Christopher Fee, MD

Title(s)Professor, Emergency Medicine
SchoolSchool of Medicine
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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
    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. Villa S, Weber EJ, Polevoi S, Fee C, Maruoka A, Quon T. 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. PMID: 29697806.
      View in: PubMed
    2. 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
    3. 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
    4. 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
    5. 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
    6. 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
    7. 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.
      View in: PubMed
    8. 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
    9. Fee C, Burstin H, Maselli JH, Hsia RY. Association of emergency department length of stay with safety-net status. JAMA. 2012 Feb 01; 307(5):476-82. PMID: 22298679.
      View in: PubMed
    10. 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.
      View in: PubMed
    11. 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
    12. 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
    13. 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
    14. 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
    15. 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
    16. 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
    17. 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 01; 149(1):29-32. PMID: 18591635.
      View in: PubMed
    18. 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
    19. 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
    20. 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
    21. 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
    22. 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
    23. 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
    24. 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
    25. 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.
      View in: PubMed
    26. 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