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Carilion Clinic, headquartered in Roanoke, Virginia, is searching for a fifth fellowship-trained Orthopaedic Spine Surgeon to join the Section of Spine and Scoliosis, within the Department of Orthopaedic Surgery starting Summer 2026. Opportunity to take over a busy and well established practice. The ideal candidate is trained in the full spectrum of cervical, thoracic and lumbar spine evaluations and procedures, including decompressions, single and multi-level cervical, thoracic and lumbar fusions. The current surgeons and physician assistants see more than 300 patients per week in the clinic setting, and the 4 current surgeons perform 900+ spine cases per year. The present surgeons treat a broad range of patients performing procedures on children and adults ranging from single level minimally invasive decompressions to complex 3 column revision osteotomies. The primary clinical site is in Roanoke, Virginia with an outreach clinic at Carilion New River Valley Medical Center, in Christiansburg, VA. The majority of the spine operations are performed at Carilion Roanoke Memorial Hospital a 763-bed academic/tertiary referral medical center with a Level 1 Trauma program. The Carilion Clinic Orthopaedic Surgery Department includes 45+ Physicians and 16 Physician extenders in seven subspecialty sections providing patient centered care throughout the region. Faculty participate in Education of the Medical Students from the Virginia Tech Carilion School of Medicine (VTCSOM) as well as off service residents and PA students. The Department of Orthopaedic Surgery has fellowship programs in Scoliosis and Spine Surgery (1), Adult Reconstruction (2), Foot and Ankle Surgery (1), Hand and Upper Extremity Surgery (1-2), Orthopaedic Trauma (2), Musculoskeletal Research (3) a Podiatry Residency Program (9) and a new Orthopaedic Residency program started July 2024 with 4 residents per year. This position offers the opportunity to benefit from an academic practice setting practicing with many of the advantages of a community practice in a state-of-the-art facility, supported by a large academic institution. Orthopaedic Surgeons have academic appointments through the VTCSOM at the Assistant Professor level with a promotion pathway to Associate and Full Professor. Research efforts are supported through the department of Orthopaedic Surgery's Musculoskeletal Education and Research Center (MERC). New graduates are encouraged to apply. Minimum requirements include: Board eligible/certified by the American Board of Orthopaedic Surgery, or the American Osteopathic Board of Orthopedic Surgery Fellowship trained in Spine Surgery Research interest encouraged and supported. Carilion Clinic is the largest not-for-profit integrated health system in western Virginia serving one million people. Carilion includes seven hospitals, 240+ practice locations, and 24 GME programs with 750+ multi-specialty physicians in over 78+ specialties. Carilion is a physician-led, collaborative, interdisciplinary Integrated Healthcare Delivery System with a common philosophy of patient first. The Roanoke Valley is a metropolitan area of 300,000 people with a total catchment population of 1 million and has been rated consistently among the "best places to live" in the country. This region features exceptional schools, lower cost of living, comparatively less expensive real estate, and abundant outdoor activities on the Blue Ridge Parkway, Appalachian Trail, Smith Mountain Lake, and surrounding areas. The area offers a four-season playground for mountain and lake recreation, as well as a rich array of arts, humanities, and cultural experiences.