Christopher Fee, MD

Professor of Clinical Emergency Medicine
Associate Chair for Education
Residency Program Director
UCSF Helen Diller Medical Center at Parnassus Heights
+1 415 353-8388
UCSF School of Medicine
505 Parnassus Avenue, L126
San Francisco, CA, 94143

MD: UCSF School of Medicine
Residency: Alameda County Medical Center, Highland Hospital, Emergency Medicine
Board Certification: Emergency Medicine

Research and Academic Interests: 
Dr. Fee's research interests include the following subjects: Quality of care provided to patients admitted with community-acquired pneumonia; unintended consequences of the antibiotic timing performance measure established by the Joint Commission and Centers for Medicare and Medicaid Services; impact of emergency department crowding on emergency department care; and management of severe sepsis/septic shock in the emergency department.

University and National Positions:
ACEP: member of the Clinical Policies Committee Subcommittee, the Quality Improvement and Patient Safety Interest Group, and the Quality and Performance Committee
SAEM: member of the External Collaboration Committee, the GME Committee, and the Foundation Development Committee

UCSF Academy of Medical Educators Excellence in Teaching Award in Medical Education, 2015
UCSF Exceptional Physician Award nominee 2007, 2012
UCSF Emergency Medicine Residency Quarterly Bedside Teaching Award 2008, 2009, 2011
Annals of Emergency Medicine Top Peer Reviewer 2008, 2009, 2010
UCSF Safety Award 2006
Highland Graduating Resident of the Year 2002


Decreasing triage time: effects of implementing a step-wise ESI algorithm in an EHR.

International journal for quality in health care : journal of the International Society for Quality in Health Care

Villa S, Weber EJ, Polevoi S, Fee C, Maruoka A, Quon T

Effect of an electronic medical record alert for severe sepsis among ED patients.

The American journal of emergency medicine

Narayanan N, Gross AK, Pintens M, Fee C, MacDougall C

Clinical pathway improves pediatrics asthma management in the emergency department and reduces admissions.

The Journal of asthma : official journal of the Association for the Care of Asthma

Bekmezian A, Fee C, Weber E

A multicenter observational study of US adults with acute asthma: who are the frequent users of the emergency department?

The journal of allergy and clinical immunology. In practice

Hasegawa K, Sullivan AF, Tovar Hirashima E, Gaeta TJ, Fee C, Turner SJ, Massaro S, Camargo CA

Psychiatric boarding incidence, duration, and associated factors in United States emergency departments.

Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association

Nolan JM, Fee C, Cooper BA, Rankin SH, Blegen MA

Many emergency department patients with severe sepsis and septic shock do not meet diagnostic criteria within 3 hours of arrival.

Annals of emergency medicine

Villar J, Clement JP, Stotts J, Linnen D, Rubin DJ, Thompson D, Gomez A, Fee C

Pneumonia quality measures not associated with antibiotics for congestive heart failure patients.

The Journal of emergency medicine

Fee C, Johnson N, Torres H, Weber EJ

Consensus-based recommendations for research priorities related to interventions to safeguard patient safety in the crowded emergency department.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Fee C, Hall K, Morrison JB, Stephens R, Cosby K, Fairbanks RT, Youngberg B, Lenehan G, Abualenain J, O'Connor K, Wears R

Measures of crowding in the emergency department: a systematic review.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

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

Effect of emergency department crowding on pneumonia admission care components.

The American journal of managed care

Fee C, Weber EJ, Bacchetti P, Maak CA

The role of the Society for Academic Emergency Medicine in the development of guidelines and performance measures.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Pines JM, Fee C, Fermann GJ, Ferroggiaro AA, Irvin CB, Mazer M, Frank Peacock W, Schuur JD, Weber EJ, Pollack CV

ED antibiotic use for acute respiratory illnesses since pneumonia performance measure inception.

The American journal of emergency medicine

Fee C, Metlay JP, Camargo CA, Maselli JH, Gonzales R

The HCAP gap: differences between self-reported practice patterns and published guidelines for health care-associated pneumonia.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Seymann GB, Di Francesco L, Sharpe B, Rohde J, Fedullo P, Schneir A, Fee C, Chan KM, Fatehi P, Dam TT

How common is MRSA in adult septic arthritis?

Annals of emergency medicine

Frazee BW, Fee C, Lambert L

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.

Annals of internal medicine

Wachter RM, Flanders SA, Fee C, Pronovost PJ

Preventable deaths from quality failures in emergency department care for pneumonia and myocardial infarction: an overestimation.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Fee C, Pines JM

Community-acquired necrotizing soft tissue infections: a review of 122 cases presenting to a single emergency department over 12 years.

The Journal of emergency medicine

Frazee BW, Fee C, Lynn J, Wang R, Bostrom A, Hargis C, Moore P

JCAHO/CMS core measures for community-acquired pneumonia.

Annals of emergency medicine

Fee C, Weber E, Sharpe BA, Nguy M, Quon T, Bookwalter T

Pro: should evidence-based medicine be used more in clinical practice?

The California journal of emergency medicine

Fee C

Establishing a comprehensive, evidence-based protocol for the care of patients with sepsis.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Fee C, Gropper MA