Program Leadership

Program Leadership

The University of Louisville Internal Medicine Residency Program's leadership collectively has over thirty years of experience in program development/administration and medical education.

The group prides itself on its availability, its sensitivity to resident needs, and its commitment to continuous one-on-one teaching and mentoring.

Jennifer Koch, M.D., FACP

Jennifer Koch, M.D., FACP
Program Director


Nancy Kubiak, M.D., FACP

Nancy Kubiak, M.D., FACP
Associate Program Director

Clayton Smith, M.D., FACP

Clayton Smith, M.D., FACP
Associate Program Director

Jennifer Olges, M.D., MPH

Jennifer Olges, M.D., MPH
Associate Program Director

Tyler Sharpe, M.D.

Tyler Sharpe, M.D.
Associate Program Director


Jennifer Koch, M.D., FACPJennifer A. Koch, M.D., FACP, is a Professor in the University of Louisville Department of Medicine and serves as Director of the UofL Internal Medicine Training Program.

Dr. Koch trained at the University of Louisville for medical school and residency. After completing her chief residency in 2004-05, she continued in the program as an Associate Program Director before assuming the role of Program Director in 2014.

She is a general internist who serves as one of the primary attending physicians in the residents' Continuity Clinic, and has been honored by the residents as an outstanding teacher in this setting. She has special interests in resident evaluation, mentorship, and educational design, as well as studying gender bias in medicine and medical education.

"Mentoring residents is the main reason I chose a career in academic medicine. Whether they choose private practice or academics, general medicine or subspecialties, I enjoy being part of their process of becoming outstanding physicians. I take pride in ensuring that every resident who enters our program is given the tools they need to be successful."

Nancy Kubiak, M.D., FACPNancy T. Kubiak, M.D., FACP, is a Professor in the University of Louisville Department of Medicine and serves as Associate Program Director for the Internal Medicine Training Program.

She attended medical school at Baylor College of Medicine in Houston, TX, then completed an internship in the primary care track of the University of Colorado's internal medicine residency in Denver, CO, and residency at the University of Mississippi Medical Center in Jackson, MS.

Dr. Kubiak served as chief resident at UMMC before joining the faculty at the University of Louisville. She also serves as the director of the Internal Medicine Resident and Fellow Outpatient Practice and has been honored by the residents as an outstanding teacher in this setting.

She recently became Director of Quality Improvement for the Department of Medicine. In that role, she will work to ensure that each trainee and faculty has an experiential education in the foundations of quality improvement, which will also reap benefits for patients.

"I am excited to see the changes in internal medicine as our country moves toward more value based payment. This is sparking an interest in quality improvement and safety that residents have always had, and now is expanding to daily practice. I love bringing improvement to our program and patient care, and am grateful for the opportunity to expand the Department of Medicine’s commitment to quality care."

Clayton M. Smith, M.D., FACPClayton M. Smith, M.D., FACP, is an Associate Professor in the University of Louisville Department of Medicine, and serves as Associate Program Director for the Internal Medicine Training Program.

He earned a Bachelor of Arts in Spanish at Tulane University in New Orleans, LA, then attended medical school at the University of Miami Miller School of Medicine, where he graduated AOA. He completed residency and served as a Chief Resident at the University of Louisville.

Dr. Smith sees patients at University Hospital and the University of Louisville Physicians Outpatient Care Center. He has developed a reputation in LGBT healthcare and serves on a national committee to promote diversity in internal medicine training programs.

His peers have twice chosen him to be one of Louisville Magazine's "Top Docs," and has won multiple teaching awards from medical students and residents. He is a lecturer for the Introduction to Clinical Medicine course, a tutor for problem based learning, and one of the undergraduate medical students' Advisory Deans.

"I've got the best job in the world! I love teaching in the clinical setting and challenging our residents to learn something from every patient every day. To watch them mature into competent, caring physicians over the course of three years is a true honor."

Jennifer R. Olges, M.D., MPHJennifer R. Olges, M.D., MPH, is an Assistant Professor in the University of Louisville Department of Medicine and serves as an Associate Program Director for the Internal Medicine training program.

Dr. Olges was born and raised in Louisville and attended the University of Kentucky, where she received her medical degree. She began her residency in a combined internal medicine and pediatrics program at Vanderbilt University and completed her training at Loyola University Medical Center in Maywood, IL.

