Chris Fee, MD

Title(s)Professor, Emergency Medicine
SchoolSchool of Medicine
Address521 Parnassus Avenue, #7309
San Francisco CA 94117
Phone415-353-8388
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    Collapse Biography 
    Collapse Education and Training
    University of California, San FranciscoM.D.1998 Medicine
    University of California, San Francisco, CA2017Diversity, Equity, and Inclusion Champion Training
    Collapse Awards and Honors
    UCSF2012Exceptional Physician Award (nominee)
    UCSF2011Emergency Medicine Residency Quarterly Bedside Teaching Award
    Annals of Emergency Medicine2010Senior Reviewer
    Western Regional Society for Academic Emergency Medicine2010Best Faculty Presentation
    UCSF2010Academy of Medical Educators Excellence in Teaching Award
    Annals of Emergency Medicine2010Top Peer Reviewer
    UCSF2009Emergency Medicine Residency Quarterly Bedside Teaching Award
    Annals of Emergency Medicine2009Senior Reviewer
    Annals of Emergency Medicine2009Top Peer Reviewer
    UCSF2008Emergency Medicine Quarterly Bedside Teaching Award
    Annals of Emergency Medicine2008Top Peer Reviewer
    UCSF2007Exceptional Physician Award (Nominee)
    UCSF2006Safety Award
    Alameda County Medical Center Emergency Medicine Residency2002Graduating Resident of the Year

    Collapse Overview 
    Collapse Overview
    CLINICAL ACTIVITIES:
    I work clinically in the UCSF Moffitt Emergency Department where I provide direct patient care and supervise the care provided by UCSF-SFGH Emergency Medicine residents, Alameda County Medical Center Emergency Medicine residents, UCSF Internal Medicine interns, and UCSF Pediatric residents. I am the Department of Emergency Medicine physician champion for Hand Hygiene, Community-Acquired Pneumonia performance measures, and Sepsis Quality Improvement.

    RESEARCH INTERESTS:
    My research interests include quality/performance measures in emergency medicine, effects of emergency department crowding, management of pneumonia, management of sepsis, and effective bedside teaching.

    EDUCATIONAL PURSUITS:
    I am the Assistant Residency Director for the UCFS-SFGH Emergency Medicine Residency Program. In this role I am responsible for oversight of the Areas of Distinction program within our residency, advising and mentorship, as well as ongoing educational roles (including lectures, small group instruction, procedural training, and bedside teaching). I also serve as the director of the 1st year CPR/Basic First Aid course for which I am responsible for updating the curriculum, recruitment of small group instructors, and small group teaching. I am participating in the 2013-2014 Teaching Scholars Program in order to build upon my own teaching skills and investigate opportunities for education research, particularly with respect to bedside teaching and implementation of the ACGME Milestones.

    EDUCATION AND TRAINING:
    B.S., University of California, Los Angeles, 1994
    M.D., University of California, San Francisco, 1998
    Emergency Medicine Residency, Alameda County Medical Center (Highland Hospital), 1998-2002
    Training in Clinical Research (TICR) Summer Clinical Research Workshop, University of California, San Francisco, 2008
    Teaching Scholars Program, University of California, San Francisco, 2013-2014

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    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Genetic Predictive Factors for Nonsusceptible Phenotypes and Multidrug Resistance in Expanded-Spectrum Cephalosporin-Resistant Uropathogenic Escherichia coli from a Multicenter Cohort: Insights into the Phenotypic and Genetic Basis of Coresistance. mSphere. 2022 12 21; 7(6):e0047122. Jackson N, Belmont CR, Tarlton NJ, Allegretti YH, Adams-Sapper S, Huang YY, Borges CA, Frazee BW, Florence-Petrovic D, Hufana C, Parker A, Mastrangelo CF, Awasthi S, Kane I, Coralic Z, Miller S, Diaz J, Fee C, Bittencourt CE, Garner O, Chandrasekaran S, Crandall C, Marcha JC, Noorbakhsh MH, Rodrigues-Wong P, deBoer TR, Riley LW. PMID: 36377882; PMCID: PMC9769571.
