Jennifer N Fishe

Jennifer N Fishe, MD

Associate Professor; Associate Medical Director, Pediatric Emergency Medicine; Director, Center For Data Solutions

Department: Emergency Medicine – Jacksonville
Business Phone: (904) 244-4986
Business Email: jennifer.fishe@jax.ufl.edu

About Jennifer N Fishe

Jennifer N. Fishe, MD, is an assistant professor of emergency medicine, associate medical director for the Pediatric Emergency Department, and director of the Center for Data Solutions at the University of Florida College of Medicine – Jacksonville. Her research interests are pediatric prehospital care, particularly the treatment of asthma, and using data science to merge and optimize EMS and ED treatment. Dr. Fishe’s research is currently funded by a K23 from the NHLBI, the UF CTSI Precision Medicine Program, and the R. Scott MacKenzie Foundation. She was the principal investigator on a retrospective study of pediatric prehospital and inter-facility transport patterns in Maryland, funded by The Falck Foundation and a co-investigator on a HRSA Targeted Issues Grant to develop a novel pediatric direct transport protocol (H34MC30232). She also has a Lean Six Sigma Green Belt in healthcare quality improvement (2017-Johns Hopkins).

Dr. Fishe received her undergraduate degree in biology from the Massachusetts Institute of Technology, and her medical degree from the University of Miami. She completed her residency in general pediatrics at the Children’s Hospital of Philadelphia, and her pediatric emergency medicine fellowship at the Johns Hopkins University.

Additional Positions:
Associate Professor of Emergency Medicine
2022 – Current · University of Florida College of Medicine – Jacksonville
Director
2019 – Current · Center for Data Solutions
Associate Medical Director
2017 – Current · Pediatric Emergency Medicine
Assistant Professor of Emergency Medicine
2017 – 2022 · University of Florida College of Medicine – Jacksonville

Accomplishments

Exemplary Teacher Award
2020 · University of Florida College of Medicine – Jacksonville
Philip H. Gilbert Young Physician Leadership Award
2020 · Duval County Medical Society

Board Certifications

  • Pediatric Emergency Medicine
    American Board of Pediatrics
  • Pediatrics
    American Board of Pediatrics

Clinical Profile

Specialties
  • Pediatrics
Subspecialties
  • Pediatric Emergency Medicine
Areas of Interest
  • Asthma in children

Research Profile

Dr. Fishe’s research program seeks to apply precision medicine principles to the emergency care of children experiencing asthma attacks. Combining clinical, geospatial, and pharmacogenomic elements, Dr. Fishe and her collaborators are working to develop evidence-based, real-time algorithms for use by caregivers, emergency medical services providers, and emergency medicine physicians to optimize and individualize care for pediatric asthma exacerbations. The overall goal of Dr. Fishe’s research is to reduce morbidity and mortality of children from asthma, the most common chronic disease of childhood.

Areas of Interest
  • Asthma
  • Emergency Medical Services
Open Researcher and Contributor ID (ORCID)

