Medicine
Allergy/Immunology Fellowship LAC+USC
Program Director for Med+Peds Residency Program
Medical Director for Med+Peds Clinic 2005-2018
Division Chief for Med+Peds Division
Description of Current Position:
Med+Peds Residency Program Director and Med+Peds Division Chief. I also serves 2 months as a Pediatric Inpatient Wards Attending and 2 months as a Medicine Inpatient Wards Attending. I attend in the Allergy/Immunology Clinic 6 months of the year. I’m also active in community outreach and disease management research. I’m also one of the Med+Peds Clinic Attendings.

Associate Program Director: Tracey Samko, MD

Medical School: University of Massachusetts Medical School
Residency: LAC+USC
Positions Since Residency:
Chief Residency Med-Peds 2014-2015
Chief Resident Pediatrics 2015-2016
Attending Adolescent Care and Transition Clinic 2016-present
Associate Program for Med+Peds Residency Program
LGBTQ Clinic Director
Description of Current Position:
I focus on primary care for high risk and socially and medically complex people of all ages with a special focus in lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) population. I’m also an attending on inpatient pediatrics and internal medicine wards, as well as a Med-Peds Resident clinic supervisor, as well as serving as APD.

Program Coordinator: MArilu Ramos

Education Institution: California State University Los Angeles  
Degree: Bachelor’s of Science in Industrial Technology  
Positions Before Being Coordinator: 
AVID Lead Tutor at WHS
Costumer Service Consultant  
Community Representative

Description of Current Position:
As the Program Coordinator for the Med+Peds Residency Program, I manage the day-to-day operations of the program, including scheduling, compliance, and resident support. I work closely with faculty, residents, and institutional leadership to ensure the program meets all ACGME requirements and provides a well-organized, supportive training environment. From coordinating recruitment and onboarding to organizing educational events and tracking accreditation data, I help keep the program running smoothly behind the scenes.