      View in: PubMed   Mentions: 2     Fields:    Translation:HumansCells
    2. Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Community-Acquired Pneumonia. Ann Emerg Med. 2021 01; 77(1):e1-e57. American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Commu, Smith MD, Fee C, Mace SE, Maughan B, Perkins JC, Kaji A, Wolf SJ. PMID: 33349374.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    3. The Impact of Anonymity in Emergency Medicine Morbidity and Mortality Conferences: Findings from a National Survey of Resident Physicians. West J Emerg Med. 2019 Dec 19; 21(1):127-133. Aaronson EL, Wittels K, Dwyer R, Nadel E, Gallahue F, Baker O, Fee C, Tubbs R, Schuur J. PMID: 31913832; PMCID: PMC6948693.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    4. Community-Acquired Pneumonia. Emergency Management of Infectious Diseases. 2018 Aug 9; 280-287. Frazee FB, Fee FC, Chin CR. .
      View in: Publisher Site   Mentions:
    5. Decreasing triage time: effects of implementing a step-wise ESI algorithm in an EHR. Int J Qual Health Care. 2018 Jun 01; 30(5):375-381. Villa S, Weber EJ, Polevoi S, Fee C, Maruoka A, Quon T. PMID: 29697806; PMCID: PMC6005140.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    6. 379TF Understanding Emotions: Combating Burnout With Empathy During Emergency Medicine Residency. Annals of Emergency Medicine. 2017 Oct 1; 70(4):s148-s149. Carney CD, Mongelluzzo MJ, Foster FA, Fee FC, Ekman EE. .
      View in: Publisher Site   Mentions:
    7. Emergency Medicine Morbidity and Mortality Conference and Culture of Safety: The Resident Perspective. AEM Educ Train. 2017 Jul; 1(3):191-199. Wittels K, Aaronson E, Dwyer R, Nadel E, Gallahue F, Fee C, Tubbs R, Schuur J, EM M&M Culture of Safety Research Team. PMID: 30051034; PMCID: PMC6001737.
      View in: PubMed   Mentions: 7  
    8. TF9 Video Self-Assessment: Describing Resident Experience. Annals of Emergency Medicine. 2016 Oct 1; 68(4):s153-s154. Madia MV, Mongelluzzo MJ, Chen CE, Fee FC, O'Sullivan OP. .
      View in: Publisher Site   Mentions:
    9. Effect of an electronic medical record alert for severe sepsis among ED patients. Am J Emerg Med. 2016 Feb; 34(2):185-8. Narayanan N, Gross AK, Pintens M, Fee C, MacDougall C. PMID: 26573784.
      View in: PubMed   Mentions: 30     Fields:    Translation:Humans
    10. Clinical pathway improves pediatrics asthma management in the emergency department and reduces admissions. J Asthma. 2015 Oct; 52(8):806-14. Bekmezian A, Fee C, Weber E. PMID: 25985707; PMCID: PMC4669067.
      View in: PubMed   Mentions: 18     Fields:    Translation:Humans
    11. 953. Critical Care Medicine. 2014 Dec 1; 42(12):a1590. Narayanan NN, Gross GK, Pintens PM, Fee FC, MacDougall MC. .