0000-0001-9037-8143

Publications

2024
Early Administration of Steroids in the Ambulance Setting: An Observational Design Trial (EASI‐AS‐ODT)
Academic Emergency Medicine. 31(1):49-60 [DOI] 10.1111/acem.14813. [PMID] 37786991.
2024
Measures of Patient Acuity Among Children Encountered by Emergency Medical Services by the Child Opportunity Index.
Prehospital emergency care. 1-9 [DOI] 10.1080/10903127.2024.2333493. [PMID] 38517514.
2024
Measuring the Implementation Preferences of Emergency Medical Services Clinicians Using Discrete Choice Experiments.
Prehospital emergency care. 28(2):381-389 [DOI] 10.1080/10903127.2023.2177365. [PMID] 36763470.
2023
A spatial and contextual exposome-wide association study and polyexposomic score of COVID-19 hospitalization.
Exposome. 3(1) [DOI] 10.1093/exposome/osad005. [PMID] 37089437.
2023
Cancer incidence after asthma diagnosis: Evidence from a large clinical research network in the United States.
Cancer medicine. 12(10):11871-11877 [DOI] 10.1002/cam4.5875. [PMID] 36999938.
2023
Emergency Medical Services Leadership Perspectives on Implementation of Evidence-Based Guidelines: A Qualitative Study.
Prehospital emergency care. 27(7):946-954 [DOI] 10.1080/10903127.2022.2128484. [PMID] 36149372.
2023
EMS Administration of Systemic Corticosteroids to Pediatric Asthma Patients: An Analysis by Severity and Transport Interval.
Prehospital emergency care. 27(7):900-907 [DOI] 10.1080/10903127.2023.2234996. [PMID] 37428954.
2023
Evaluation of the implementation of evidence-based pediatric asthma exacerbation treatments in a regional consortium of emergency medical Services Agencies.
The Journal of asthma : official journal of the Association for the Care of Asthma. 1-12 [DOI] 10.1080/02770903.2023.2280917. [PMID] 37930329.
2023
Examination of disparities in prehospital encounters for pediatric asthma exacerbations.
Journal of the American College of Emergency Physicians open. 4(5) [DOI] 10.1002/emp2.13042. [PMID] 37811360.
2023
Identification of Factors Associated with Return of Spontaneous Circulation after Pediatric Out-of-Hospital Cardiac Arrest Using Natural Language Processing.
Prehospital emergency care. 27(5):687-694 [DOI] 10.1080/10903127.2022.2074180. [PMID] 35510881.
2023
Implementation of a pediatric asthma management program in rural primary care clinics
Journal of Asthma. 60(6):1080-1087 [DOI] 10.1080/02770903.2022.2132954. [PMID] 36194428.
2023
Implementing Oral Systemic Corticosteroids for Pediatric Asthma into EMS Treatment Guidelines: A Qualitative Study.
Prehospital emergency care. 27(7):886-892 [DOI] 10.1080/10903127.2022.2126041. [PMID] 36125194.
2023
Pediatric and adult asthma clinical phenotypes: a real world, big data study based on acute exacerbations.
The Journal of asthma : official journal of the Association for the Care of Asthma. 60(5):1000-1008 [DOI] 10.1080/02770903.2022.2119865. [PMID] 36039465.
2023
Pediatric Bradycardia Is Undertreated in the Prehospital Setting: A Retrospective Multi-Agency Analysis.
Prehospital emergency care. 27(1):101-106 [DOI] 10.1080/10903127.2021.2018075. [PMID] 34913820.
2023
Prehospital Management of Pediatric Behavioral Health Emergencies: A Scoping Review.
Cureus. 15(5) [DOI] 10.7759/cureus.38840. [PMID] 37303422.
2023
Prehospital Pediatric Asthma Care during COVID-19: Changes to EMS Treatment Protocols and Downstream Clinical Effects.
Prehospital emergency care. 27(7):893-899 [DOI] 10.1080/10903127.2022.2137864. [PMID] 36260781.
2023
The Child Opportunity Index and Pediatric Emergency Medical Services Utilization.
Prehospital emergency care. 27(2):238-245 [DOI] 10.1080/10903127.2022.2076268. [PMID] 35536226.
2023
Using Natural Language Processing to Examine Social Determinants of Health in Prehospital Pediatric Encounters and Associations with EMS Transport Decisions.
Prehospital emergency care. 27(2):246-251 [DOI] 10.1080/10903127.2022.2072984. [PMID] 35500212.
2022
An Analysis of Factors Related to Care Engagement along the Cancer Survivorship Care Continuum for Cancer Survivors in Florida.
