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    Christopher Fee, MD

    SchoolUCSF School of Medicine
    DepartmentEmergency Medicine
    Address505 Parnassus Avenue
    San Francisco CA 94117
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      Collapse Biography 
      Collapse Education and Training
      University of California, San FranciscoM.D. Medicine1998
      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
      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.

      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.

      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.

      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.
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      1. Narayanan N, Gross AK, Pintens M, Fee C, MacDougall C. Effect of an electronic medical record alert for severe sepsis among ED patients. Am J Emerg Med. 2016 Feb; 34(2):185-8. PMID: 26573784.
        View in: PubMed
      2. Bekmezian A, Fee C, Weber E. Clinical pathway improves pediatrics asthma management in the emergency department and reduces admissions. J Asthma. 2015 Oct; 52(8):806-14. PMID: 25985707.
        View in: PubMed
      3. Hasegawa K, Sullivan AF, Tovar Hirashima E, Gaeta TJ, Fee C, Turner SJ, Massaro S, Camargo CA. 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. PMID: 25439365.
        View in: PubMed
      4. Nolan JM, Fee C, Cooper BA, Rankin SH, Blegen MA. Psychiatric boarding incidence, duration, and associated factors in United States emergency departments. J Emerg Nurs. 2015 Jan; 41(1):57-64. PMID: 25034663.
        View in: PubMed
      5. Villar J, Clement JP, Stotts J, Linnen D, Rubin DJ, Thompson D, Gomez A, Fee C. 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. PMID: 24680548.
        View in: PubMed
      6. Bekmezian A, Fee C, Bekmezian S, Maselli JH, Weber E. 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. PMID: 24076611; PMCID: PMC3809097.
      7. Fee C, Johnson N, Torres H, Weber EJ. Pneumonia quality measures not associated with antibiotics for congestive heart failure patients. J Emerg Med. 2013 Mar; 44(3):577-84. PMID: 23062597.
        View in: PubMed
      8. Fee C, Burstin H, Maselli JH, Hsia RY. Association of emergency department length of stay with safety-net status. JAMA. 2012 Feb 1; 307(5):476-82. PMID: 22298679; PMCID: PMC3641855.
      9. Fee C, Hall K, Morrison JB, Stephens R, Cosby K, Fairbanks RT, Youngberg B, Lenehan G, Abualenain J, O'Connor K, Wears R. 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. PMID: 22168192; PMCID: PMC3370301.
      10. 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. Measures of crowding in the emergency department: a systematic review. Acad Emerg Med. 2011 May; 18(5):527-38. PMID: 21569171.
        View in: PubMed
      11. Fee C, Weber EJ, Bacchetti P, Maak CA. Effect of emergency department crowding on pneumonia admission care components. Am J Manag Care. 2011 Apr; 17(4):269-78. PMID: 21615197.
        View in: PubMed
      12. Pines JM, Fee C, Fermann GJ, Ferroggiaro AA, Irvin CB, Mazer M, Frank Peacock W, Schuur JD, Weber EJ, Pollack CV. 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. PMID: 21175506.
        View in: PubMed
      13. Fee C, Metlay JP, Camargo CA, Maselli JH, Gonzales R. ED antibiotic use for acute respiratory illnesses since pneumonia performance measure inception. Am J Emerg Med. 2010 Jan; 28(1):23-31. PMID: 20006197.
        View in: PubMed
      14. Seymann GB, Di Francesco L, Sharpe B, Rohde J, Fedullo P, Schneir A, Fee C, Chan KM, Fatehi P, Dam TT. 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. PMID: 19911940.
        View in: PubMed
      15. Frazee BW, Fee C, Lambert L. How common is MRSA in adult septic arthritis? Ann Emerg Med. 2009 Nov; 54(5):695-700. PMID: 19665261.
        View in: PubMed
      16. Wachter RM, Flanders SA, Fee C, Pronovost PJ. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Ann Intern Med. 2008 Jul 1; 149(1):29-32. PMID: 18591635.
        View in: PubMed
      17. Fee C, Pines JM. 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. PMID: 18304066.
        View in: PubMed
      18. Fee C, Weber EJ, Maak CA, Bacchetti P. 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. PMID: 17913300.
        View in: PubMed
      19. Fee C. 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. PMID: 17709047.
        View in: PubMed
      20. Frazee BW, Fee C, Lynn J, Wang R, Bostrom A, Hargis C, Moore P. 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. PMID: 17976799.
        View in: PubMed
      21. Fee C, Weber EJ, Sharpe BA, Quon T. 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. PMID: 17643863.
        View in: PubMed
      22. Fee C, Weber EJ. 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. PMID: 17210202.
        View in: PubMed
      23. Fee C, Weber E, Sharpe BA, Nguy M, Quon T, Bookwalter T. JCAHO/CMS core measures for community-acquired pneumonia. Ann Emerg Med. 2006 May; 47(5):505; author reply 506. PMID: 16631994.
        View in: PubMed
      24. Fee C. Pro: should evidence-based medicine be used more in clinical practice? Cal J Emerg Med. 2006 Jan; 7(1):13-6. PMID: 20505816; PMCID: PMC2872523.
      25. Fee C, Gropper MA. 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. PMID: 16141030.
        View in: PubMed
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