Dr. Macalester grew up in Eugene and did his undergraduate work at Portland State University. He received his medical degree from Kirksville College of Osteopathic Medicine, and then completed an osteopathic medical residency in internal medicine in Columbus, Ohio. An interest in immunology led him to a Rheumatology fellowship at the University of Virginia.
Dr. Macalester moved back to Oregon in 2012, and practiced Rheumatology at Tuality Hospital until opening Oregon Rheumatology in 2017.
Dr. Macalester is on the leadership board for the Oregon chapter of the Arthritis Foundation and participates in their annual cycling fundraiser along scenic Oregon routes.