Overview and Leadership

The Mary Washington Healthcare Internal Medicine Residency Program is built around a 4+2+2 schedule. Residents will have four weeks of primary rotations consisting of the ICU, inpatient wards, night float, or required subspecialties rotations. The following two weeks, residents will rotate on electives, followed by two weeks of rotating within the ambulatory continuity clinic.

We believe this model perfectly balances clinical care, educational opportunities, and personal well-being. The program has developed tracks for residents who are interested in hospital-based medicine or primary care.

Program Leadership

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  Andrew Mangano, DO, MBA, FHM, FACP

  Program Director

  Medical School: Philadelphia College of Osteopathic Medicine. Philadelphia, PA
  Residency: Lehigh Valley Health Network. Allentown, PA
  Career Interest: Quality Improvement, Resident and Faculty Well-being, Patient Safety

I grew up in the suburbs of Philadelphia and attended The Pennsylvania State University as an undergraduate where I met my wife, Sarah. After college, I attended PCOM and then completed Internal Medicine residency at Lehigh Valley Health Network. I was very fortunate to have excellent teaching faculty who first sparked my interest in medical education. I worked as a private hospitalist for several years before transitioning into an academic career.

I’ve been involved with medical education since 2014 and have won multiple “teacher of the year” awards. I held many leadership positions throughout my career including Chairman of Professional Peer Review, Chairman of Medicine, and Chief of Medical Staff. I currently sit on the Transitional Year Review Committed for the ACGME. I’ve spent the last eight years helping build new residency programs at Grand Strand as core faculty, the Internal Medicine Associate Program Director, and Transitional Year program Director. I held many leadership positions including Chairman of Professional Peer Review, Chairman of Medicine, and Chief of Staff while in South Carolina. During the pandemic, I obtained my MBA at Coastal Carolina University with a concentration in healthcare administration.

I was drawn to Mary Washington Healthcare in 2022 for the opportunity to build my own program and help shape the future of medicine within the community. The hospital leadership has a sincere commitment to develop a world class program. Throughout my career, I’ve valued the personal connections I have made with residents and faculty. When not at work, I enjoy spending time with my wife and daughter, traveling, exploring new restaurants, and playing golf.

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Associate Program Directors

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  Sagah Ahmed, MD
  Director of Academic Curriculum and Development

  Medical School: George Washington University School of Medicine, Washington, DC

  Residency: Medstar Georgetown University Hospital, Washington, DC

  Career Interest: Medical education, global health, underserved medicine

I was born in Berlin, Germany, and then moved to the US when I was a wee child. I grew up in Northern VA right outside of DC, and attended the University of Maryland, where I majored in Arabic. Subsequently, I spent eight years in Washington, DC; first, I attended George Washington University for medical school, where I completed the Medical Humanities Track. During medical school, I became interested in refugee and underserved healthcare, and was able to work at Bread for the City, a FQHC in northeast DC, in addition to participating in global health efforts in refugee camps in Lesvos, Greece. I then made the bold move down the street to complete my residency and chief year at Georgetown University Hospital in Washington, DC. As a resident and chief resident, I became PHR-trained to conduct refugee asylum evaluations (and yes, we did them over Zoom during the pandemic!)

I fell in love with medical education over the course of my training, and was drawn to Mary Washington Healthcare by the passion of the program and its leadership for resident education and development. My other academic interests include women in medicine, quality improvement, infection control and prevention. In my free time I like to run, go to comedy shows, and read as many fiction books as I can.

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  Anne Wagstaff, MD

  Associate Program Director and Clinic Director

  Medical School: University of Alabama at Birmingham, Birmingham, AL
  Residency: University of Alabama at Birmingham, Birmingham, AL
  Career Interest: Primary care, medical education, underserved medicine

I grew up in Birmingham, AL, and then traveled to Rhodes College, Memphis, TN, where I majored in physics due to my love of math and science. In Memphis I worked for a nonprofit primary care clinic for uninsured Memphians, which confirmed my desire to pursue medical school and a career in primary care. I returned to Birmingham for medical school and then residency at UAB. There I participated in the primary care, health disparities, and women’s health tracks to better prepare for outpatient practice.

During my time in residency, I found that I loved medical education. I participated in the medical education track and did a dedicated month of course work. I was then selected to serve as a chief medical resident where I was able to gain experience in teaching and program leadership.

When we moved to Fredericksburg, I was excited to learn of Mary Washington’s residency programs and their vision to train physicians. I now serve as the clinic director for the internal medicine program, and it has been a joy to work alongside the residents providing primary care services for the community. Outside of work, I enjoy spending time with my husband and two kids, experiencing new cuisine, traveling with old friends, and being outdoors.

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  David Moccia, DO

  Director of Ultrasound and Simulation Training

  Medical School: West Virginia School of Osteopathic Medicine Lewisburg, WV
  Residency: Grand Strand Regional Medical Center Myrtle Beach, SC
  Career Interest: Point of care ultrasound, Obesity medicine, medical education, Physician Wellness

I grew up in south Florida with the drive to become a physician from an early age. I attended Florida State University for my bachelor’s degree in biochemistry. (To this day I remain a die-hard Seminoles fan!) Going to medical school in rural WV was a real eye opener for me to see how rural America functions and lives. I ended up attending medical school for an additional year during my clinical years to become an Anatomy fellow and help teach Anatomy to first year medical students on campus. This is when I really started to develop my passion for teaching and knew it would somehow factor into my career going forward.

I became chief resident for my internal medicine residency in Myrtle Beach, SC which further allowed me to hone my leadership skills and become immersed in medical education. After completing my internal medicine residency in 2019, I stayed at my training institution to become an academic hospitalist. I also took on the role of director of student medical education for VCOM-Carolinas at the Myrtle Beach clinical rotation site.

What attracted me to Mary Washington Healthcare was the people and the mission of the healthcare system. Ideally healthcare systems should function to improve the health of the community they serves, and Mary Washington Healthcare has stayed true to that mission. Also, the leadership of the healthcare system is committed to that mission and creating world-class residency programs to further bolster the number of physicians in the community. In my off time I enjoy spending time with my wife and two daughters, traveling, and strength training.

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