Department of Anesthesiology

The Department of Anesthesiology brings together board-certified anesthesiologists and CRNAs who provide high-quality perioperative care while educating learners—from visiting residents to medical students in surgery, emergency medicine, internal medicine, dentistry, and more.

About

Program Overview

Anesthesia Consultants of Virginia (ACV), Anesthesia Associates of Radford (AAR), and their predecessor groups have provided clinical leadership in anesthesiology since the earliest days of operations at Carilion.

Today, the department includes a collaborative team of private practice physicians and CRNAs alongside Carilion-employed anesthesiologists and CRNAs. All clinicians are board certified or board eligible, with many holding subspecialty fellowship training, ensuring comprehensive, high-quality perioperative care across service lines.

Faculty

The anesthesiology team currently includes 40 full-time faculty members, with plans to recruit an additional 5 over the next 3 – 5 years, bringing the total to 45 faculty.

Anesthesiology Partnerships

Virginia Tech Carilion Partnership

For decades, our faculty have trained learners in the art and science of anesthesia, including visiting anesthesia residents, VTCSOM students, Carilion surgery, emergency medicine, and internal medicine residents, dental residents, and visiting medical students. Building on this long history of education, the Virginia Tech Carilion School of Medicine is establishing a new Department of Anesthesiology to serve as the formal academic home for the specialty. This department will provide dedicated administration and oversight of all anesthesiology-related academic programs, ensuring continued excellence in education, training, and scholarly activity.

Mission, Goals and Strengths

The Department of Anesthesiology is committed to delivering exceptional perioperative care, advancing the science of anesthesiology, and training the next generation of physicians and clinical leaders.

Our mission is to provide safe, innovative, and high-quality anesthesia care across all clinical settings while addressing the evolving healthcare needs of our communities. We're dedicated to advancing perioperative medicine through clinical excellence, multidisciplinary collaboration, and research that drives improvements in patient outcomes.

Message from Leadership

Welcome to the Department of Anesthesiology at Carilion.

Our team plays a central role in the care of patients across the health system, supporting them through every phase of the perioperative experience. From preoperative evaluation to intraoperative management and post-procedural recovery, we're focused on delivering safe, consistent, and high-quality care.

We've built a collaborative department that works closely with our surgical, medical, and critical care colleagues. That collaboration is essential—not only to how we care for patients, but also to how we continue to grow and improve as a team. Our goal is to create an environment where clinicians are supported, ideas are shared, and innovation is part of everyday practice.

At the same time, we're intentional about looking ahead. The field of anesthesiology continues to evolve, particularly in perioperative medicine, pain management, and critical care. We're investing in the development of these areas while expanding access to specialized services such as cardiac, pediatric, obstetric, trauma, and neuroanesthesia, as well as non-operating room anesthesia and procedural sedation.

Education and mentorship are also core to our mission. Through our partnership with Virginia Tech Carilion School of Medicine, we're committed to training the next generation of physicians in a setting that emphasizes clinical excellence, teamwork, and thoughtful leadership.

As we continue to grow, our focus remains steady: provide exceptional care, support one another as a team, and build a department that's adaptable, forward-thinking, and grounded in the needs of the communities we serve.

I appreciate your interest in our department and invite you to learn more about our clinical services, educational programs, and future direction.

Neil A Macdonald, MD

Neil A Macdonald, MD, MPH, FASA
Chair, Department of Anesthesiology

Department specs

Specialties within Department

  • General anesthesia
  • Regional and acute pain anesthesia
  • Pain management
  • Critical care medicine
  • Perioperative medicine
  • Obstetric anesthesia
  • Cardiac anesthesia
  • Pediatric anesthesia
  • Trauma anesthesia
  • Neuroanesthesia
  • Non-operating room anesthesia (NORA)
  • Procedural sedation services
  • Recovery and perianesthesia services

Areas We Serve

  • Roanoke
  • Franklin County
  • Lexington
  • New River Valley
  • Giles County
  • Southwest Virginia

Contact and Careers

Contact

Physician careers and recruitment: For general information, questions, or recruitment, contact Rob Way at rjway@carilionclinic.org or 1-800-856-5206.

Careers

To learn more about current clinical job openings, visit our careers page. 

Education

Overview

We're actively working to establish a residency program for physician anesthesiologists, with plans to develop post-residency fellowships in the future. The anesthesiology residency spans 4 years—a year of internship in a broad medical field, followed by 3 years focused on anesthesiology training.