Chris Fee, MD
Professor
Emergency Medicine
School of Medicine

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

• 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 2018 Villa S, Weber EJ, Polevoi S, Fee C, Maruoka A, Quon T
• 379TF Understanding Emotions: Combating Burnout With Empathy During Emergency Medicine Residency.
  Annals of Emergency Medicine 2017 D. Carney, J. Mongelluzzo, A. Foster, C. Fee, E. Ekman
• Emergency Medicine Morbidity and Mortality Conference and Culture of Safety: The Resident Perspective.
  AEM education and training 2017 Wittels K, Aaronson E, Dwyer R, Nadel E, Gallahue F, Fee C, Tubbs R, Schuur J, EM M&M Culture of Safety Research Team
• TF9 Video Self-Assessment: Describing Resident Experience.
  Annals of Emergency Medicine 2016 V. Madia, J. Mongelluzzo, E. Chen, C. Fee, P. O'Sullivan
• Effect of an electronic medical record alert for severe sepsis among ED patients.
  The American journal of emergency medicine 2015 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 2015 Bekmezian A, Fee C, Weber E
• 953.
  Critical Care Medicine 2014 Navaneeth Narayanan, Kendall Gross, Megan Pintens, Christopher Fee, Conan MacDougall
• 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 2014 Hasegawa K, Sullivan AF, Tovar Hirashima E, Gaeta TJ, Fee C, Turner SJ, Massaro S, Camargo CA, Multicenter Airway Research Collaboration-36 Investigators
• Psychiatric boarding incidence, duration, and associated factors in United States emergency departments.
  Journal of emergency nursing 2014 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 2014 Villar J, Clement JP, Stotts J, Linnen D, Rubin DJ, Thompson D, Gomez A, Fee C
• Emergency department crowding and younger age are associated with delayed corticosteroid administration to children with acute asthma.
  Pediatric emergency care 2013 Bekmezian A, Fee C, Bekmezian S, Maselli JH, Weber E
• 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 J. Villar, E. Suess, D. Linnen, J. Stotts, C. Fee
• Pneumonia quality measures not associated with antibiotics for congestive heart failure patients.
  The Journal of emergency medicine 2012 Fee C, Johnson N, Torres H, Weber EJ
• 202 Emergency Department Boarding Practices For Psychiatric and Non-Psychiatric Visits.
  Annals of Emergency Medicine 2012 J. Nolan, C. Fee, M. Blegen, B.A. Cooper, S.H. Rankin
• Association of emergency department length of stay with safety-net status.
  JAMA 2012 Fee C, Burstin H, Maselli JH, Hsia RY
• 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 2011 Fee C, Hall K, Morrison JB, Stephens R, Cosby K, Fairbanks RT, Youngberg B, Lenehan G, Abualenain J, O'Connor K, Wears R
• 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 C. Fee, J.H. Maselli, R.Y. Hsia
• Measures of crowding in the emergency department: a systematic review.
  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2011 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 2011 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 2010 Pines JM, Fee C, Fermann GJ, Ferroggiaro AA, Irvin CB, Mazer M, Frank Peacock W, Schuur JD, Weber EJ, Pollack CV, SAEM Guidelines Committee
• ED antibiotic use for acute respiratory illnesses since pneumonia performance measure inception.
  The American journal of emergency medicine 2010 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 2009 Seymann GB, Di Francesco L, Sharpe B, Rohde J, Fedullo P, Schneir A, Fee C, Chan KM, Fatehi P, Dam TT
• Reply to Abbott and Spelman Letter.
  Journal of Emergency Medicine 2009 Bradley W. Frazee, Christopher Fee, Jeremy Lynn, Ralph Wang
• How common is MRSA in adult septic arthritis?
  Annals of emergency medicine 2009 Frazee BW, Fee C, Lambert L
• Images in emergency medicine: pelvic digit.
  The western journal of emergency medicine 2008 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 2008 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 2008 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 2008 Fee C, Pines JM
• Effect of emergency department crowding on time to antibiotics in patients admitted with community-acquired pneumonia.
  Annals of emergency medicine 2007 Fee C, Weber EJ, Maak CA, Bacchetti P
• Images in emergency medicine. Intrauterine twin gestation with single live intrauterine pregnancy, single septic abortion, and an IUD.
  Annals of emergency medicine 2007 Fee C
• 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 2007 Frazee BW, Fee C, Lynn J, Wang R, Bostrom A, Hargis C, Moore P
• 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.
  Annals of emergency medicine 2007 Fee C, Weber EJ, Sharpe BA, Quon T
• Identification of 90% of patients ultimately diagnosed with community-acquired pneumonia within four hours of emergency department arrival may not be feasible.
  Annals of emergency medicine 2007 Fee C, Weber EJ
• JCAHO/CMS core measures for community-acquired pneumonia.
  Annals of emergency medicine 2006 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 2006 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 2005 Fee C, Gropper MA