Contact us
For more information, please contact our program coordinator, Donna Underwood, MBA, MS.
Welcome from our Program Director
There is no better place to start your primary care medical career than with the LewisGale Hospital Montgomery Family Medicine Residency Program. The variety and complexity of care settings you will experience will prepare you for whatever kind of practice you choose — connecting you with the largest healthcare organization in the U.S.
Mission statement
The LewisGale Hospital Montgomery Family Medicine Residency Program's mission is to develop the next generation of physicians and physician leaders.
As a part of HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.
This program is designed to offer residents a rewarding, educational environment where they are provided individualized learning opportunities by faculty and staff who support and sustain one another throughout quality care delivery. Our faculty is committed to ensuring the residents' clinical experience and educational needs are fulfilled while expanding their perspectives to be inclusive of cultures, values and ideals.
Program overview
LewisGale Hospital Montgomery is a 146-bed, general acute-care facility delivering comprehensive healthcare. The Family Medicine Residency Program at LewisGale Hospital Montgomery is sponsored by HCA Healthcare LewisGale Hospital Montgomery / VCOM. HCA Healthcare is the nation's leading provider of quality, patient-centered care. We are also the leader in graduate medical education, all brought together by a single mission: Above all else, we are committed to the care and improvement of human life.
Our residency program cultivates a strong relationship with LewisGale Physicians Family Medicine (LGPFM), our continuity of care clinic and an academic relationship with Edward Via College of Osteopathic Medicine (VCOM). Our continuity clinic provides comprehensive care to a diverse community of patients of all ages. As a resident, your schedule in the clinic will increase as you progress through the program and undoubtedly prepare you for a career in Family Medicine. Residents will have the opportunity to rotate in sports medicine and osteopathic manipulation and musculoskeletal (ONMM3) procedures with VCOM. Upper-level residents are given the opportunity to mentor and teach VCOM's third and fourth-year medical students. Each year, the program also auditions medical students from around the country who would be interested in filling one of the six available slots.
As a resident, you will participate in and present research and quality improvement projects, at National or State conferences. Additionally, you will be an active participant in Research Days at different residency programs throughout the year. Dr. Esther Piervil is a full-time non-physician faculty member who assists with research projects at all stage of development. Interns are encouraged to have a concept for research by January 1st of their 1st year. All residents are required to do a research/quality improvement project in their senior year in order to graduate.
Through strong partnerships we are able to provide residents a HIPPA compliant cell phone and laptop to ensure efficient workflows. We place a high priority on our commitments to quality measures and patient safety. At LewisGale Hospital Montgomery, we are proud of our training program, and we encourage excellence in clinical training as well as the growth and development of each resident. Our commitment to our resident's education is clear in the vigorous didactic, lecture, and board review curriculum that are led by the faculty and program director.
Our Program Director and staff
Our team is comprised of skilled experts with deep experience and knowledge from which residents and fellows can benefit.
David Blair Mahoney, MD, MBE
Program Director
Dr. David Mahoney earned his medical degree at the University of North Carolina. He continued his education with his internship and residency at the University of Virginia. Dr. Mahoney is board-certified by the American Board of Family Medicine. Dr. Mahoney also holds a Master's degree in Bioethics from the University of Pennsylvania and focused on the ethics of clinical research in developing countries. He is passionate for international travel, spending what time he can to benefit those less fortunate in developing countries. In his free time, he enjoys hiking and the great outdoors with his dog Mack.

Program details
Meeting schedule
- The FM residents conduct a Board Review twice a week before the LGPFM clinic opens. This is open to everyone. It is suggested that PGY1 residents attend.
- Didactics are held every Friday in the graduate medical education (GME) classrooms on the third floor. Attendance is mandatory unless the resident is on an away rotation or is working night shift.
- Noon lecture is held Tuesday-Thursday
- Journal Club is held once a month during didactics.
- Patient reports are held daily. All residents on inpatient medicine are required to attend.
- Osteopathic manipulative medicine (OMM) lectures are held once a month during didactics.
- Monthly house staff meetings are held on the last Tuesday of the month.
- The resident council meets on the third Tuesday of every month
- PGY3 residents, while on practice management rotation, will attend all hospital committee meetings which include but are not limited to ethics, credentialing, quality improvement, professional and technical (PT) and ED/hospitalists as schedule permits. They will also spend quality time with the hospital CEO, COO, CNO and CFO.
Curriculum and rotation schedule
Our expertly crafted programs are designed to provide resident and fellow physicians with all the experiences and training necessary for professional success.
Salary
The following salaries are for the fiscal year 2022-2023 and may differ from future year’s salaries.
- PGY1: $58,677
- PGY2: $60,445
- PGY3: $62,254
Frequently asked questions about our Family Medicine Residency
Here, we answer some of the most common questions about our program.
There is an abundance of affordable housing available. It depends on if you want to rent an apartment, a condo, or a house. Christiansburg has Oak Tree Manor which is a very nice, family-oriented, quiet area with condos. I would be careful when considering an apartment complex in Blacksburg since most of the Virginia Tech student population lives in apartments and the atmosphere can be rather noisy.
If it is land and a house you are after, Pembroke is 20 minutes from the hospital and very quiet. Also, be aware that Giles County taxes are higher than Montgomery County and Christiansburg is less expensive than Blacksburg.
The Program Director, Associate Program Director and other faculty review all the applications to our program and evaluate the applicant's overall skills and professional achievements; a decision to invite a candidate for an interview is based on several factors, not only Comlex and USMLE scores.
We have two major universities within 20 miles of the hospital. Blacksburg in particular is the home of Virginia Tech. Let's go HOKIES! There are a number of decent restaurants in the immediate area as well as bars with pub food where you can play pool and darts. You can even join a league.
However, the main attractions are the availability of many gorgeous outdoor activities. The New River is the second oldest river in the world. Enjoy a warm summer day rafting or laying back in an intertube as you drift over the rapids.
The New River is also known for excellent fishing. There are outdoor outfitters who can supply all of your needs for a day on the river. There are hiking trails everywhere. The Jefferson National Forest where you will find Pandapas Pond is an excellent place to take the family for activities such as picnicking, hiking, fishing and biking is just ten minutes from the hospital.
In Pembroke, you will find The Cascades National Recreational Trail, a beautiful hike (bring the whole family) at the top of which is a crystal clear pond with a spectacular waterfall. You will want to take a picnic with you to enjoy once you reach the top! Occasionally when we have a particularly cold winter, the falls freeze presenting a breathtaking vista. These are a few of the activities available.
Yes, we have continued accreditation. Our ACGME number is 1205100720.
No, unfortunately, our program does not accept visa applicants.
Yes, our residents have access to our new simulation lab at LewisGale Hospital Montgomery. Residents are broken into 4 groups and visit the sim lab for different topics such as Central Lines, Venipuncture, Vaginal Delivery, and Lumbar Punctures during didactic time.
We accept both MD and DO residents. Osteopathic principles are taught to those who have an interest in osteopathic medicine.
Unfortunately we cannot accept residents who have been out of school for more than two years.