      View in: Publisher Site   Mentions:
    12. A multicenter observational study of US adults with acute asthma: who are the frequent users of the emergency department? J Allergy Clin Immunol Pract. 2014 Nov-Dec; 2(6):733-40. Hasegawa K, Sullivan AF, Tovar Hirashima E, Gaeta TJ, Fee C, Turner SJ, Massaro S, Camargo CA, Multicenter Airway Research Collaboration-36 Investigators. PMID: 25439365.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    13. Psychiatric boarding incidence, duration, and associated factors in United States emergency departments. J Emerg Nurs. 2015 Jan; 41(1):57-64. Nolan JM, Fee C, Cooper BA, Rankin SH, Blegen MA. PMID: 25034663.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
    14. Many emergency department patients with severe sepsis and septic shock do not meet diagnostic criteria within 3 hours of arrival. Ann Emerg Med. 2014 Jul; 64(1):48-54. Villar J, Clement JP, Stotts J, Linnen D, Rubin DJ, Thompson D, Gomez A, Fee C. PMID: 24680548.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    15. Emergency department crowding and younger age are associated with delayed corticosteroid administration to children with acute asthma. Pediatr Emerg Care. 2013 Oct; 29(10):1075-81. Bekmezian A, Fee C, Bekmezian S, Maselli JH, Weber E. PMID: 24076611; PMCID: PMC3809097.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    16. Time of Emergency Department Arrival is an Inaccurate Measure of Time of Presentation of Patients With Severe Sepsis and Septic Shock. Annals of Emergency Medicine. 2013 Oct 1; 62(4):s19. Villar VJ, Suess SE, Linnen LD, Stotts SJ, Fee FC. .
      View in: Publisher Site   Mentions:
    17. Pneumonia quality measures not associated with antibiotics for congestive heart failure patients. J Emerg Med. 2013 Mar; 44(3):577-84. Fee C, Johnson N, Torres H, Weber EJ. PMID: 23062597.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    18. 202 Emergency Department Boarding Practices For Psychiatric and Non-Psychiatric Visits. Annals of Emergency Medicine. 2012 Oct 1; 60(4):s73. Nolan NJ, Fee FC, Blegen BM, Cooper CB, Rankin RS. .
      View in: Publisher Site   Mentions:
    19. Association of emergency department length of stay with safety-net status. JAMA. 2012 Feb 01; 307(5):476-82. Fee C, Burstin H, Maselli JH, Hsia RY. PMID: 22298679; PMCID: PMC3641855.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    20. Consensus-based recommendations for research priorities related to interventions to safeguard patient safety in the crowded emergency department. Acad Emerg Med. 2011 Dec; 18(12):1283-8. Fee C, Hall K, Morrison JB, Stephens R, Cosby K, Fairbanks RT, Youngberg B, Lenehan G, Abualenain J, O'Connor K, Wears R. PMID: 22168192; PMCID: PMC3370301.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    21. 266 Emergency Department Length of Stay as a Quality Measure: Will There Be Unintended Consequences for Safety-Net Emergency Departments?. Annals of Emergency Medicine. 2011 Oct 1; 58(4):s266-s267. Fee FC, Maselli MJ, Hsia HR. .
      View in: Publisher Site   Mentions:
    22. Measures of crowding in the emergency department: a systematic review. Acad Emerg Med. 2011 May; 18(5):527-38. Hwang U, McCarthy ML, Aronsky D, Asplin B, Crane PW, Craven CK, Epstein SK, Fee C, Handel DA, Pines JM, Rathlev NK, Schafermeyer RW, Zwemer FL, Bernstein SL. PMID: 21569171.
      View in: PubMed   Mentions: 65     Fields:    Translation:Humans
    23. Effect of emergency department crowding on pneumonia admission care components. Am J Manag Care. 2011 Apr; 17(4):269-78. Fee C, Weber EJ, Bacchetti P, Maak CA. PMID: 21615197.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    24. The role of the Society for Academic Emergency Medicine in the development of guidelines and performance measures. Acad Emerg Med. 2010 Nov; 17(11):e130-40. Pines JM, Fee C, Fermann GJ, Ferroggiaro AA, Irvin CB, Mazer M, Frank Peacock W, Schuur JD, Weber EJ, Pollack CV, SAEM Guidelines Committee. PMID: 21175506.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    25. ED antibiotic use for acute respiratory illnesses since pneumonia performance measure inception. Am J Emerg Med. 2010 Jan; 28(1):23-31. Fee C, Metlay JP, Camargo CA, Maselli JH, Gonzales R. PMID: 20006197.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    26. The HCAP gap: differences between self-reported practice patterns and published guidelines for health care-associated pneumonia. Clin Infect Dis. 2009 Dec 15; 49(12):1868-74. Seymann GB, Di Francesco L, Sharpe B, Rohde J, Fedullo P, Schneir A, Fee C, Chan KM, Fatehi P, Dam TT. PMID: 19911940.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    27. Reply to Abbott and Spelman Letter. Journal of Emergency Medicine. 2009 Nov 1; 37(4):422. Frazee FB, Fee FC, Lynn LJ, Wang WR. .
