Christopher Fee, MD

Biography: 

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

Publications: 

The Impact of Anonymity in Emergency Medicine Morbidity and Mortality Conferences: Findings from a National Survey of Resident Physicians.

The western journal of emergency medicine

Aaronson EL, Wittels K, Dwyer R, Nadel E, Gallahue F, Baker O, Fee C, Tubbs R, Schuur J

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

Emergency Medicine Morbidity and Mortality Conference and Culture of Safety: The Resident Perspective.

AEM Education and Training

Wittels K, Aaronson E, Dwyer R, Nadel E, Gallahue F, Fee C, Tubbs R, Schuur J

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

Images in emergency medicine: pelvic digit.

The western journal of emergency medicine

Carnell J, Fee C

Strategies for success: A PDSA analysis of three QI initiatives in critical care.

Joint Commission journal on quality and patient safety

Lipshutz AK, Fee C, Schell H, Campbell L, Taylor J, Sharpe BA, Nguyen J, Gropper MA

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