Alex Macario MD MBA

Alex Macario MD MBA


Bio:   Alex Macario spent the first decade of his life in Europe as his parents are scientists and held different positions in Sweden, Italy, and France. He finished high school in Albany NY and attended the University of Rochester on a Joseph C. Wilson Merit Scholarship.

Dr. Macario completed his undergraduate, medical school and business school education at the University of Rochester. He then trained in the anesthesiology residency at Stanford University, went on to serve as Chief Resident, and completed a postgraduate fellowship in health services research.

Dr. Macario is Professor in the Department of Anesthesiology, Perioperative and Pain Medicine and, by courtesy, also in the Department of Health Research and Policy at the Stanford University School of Medicine.

Dr. Macario is Vice-Chair for Education, and as Program Director for the Stanford anesthesiology residency for the past 12 years, he has led the training of approximately 250 graduates who are now practicing anesthesiologists. He was the Inaugural recipient in 2015 of the Outstanding Contribution to Graduate Medical Education as Program Director award for Stanford University. He has led the creation of several new and innovative education initiatives:
1. The Stanford Anesthesia Faculty Teaching Scholars Program, which created structure for more than 35 faculty to obtain education in teaching, curriculum, and assessment.
2. He is founder (in 1996) and director of the Management Fellowship, a postgraduate program which trains several physicians each year in areas such as leadership, informatics, entrepreneurship, quality, and management science with special attention to the delivery of surgical and anesthesia care.
3. The Stanford Fellowship in Anesthesia Research and Medicine residency track for anesthesiologists who want research-intensive careers. Many of the graduates have gone on to obtain NIH funding.
4. The Combined Residency Internal Medicine and Anesthesiology established in 2012 in which three Stanford residents a year participate.
5. The Combined Residency Pediatrics & Anesthesia. Eight years ago, this was one of the very first programs in the country to offer this combined training and has two residents per year.

Dr. Macario's research career has been dedicated to the economics of health care, in particular the tradeoffs between costs and outcomes for patients having surgery and anesthesia. Dr. Macario has completed internationally recognized studies on the management of the operating room suite, as well as pioneering work on the cost-effectiveness of drugs and devices. More recently, Dr. Macario's research team has focused on medical education.

Google Scholar calculates Dr. Macario’s H-Index as 50 and his I-10 Index as 115. An index of h indicates an investigator has published h papers each of which has been cited in other papers at least h times. Thus, the h-index reflects both the number of publications and the number of citations per publication. Dr. Macario's scientific articles have been cited more than 8000 times.

Dr. Macario has also authored "A Sabbatical in Madrid: A Diary of Spain," an award winning travel memoir. Dr. Macario has two adult children working in San Francisco and lives with his wife in their home on the Stanford Campus. In his free time Dr. Macario enjoys rooting for Stanford sports, biking up the local hills, and playing tennis.

Why I Became an Anesthesiologist is available at

Stanford Hospital

Professional Education

  • Board Certification: Anesthesia, American Board of Anesthesiology (1995)
  • Internship: Graduate Hospital (1991) PA
  • Chief Resident, Stanford University, Anesthesiology (1994)
  • Fellowship: Stanford University Medical Center (1995) CA
  • Residency: Stanford University School of Medicine Registrar (1994) CA
  • Medical Education: University of Rochester (1990) NY
  • BA, University of Rochester, Sociology (1986)
  • MBA, University of Rochester, Health Economics (1988)

Honors & Awards

  • 1st place, Literature Prize, American Society of Anesthesiology Annual Meeting (2004)
  • Annual Resident Research Prize, 3rd Place, American Society of Anesthesiologists (1995)
  • Charter member, Education Academy, Foundation for Anesthesia Education & Research (2012)
  • Education Advisory Board, Association of University Anesthesiologists (2012)
  • Ellis N. Cohen Achievement Award (Department of Anesthesiology highest honor), Stanford University (2009)
  • Faculty Mentor Award, American Society of Anesthesiology, Committee on Professional Diversity (2012-2013)
  • First place, “best article”, Journal of Medical Internet Research: 4th World Congress on Social Media & Web 2.0 Health & Medicine (2012)
  • Global Health Grant: Collaboration in Zimbabwe for anesthesiologist training and education research, Sponsor: Office of International Affairs, Stanford University (2015)
  • Graduation Speaker, College of Arts & Sciences, University of Rochester (1986)
  • Inaugural recipient, Outstanding Contribution to Graduate Medical Education as Program Director, Stanford University (2015)
  • Joseph C. Wilson Scholar, University of Rochester (1982)
  • Keynote speaker, American Association of Clinical Directors Annual Meeting (2007)
  • Medical technology grant: A monitoring system to prevent unnecessary blood wastage, Sponsor: Stanford Center for Clinical and Translational Research and Education (2015)
  • Phi Beta Kappa, University of Rochester (1986)
  • Principal Investigator for grant on patient preferences for postoperative outcomes, Foundation for Anesthesia Education Research (1998)
  • Research Incentive Award, Testing a secure Web based, decision support system for anesthesia, Stanford University Office of Technology Licensing (2001-2002)
  • Rigby - Wile Prize in Biology, University of Rochester (1985)
  • Valdes - Dapena Research Prize, The Graduate Hospital, University of Pennsylvania (1991)

Administrative Appointments

  • Associate Program Director, Combined Pediatrics and Anesthesiology Residency (2010 - Present)
  • Executive Committee, Faculty Senate, Stanford University School of Medicine (2007 - 2012)
  • Finance Committee, Dept of Anesthesiology (2003 - Present)
  • Founder, Faculty Teaching Scholars Program, Department of Anesthesiology (2007 - Present)
  • Governance Committee, Dept. of Anesthesiology (1997 - Present)
  • Program Director, Management of Perioperative Services Fellowship (1996 - Present)
  • Program Director, Anesthesiology Residency (2006 - Present)
  • Program Director, Combined Internal Medicine-Anesthesiology residency (2013 - Present)
  • Vice-Chairman for Education, Department of Anesthesiology (2006 - Present)
  • Visiting Professor, TAISS, Madrid, Spain (2001 - 2002)

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