General Surgery



The core element to the success of the Virginia Tech Carilion General Surgery Residency is the commitment of over 20 full time faculty and another 30 volunteer faculty, who freely donate their time and practice patient cohort to the benefit of the resident training program. Clearly, success is founded upon the ability of the house officers to establish open rapport with the faculty and to dedicate their energies to the care of their patients.


Michael S. Nussbaum, M.D.
Senior Vice President and Chair, Department of Surgery, Carilion Clinic
Chair of Surgery, Virginia Tech Carilion School of Medicine

Michael S. Nussbaum, M.D.

Michael S. Nussbaum, M.D., F.A.C.S., joined Carilion Clinic in April 2017 as chair of Surgery. Dr. Nussbaum previously was an endowed, tenured professor and chief of the Division of General Surgery at the University of Florida College of Medicine-Jacksonville, where he also served as chair of the Department of Surgery and as surgeon in chief from 2008-2013, as program director for the Surgery Residency and as program director for the Advanced Gastrointestinal/Minimally Invasive Surgery Fellowship. Prior to that, he held numerous roles at the University of Cincinnati, including interim chair of the Department of Surgery and program director of the Surgery Residency. He was also a tenured professor of Surgery, vice chair for Clinical Affairs for the Department of Surgery, program director for the Minimally Invasive Surgery Fellowship and chief of staff for the University of Cincinnati Hospital. Dr. Nussbaum is a nationally recognized expert in the area of gastrointestinal, endocrine and minimally invasive surgery and brings with him an extensive background in education and leadership. He is currently a senior director for the American Board of Surgery. He has served as president of the Ohio Chapter of the American College of Surgeons and the Central Surgical Association. He is a member of the editorial board for the Journal of Gastrointestinal Surgery and is an ad-hoc reviewer for numerous other journals. Dr. Nussbaum is married to Sue Weinstein Nussbaum, M.D., M.B.A., and they have two children, Jaclyn and Rachel.

Charles J. Paget III, M.D., Program Director of General Surgery Residency

Charles J. Paget III, M.D.

Dr. Paget graduated from the Indiana University School of Medicine in 1990. He completed his residency training at St. Josephs Mercy Hospital in Ann Arbor, Michigan. He served at the Chief of Surgery, Director of Acute Care Surgical Service and Surgical Endoscopy Service at Morehead Memorial Hospital from 1996-2002. Dr. Paget is currently the Program Director of the General Surgery Residency Program and the Vice Chair for Education, Department of Surgery.

Shawn D. Safford, MD, MAS, FACS, FAAP

Shawn D. Safford, MD, MAS, FACS, FAAP

Dr. Safford is a University of Pennsylvania alumnus. He received his MD in 1997 and a M.A.S., Applied Statistics in 2014. He is currently enrolled at George Washington University pursuing his MBA, Healthcare. Dr. Safford completed his General Surgery residency at Duke University in Durham, NC and then completed a fellowship at Children’s Hospital of Philadelphia. Dr. Safford is currently the Section Chief of Pediatric Surgery and the Surgeon in Chief of Carilion Children’s Hospital. He has a true passion for resident education and has been integral in creating a collaborative relationship with researchers at Virginia Tech Carilion Research Institute. His collaboration has led to multiple research grants and publications.

Sandy Fogel, M.D., Associate Program Director

Sandy Fogel, M.D.

Dr. Fogel graduated AOA from Washington University in St Louis and then spent 24 years on the staff at the Johns Hopkins Hospital. Moving to Roanoke in 2008 allowed him to become part of a new and growing medical school and to continue a lifelong love of teaching and of resident development. His clinical interests have gravitated towards colo-rectal surgery with a special interest and expertise in inflammatory bowel disease. He has become intimately involved in surgical quality improvement and is widely published in the field. He has been an invited lecturer on this subject quite often. Dr. Fogel also holds the titles of Medical Director of OR Services, Surgical Quality Officer, and NSQIP Surgeon Champion.

Bryan Collier, D.O., Section Chief and Medical Director, Trauma

Bryan Collier, D.O.

Dr. Collier serves as the Section Chief and Medical Director of the Carilion Clinic Trauma Services. In addition, he is the Director of Surgical Nutrition. Dr. Collier completed his medical school training at the Philadelphia College of Osteopathic Medicine and completed a general surgical residency at Memorial Medical Center in Johnstown, Pa. He then went on to Vanderbilt University Medical Center to obtain a fellowship in trauma and surgical critical care. His academic and clinical interests include Trauma and Surgical Nutrition.

Arnold D. Salzberg M.D., Director of Surgery Simulation

Arnold D. Salzberg M.D.

Dr. Arnold Salzberg was born in Los Angeles, California. He has a wife and 2 boys that are 9 and 16.

Dr. Salzberg went to college at the University of Virginia in Charlottesville, VA and graduated with a B.A. in Biological Sciences. He went onto medical school at the Medical College of Virginia in Richmond, VA from 1994-1998. He completed his Internship and Residency in general and trauma surgery at the Medical College of Virginia located in Richmond, VA from 1998-2005.

He has specialty interests in-
Minimally Invasive Surgery
Bariatric Surgery
Liver, Kidney, and Pancreas Transplant Surgery
Esophageal and Foregut Surgery for Cancer and Benign Disease
Laparoscopic Hepatobiliary Surgery
Radiofrequency Ablation/Ablative Therapy for Liver Tumors
Surgical Ultrasound
Vascular Access Surgery
Endovascular Access Surgery

Dr. Salzberg joined us here at Carilion Clinic in January of 2016 as our new Bariatric Program Medical Director and is currently underway of creating a new Medical Weight Loss Program for bariatric patients that may not be a candidate for bariatric surgery or choose not to pursue surgical options.