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 31(7) [DOI] 10.1158/1055-9965.EPI-22-0469. [PMID] 35775216.
2022
Development of a Longitudinal Research Curriculum for Pediatric Emergency Medicine Fellowship.
The western journal of emergency medicine. 23(1):26-29 [DOI] 10.5811/westjem.2021.10.52854. [PMID] 35060856.
2022
Environmental effects on acute exacerbations of respiratory diseases: A real-world big data study.
The Science of the total environment. 806(Pt 1) [DOI] 10.1016/j.scitotenv.2021.150352. [PMID] 34555607.
2022
Priorities for Prehospital Evidence-Based Guideline Development: A Modified Delphi Analysis.
Prehospital emergency care. 26(2):286-304 [DOI] 10.1080/10903127.2021.1894276. [PMID] 33625309.
2022
State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation
Journal of the American College of Emergency Physicians Open. 3(2) [DOI] 10.1002/emp2.12687. [PMID] 35252975.
2022
Understanding Health Care Administrators’ Data and Information Needs for Decision Making during the COVID-19 Pandemic: A Qualitative Study at an Academic Health System.
MDM policy & practice. 7(1) [DOI] 10.1177/23814683221089844. [PMID] 35368410.
2021
A national survey of pediatric emergency medicine physicians on improving education in child maltreatment recognition and reporting child abuse & neglect.
Child abuse & neglect. 122 [DOI] 10.1016/j.chiabu.2021.105324. [PMID] 34547715.
2021
An external exposome-wide association study of COVID-19 mortality in the United States.
The Science of the total environment. 768 [DOI] 10.1016/j.scitotenv.2020.144832. [PMID] 33450687.
2021
Applying a set of termination of resuscitation criteria to paediatric out-of-hospital cardiac arrest.
Resuscitation. 169:175-181 [DOI] 10.1016/j.resuscitation.2021.09.015. [PMID] 34555488.
2021
Authors response to reader’s letter: Creating an evidence-based pathway for assessing and managing cervical spine and BCV injury in pediatric trauma population (Ref AJEM26745).
The American journal of emergency medicine. 44:462-463 [DOI] 10.1016/j.ajem.2021.04.062. [PMID] 33958248.
2021
Clinical, Operational, and Socioeconomic Analysis of EMS Bypass of the Closest Facility for Pediatric Asthma Patients.
The western journal of emergency medicine. 22(4):972-978 [DOI] 10.5811/westjem.2021.4.50382. [PMID] 35353998.
2021
Comparing Pain Intensity Using the Numeric Rating Scale and Defense and Veterans Pain Rating Scale in Patients Revisiting the Emergency Department.
Cureus. 13(8) [DOI] 10.7759/cureus.17501. [PMID] 34603880.
2021
Creating a Pediatric Prehospital Destination Decision Tool Using a Modified Delphi Method
Children. 8(8) [DOI] 10.3390/children8080658. [PMID] 34438548.
2021
Emergency Medical Services Clinicians’ Pediatric Destination Decision-Making: A Qualitative Study.
Cureus. 13(8) [DOI] 10.7759/cureus.17443. [PMID] 34589349.
2021
Implementation of a dual cervical spine and blunt cerebrovascular injury assessment pathway for pediatric trauma patients.
The American journal of emergency medicine. 47:74-79 [DOI] 10.1016/j.ajem.2021.03.024. [PMID] 33780736.
2021
Improving EMS destination choice for pediatrics: Results of a novel pediatric destination decision tool pilot test.
The American journal of emergency medicine. 46:769-771 [DOI] 10.1016/j.ajem.2020.09.025. [PMID] 33039231.
2021
Out with the Old and in With the New: Deimplementation in Emergency Medicine
Academic Emergency Medicine. 28(2):268-270 [DOI] 10.1111/acem.14184.
2021
Pediatric Conditions Requiring Interfacility Transport From Emergency Departments: A Statewide Study of Regionalization.
Pediatric emergency care. 37(6):e319-e323 [DOI] 10.1097/PEC.0000000000001578. [PMID] 30211840.
2021
Single Nucleotide Polymorphisms (SNPs) in PRKG1 & SPATA13-AS1 are associated with bronchodilator response: a pilot study during acute asthma exacerbations in African American children.
Pharmacogenetics and genomics. 31(7):146-154 [DOI] 10.1097/FPC.0000000000000434. [PMID] 33851947.
2020
