According to Saem.org website, currently there is no active residency program at Carillion Clinic in Roanoke, VA. I do know that there is a meeting in late september and programs that are trying to get approved might get their wish at that time in order to be available for the 2010 match. There usually is at least one program that opens up each year (last year a few opened up: SLU, Case Western University hospitals, U of Toledo).