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 Program Director for the Anesthesia Residency which has more than 80 housestaff. He has led the creation of several new and innovative education initiatives including: 1) the Stanford Fellowship in Anesthesia Research and Medicine Program ( which is a research intensive track within the main residency, and 2) the Stanford Anesthesia Teaching Scholars Program ( to improve pedagogical training of faculty.

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.

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.

Dr. Macario has also authored "A Sabbatical in Madrid: A Diary of Spain," an award winning travel memoir. Dr. Macario has two children in college 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.

Anesthesia Preoperative Evaluation Clinic

  • 300 Pasteur Drive
  • Stanford, CA 94305
  • Phone: 650-724-1429
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Professional Education

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

Honors & Awards

  • 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)
  • Education Advisory Board, Association of University Anesthesiologists (2012)
  • Charter member, Education Academy, Foundation for Anesthesia Education & Research (2012)
  • Ellis N. Cohen Achievement Award (Department of Anesthesiology highest honor), Stanford University (2009)
  • Keynote speaker, American Association of Clinical Directors Annual Meeting (2007)
  • 1st place, Literature Prize, American Society of Anesthesiology Annual Meeting (2004)
  • Research Incentive Award, Testing a secure Web based, decision support system for anesthesia, Stanford University Office of Technology Licensing (2001-2002)
  • Principal Investigator for grant on patient preferences for postoperative outcomes, Foundation for Anesthesia Education Research (1998)
  • Annual Resident Research Prize, 3rd Place, American Society of Anesthesiologists (1995)
  • Valdes - Dapena Research Prize, The Graduate Hospital, University of Pennsylvania (1991)
  • Phi Beta Kappa, University of Rochester (1986)
  • Graduation Speaker, College of Arts & Sciences, University of Rochester (1986)
  • Rigby - Wile Prize in Biology, University of Rochester (1985)
  • Joseph C. Wilson Scholar, University of Rochester (1982)

Administrative Appointments

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

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