A Statewide Analysis of EMS’ Pediatric Transport Destination Decisions.
Prehospital emergency care. 24(5):672-682 [DOI] 10.1080/10903127.2019.1699211. [PMID] 31815580.
2020
An evidence-based algorithm decreases computed tomography use in hemodynamically stable pediatric blunt abdominal trauma patients.
American journal of surgery. 220(2):482-488 [DOI] 10.1016/j.amjsurg.2020.01.006. [PMID] 31932078.
2020
Comparing the two-finger versus two-thumb technique for single person infant CPR: A systematic review and meta-analysis.
Resuscitation. 148:161-172 [DOI] 10.1016/j.resuscitation.2019.12.039. [PMID] 31972228.
2020
Early administration of steroids in the ambulance setting: Protocol for a type I hybrid effectiveness-implementation trial with a stepped wedge design.
Contemporary clinical trials. 97 [DOI] 10.1016/j.cct.2020.106141. [PMID] 32931918.
2020
Methods and implementation of a pediatric asthma pharmacogenomic study in the emergency department setting.
Pharmacogenetics and genomics. 30(9):201-207 [DOI] 10.1097/FPC.0000000000000414. [PMID] 33017130.
2020
Prodromal clinical, demographic, and socio-ecological correlates of asthma in adults: a 10-year statewide big data multi-domain analysis.
The Journal of asthma : official journal of the Association for the Care of Asthma. 57(11):1155-1167 [DOI] 10.1080/02770903.2019.1642352. [PMID] 31288571.
2020
Reply to: Comment on “Comparing the two-finger versus two-thumb technique for single person infant CPR: A systematic review and meta-analysis”.
Resuscitation. 150 [DOI] 10.1016/j.resuscitation.2020.02.041. [PMID] 32220581.
2019
A Geospatial Analysis of Distances to Hospitals that Admit Pediatric Asthma Patients.
Prehospital emergency care. 23(6):882-886 [DOI] 10.1080/10903127.2019.1593565. [PMID] 30874466.
2019
Characteristics of Breast Cancer Patients Who Refuse Surgery.
Anticancer research. 39(9):4941-4945 [DOI] 10.21873/anticanres.13682. [PMID] 31519599.
2019
Diagnostic Accuracy of Lung Ultrasound Performed by Novice Versus Advanced Sonographers for Pneumonia in Children: A Systematic Review and Meta‐analysis
Academic Emergency Medicine. 26(9):1074-1088 [DOI] 10.1111/acem.13818.
2019
Emergency Medical Services Administration of Systemic Corticosteroids for Pediatric Asthma: A Statewide Study of Emergency Department Outcomes
Academic Emergency Medicine. 26(5):549-551 [DOI] 10.1111/acem.13660. [PMID] 30414344.
2019
Emergency Medical Services Bypass of the Closest Facility for Pediatric Patients.
Prehospital emergency care. 23(4):485-490 [DOI] 10.1080/10903127.2018.1557304. [PMID] 30620630.
2019
Introduction of a New EMS Protocol Using the Communities of Practice Educational Model.
Prehospital and disaster medicine. 34(1):108-109 [DOI] 10.1017/S1049023X18001267. [PMID] 30630539.
2019
Pediatric Behavioral Health-Related EMS Encounters: A Statewide Analysis.
Prehospital emergency care. 23(5):654-662 [DOI] 10.1080/10903127.2019.1566423. [PMID] 30612501.
2018
Implementing Prehospital Evidence-Based Guidelines: A Systematic Literature Review.
Prehospital emergency care. 22(4):511-519 [DOI] 10.1080/10903127.2017.1413466. [PMID] 29351495.
2018
Retrospective Evaluation of Risk Factors for Pediatric Secondary Transport.
Prehospital emergency care. 22(1):41-49 [DOI] 10.1080/10903127.2017.1339748. [PMID] 28657816.
2017
Interhospital Transport of Children Undergoing Cardiopulmonary Resuscitation: A Practical and Ethical Dilemma.
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 18(10):e477-e481 [DOI] 10.1097/PCC.0000000000001271. [PMID] 28737599.
2016
After-Hours Call Center Triage of Pediatric Head Injury: Outcomes After a Concussion Initiative.
Pediatric emergency care. 32(3):149-53 [DOI] 10.1097/PEC.0000000000000724. [PMID] 26928093.
2016
Lyme Myocarditis Presenting as Chest Pain in an Adolescent Girl.
Pediatric emergency care. 32(7):459-61 [DOI] 10.1097/PEC.0000000000000654. [PMID] 26945194.
2016
Needle in a Haystack: When Syncope Is Not Benign.
Clinical pediatrics. 55(13):1263-1265 [PMID] 26578357.