      View in: Publisher Site   Mentions:
    28. How common is MRSA in adult septic arthritis? Ann Emerg Med. 2009 Nov; 54(5):695-700. Frazee BW, Fee C, Lambert L. PMID: 19665261.
      View in: PubMed   Mentions: 20     Fields:    Translation:HumansCells
    29. Images in emergency medicine: pelvic digit. West J Emerg Med. 2008 Aug; 9(3):180. Carnell J, Fee C. PMID: 19561741; PMCID: PMC2672261.
      View in: PubMed   Mentions: 1     Fields:    
    30. Strategies for success: A PDSA analysis of three QI initiatives in critical care. Jt Comm J Qual Patient Saf. 2008 Aug; 34(8):435-44. Lipshutz AK, Fee C, Schell H, Campbell L, Taylor J, Sharpe BA, Nguyen J, Gropper MA. PMID: 18714744.
      View in: PubMed   Mentions: 6     Fields:    Translation:HumansPHPublic Health
    31. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Ann Intern Med. 2008 Jul 01; 149(1):29-32. Wachter RM, Flanders SA, Fee C, Pronovost PJ. PMID: 18591635.
      View in: PubMed   Mentions: 40     Fields:    Translation:HumansPHPublic Health
    32. Preventable deaths from quality failures in emergency department care for pneumonia and myocardial infarction: an overestimation. Acad Emerg Med. 2008 Mar; 15(3):300-1; author reply 302-3. Fee C, Pines JM. PMID: 18304066.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    33. Effect of emergency department crowding on time to antibiotics in patients admitted with community-acquired pneumonia. Ann Emerg Med. 2007 Nov; 50(5):501-9, 509.e1. Fee C, Weber EJ, Maak CA, Bacchetti P. PMID: 17913300.
      View in: PubMed   Mentions: 67     Fields:    Translation:Humans
    34. Images in emergency medicine. Intrauterine twin gestation with single live intrauterine pregnancy, single septic abortion, and an IUD. Ann Emerg Med. 2007 Sep; 50(3):e1-2. Fee C. PMID: 17709047.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    35. Community-acquired necrotizing soft tissue infections: a review of 122 cases presenting to a single emergency department over 12 years. J Emerg Med. 2008 Feb; 34(2):139-46. Frazee BW, Fee C, Lynn J, Wang R, Bostrom A, Hargis C, Moore P. PMID: 17976799.
      View in: PubMed   Mentions: 31     Fields:    Translation:Humans
    36. When is a scarlet letter really a red badge of courage?: the paradox of percentage of pneumonia patients receiving antibiotics within 4 hours in accordance with JCAHO and CMS core measures. Ann Emerg Med. 2007 Aug; 50(2):205-6. Fee C, Weber EJ, Sharpe BA, Quon T. PMID: 17643863.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    37. Identification of 90% of patients ultimately diagnosed with community-acquired pneumonia within four hours of emergency department arrival may not be feasible. Ann Emerg Med. 2007 May; 49(5):553-9. Fee C, Weber EJ. PMID: 17210202.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    38. JCAHO/CMS core measures for community-acquired pneumonia. Ann Emerg Med. 2006 May; 47(5):505; author reply 506. Fee C, Weber E, Sharpe BA, Nguy M, Quon T, Bookwalter T. PMID: 16631994.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    39. Pro: should evidence-based medicine be used more in clinical practice? Cal J Emerg Med. 2006 Jan; 7(1):13-6. Fee C. PMID: 20505816; PMCID: PMC2872523.
      View in: PubMed   Mentions:
    40. Establishing a comprehensive, evidence-based protocol for the care of patients with sepsis. Acad Emerg Med. 2005 Sep; 12(9):912-3; author reply 914. Fee C, Gropper MA. PMID: 16141030.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
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