She served as med/peds chief resident during her fourth year of residency and went on to become the pediatric chief resident the following year. At the conclusion of her chief year, she remained at Loyola University as an Assistant Professor in Hospital Medicine.

Her current clinical responsibilities include serving as an inpatient teaching attending at University Hospital as well as a primary care physician at the UofL Physicians Outpatient Center.

"I am proud to return to Louisville and have the opportunity to practice medicine in my hometown. I chose to stay in academic medicine because I believe that the team based approach provides the best patient care, and I value the emphasis on lifelong learning. It is such an honor and privilege to work directly with the residents and help develop their medical knowledge, critical thinking and professional character."

Tyler D. Sharpe, M.D.Tyler D. Sharpe, M.D., is an Assistant Professor in the University of Louisville Department of Medicine and serves as Associate Program Director for the Internal Medicine Training Program.

He received dual Bachelor's degrees in Biological Sciences and Spanish at the University of Alabama in 2008. He then graduated from the University of Alabama at Birmingham School of Medicine in 2012, and went on to complete his Internal Medicine Residency and Chief Medical Residency at the University of Louisville.

His clinical duties include supervising residents in both inpatient and outpatient settings at University of Louisville Hospital, as well as seeing patients in his own outpatient clinic in the Centers for Primary Care.

"I am very excited to be a part of the wonderful program leadership in the Internal Medicine Residency Program here at UofL. Our residency program does an outstanding job of equipping residents with the knowledge and skills needed to be successful Internal Medicine physicians, and the fact that we can have fun every day doing it makes this program truly special."

Gregory Scott Bills, M.D.Gregory Scott Bills, M.D., is the Chief Medical Resident for Quality Improvement.

Dr. Bills grew up in Salt Rock, WV, and attended Marshall University where he received his Bachelor of Science in Biology. He then attended the Marshall University Joan C. Edwards School of Medicine where he quickly realized internal medicine was what he wanted to pursue.

Scott fills his free time gardening, cheering on the Cards, and spending quality time with his wife and dog. Louisville has kept them busy exploring and experiencing. They are excited that soon their family will be growing with the addition of a new baby.

He plans to continue his education by applying for gastroenterology fellowship.

"I found exactly what I was looking for in a residency at UofL. The program leadership and residents form a close-knit group that were supportive and encouraging throughout residency. The program's size was small enough to feel close and push me to grow and large enough to provide me opportunities to build my career."

Sanjay Patel, D.O.Sanjay B. Patel, D.O., is the Chief Medical Resident for Scheduling.

Dr. Patel was born in Hazard, KY, and spent most of his childhood near Lake Cumberland in Burnside, KY. He then moved to Lexington KY where he graduated from University of Kentucky with a bachelor of science in Biology.

Before attending medical school at University of Pikeville-KYCOM from 2011-2015, he had experience in the hotel industry.

Sanjay has always had a desire to connect with patients in a humble, down-to-earth manner and to become a respected and well-liked person amongst his medical colleagues. He is currently serving as Chief Medical Resident with a focus on scheduling for the department. He hopes that this experience will enhance his overall medical career and is eager to work with residents to better their own training.

Some of his hobbies include traveling and experiencing other cultures, hiking, and supporting Louisville Cardinal basketball.

"I started residency as an insecure student with the goal of keeping my head above water and 'surviving residency,' but now feel like a confident, competent and compassionate physician capable of practicing without supervision and ready to impact patient's lives. UofL has superb program leadership and seems to have mastered the balance of autonomy and teaching in order to create such transformations and outstanding providers"

Benadin Varajic, M.D.Benadin Varajic, M.D., is the Chief Medical Resident of Education.

Dr. Varajic was born in Bosnia & Herzegovina, but spent his early childhood in Berlin, Germany. In 1998 he moved from Berlin to Bowling Green, KY, and graduated summa cum laude from Western Kentucky University with a bachelor of science in chemistry and biology as well as published a undergraduate thesis to become a Honors College graduate in 2011.

He graduated from the University of Louisville School of Medicine in 2015 and completed his residency in internal medicine in 2018 and he is interested in pursuing a career in pulmonary and critical care as a clinician educator.

In his free time, he enjoys cycling, eating at local restaurants and traveling.

"There are very few programs that offer the degree of autonomy and strong clinical exposure as the UofL Internal Medicine residency program. I feel this program does an extraordinary job preparing residents for practicing medicine."