Grants

Sep 2023 ACTIVE
Identifying pediatric asthma subtypes using novel privacy-preserving federated machine learning methods
Role: Principal Investigator
Funding: NATL INST OF HLTH NHLBI
Aug 2023 ACTIVE
The Code 3 First Responder Sleep Health Program
Role: Principal Investigator
Funding: UNIV OF PITTSBURGH via AMERICAN ACADEMY OF SLEEP MEDICINE
Jul 2023 ACTIVE
Examining the Personal External Exposome among Children with Asthma
Role: Principal Investigator
Funding: EMERGENCY MEDICINE FOU
May 2023 – Nov 2023
Virtual Neighborhoods Project
Role: Principal Investigator
Funding: LOCAL INITIATIVES SUPPORT CORPORATION
Jan 2023 ACTIVE
RePEAT: Researching Precision Emergency Asthma Treatment Pharmacogenomics of Bronchodilator Response
Role: Principal Investigator
Funding: UF FOUNDATION via SCOTT R MACKENZIE FOUNDATION
Apr 2022 – Dec 2022
Challenge Catalyst Grant
Role: Principal Investigator
Funding: LOCAL INITIATIVES SUPPORT CORPORATION
Dec 2021 – Jul 2023
The External Exposome and COVID-19 Severity and Mortality
Role: Co-Investigator
Funding: BRIGHAM AND WOMENS HOSPITAL via NATL INST OF HLTH NIEHS
Aug 2020 – Feb 2024
Pain Assessment and Management Initiatives Emergency Department Alternatives to Opioids (PAMI ED-ALT)
Role: Co-Investigator
Funding: SUBSTANCE ABUSE MENTAL HLTH SER ADMIN
Aug 2020 – Sep 2021
The External Exposome and COVID-19 Severity
Role: Co-Investigator
Funding: NATL INST OF HLTH NIEHS
Apr 2020 ACTIVE
Early Administration of Steroids in the Ambulance Setting: An Observational Design Trial
Role: Principal Investigator
Funding: NATL INST OF HLTH NHLBI
Jan 2020 – Dec 2021
Researching Precision Emergency Asthma Treatment (RePEAT): Pharmacogenomics of Bronchodilator Response
Role: Principal Investigator
Funding: UF FOUNDATION via SCOTT R MACKENZIE FOUNDATION
Jul 2019 – Jun 2021
Together: Transforming and Translating Discovery to Improve Health
Role: Project Manager
Funding: NATL INST OF HLTH NCATS
Jul 2019 – Jun 2020
Together: Transforming and Translating Discovery to Improve Health
Role: Other
Funding: NATL INST OF HLTH NCATS
Jul 2019 ACTIVE
OoR Matching Support for CTSI
Role: Project Manager
Funding: UF DIV OF SPONSORED RES MATCHING FUNDS
Jun 2019 – May 2022
OR-DRPD-ROF2019: Early Administration of Steroids in the Ambulance Setting: An Observational Design Trial
Role: Principal Investigator
Funding: UF RESEARCH
Apr 2018 – Jul 2019
Together: Transforming and Translating Discovery to Improve Health
Role: Project Manager
Funding: NATL INST OF HLTH NCATS
Sep 2017 – Aug 2019
PDTree Decision-Making Tool
Role: Principal Investigator
Funding: JOHNS HOPKINS UNIVERSITY via US HLTH RESOURCES AND SERV ADMN

Education

Pediatric Emergency Medicine Fellowship
2017 · The Johns Hopkins Hospital
Pediatrics Residency
2014 · Children's Hospital of Philadelphia
Doctor of Medicine
2011 · University of Miami
Bachelor of Science, Biology
2007 · Massachusetts Institute of Technology

Contact Details

Phones:
Business:
(904) 244-4986
Emails:
Addresses:
Business Mailing:
655 W 8TH ST
JACKSONVILLE FL 32209
Business Street:
655 W 8TH ST
JACKSONVILLE FL 32209