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Alex Macario MD

Academic Appointments

  • Professor of Anesthesiology, Perioperative and Pain Medicine and, by courtesy, of Health Research and Policy at the Stanford University Medical Center

Key Documents

Contact Information

  • Clinical Offices
    Department of Anesthesia 300 Pasteur Dr H3580 MC 5640 Stanford, CA 94305
    Tel Work (650) 723-6411 Fax (650) 725-8544
  • Academic Offices
    Personal Information
    Email Tel (650) 723-6411
    Not for medical emergencies or patient use

Professional Overview


Alex Macario grew up 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 went to the University of Rochester on a Joseph C. Wilson 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 building 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 hitting tennis balls.

Clinical Focus

  • Anesthesia
  • multispecialty division including anesthesia for orthopedics, urology, neurosurgery, and general surgery

Academic Appointments

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 Anesthesia Residency (2010 - present)
  • Director, Faculty Teaching Scholars Program, Department of Anesthesiology (2007 - present)
  • Vice-Chairman for Education, Department of Anesthesia (2006 - present)
  • Program Director, Anesthesiology Residency (2006 - present)
View All 11administrative appointments of Alex Macario

Honors and Awards

  • 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)
View All 12honors and awards of Alex Macario

Boards, Advisory Committees, Professional Organizations

  • Examiner, American Board of Anesthesiology (2011 - present)
  • Editorial Board, (2010 - present)
  • Committee on Professional Diversity, American Society of Anesthesiology, Mentor Program (2010 - present)
  • Editorial Board, Anesthesiology Research and Practice (2007 - present)
  • Editorial Board, Cochrane Collaboration: Pain, Palliative and Supportive Care Group (2004 - present)
  • Member, Association of University Anesthesiologists (honorific society) (2000 - present)

Professional Education

Board Certification: Anesthesia, American Board of Anesthesiology (1995)
Fellowship: Stanford University Medical Center CA (1995)
Chief Resident: Stanford University, Anesthesiology (1994)
Residency: Stanford University School of Medicine CA (1994)
Internship: Graduate Hospital PA (1991)
Medical Education: University of Rochester NY (1990)
View All 8



Postdoctoral Advisees

Joel PashLoren RiskinKristen Telischak

Graduate and Fellowship Program Affiliations

Scientific Focus

Current Research and Scholarly Interests

Dr. Macario studies health care economics and outcomes, with a special focus on surgery and anesthesia. Dr. Macario is most well known for helping develop the field of operating room management. He is also passionate about cost-effectiveness analyses of drugs and devices. For the past decade Dr. Macario has added research in medical education as a key focus to better understand methods to best teach residents.

Dr. Macario's research team has several ongoing projects including:
1. Evidence based anesthesia care
2. Data analytics in health care and surgery and anesthesia
3. Anesthesia resident education
4. Anesthesia Information Management Systems
5. Barriers to translating what is known to work in medicine to actual care being delivered to patients
6. Mobile Applications for Health Care


Publication tag cloud

Publication Topics

View All 124

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