Rosemarie Fernandez

Rosemarie Fernandez, M.D.

Clinical Professor; Executive Vice Chair Of Academic Affairs And Faculty Development

Department: Department of Emergency Medicine
Business Phone: (352) 294-8170
Business Email: fernandez.r@ufl.edu

About Rosemarie Fernandez

Rosemarie Fernandez, M.D., is a Professor in emergency medicine at the University of Florida. Dr. Fernandez has expertise in both simulation-based research and team performance research. She has focused much of her work on using simulation to understand and improve resuscitation processes for both in-hospital and out-of-hospital emergencies. Dr. Fernandez has been a principal investigator on simulation-based grants funded by the Blue Cross Blue Shield of Michigan Foundation, the state of Washington and the Emergency Medicine Patient Safety Foundation. Her current work is funded by the Agency for Healthcare Research and Quality as well as the Department of Defense, and she focuses on developing leadership skills to improve trauma resuscitations. She applies human-factors engineering approaches to help understand how interdisciplinary teams and multi-team systems can effectively care for critically ill patients. Dr. Fernandez has held several national leadership positions in simulation and is currently an Associate Editor for Simulation in Healthcare, the leading simulation journal for health care practitioners.

Within the Department of Emergency Medicine, Dr. Fernandez leads efforts in faculty development.

Accomplishments

Fellow, Executive Leadership in Academic Medicine
2022-2023 · Drexel University Hedwig van Ameringen Executive Leadership in Academic MedicineĀ® (ELAMĀ®) program
Master Mentor
2020 · University of Florida Clinical and Translational Science Institute

Teaching Profile

Courses Taught
2018
MDC7710 Sr Emerg Med Clerkshp

Board Certifications

  • Emergency Medicine
    American Board of Emergency Medicine

Research Profile

Open Researcher and Contributor ID (ORCID)

0000-0001-9588-4424

Publications

2024
Contaminant Organism Growth in Febrile Infants at Low Risk for Invasive Bacterial Infection.
The Journal of pediatrics. 267 [DOI] 10.1016/j.jpeds.2024.113910. [PMID] 38218368.
2024
Qualitative Study of Emergency Medicine Residents’ Perspectives of Trauma Leadership Development.
The western journal of emergency medicine. 25(1):122-128 [DOI] 10.5811/westjem.60098. [PMID] 38205994.
2024
Race, Ethnicity, Language, and the Treatment of Low-Risk Febrile Infants.
JAMA pediatrics. 178(1):55-64 [DOI] 10.1001/jamapediatrics.2023.4890. [PMID] 37955907.
2024
Racial disparities in septic shock mortality: a retrospective cohort study.
Lancet regional health. Americas. 29 [DOI] 10.1016/j.lana.2023.100646. [PMID] 38162256.
2024
ā€œLet Us Take Care of the Medicineā€: A Qualitative Analysis of Physician Communication When Caring for Febrile Infants
Academic Pediatrics. [DOI] 10.1016/j.acap.2024.03.002.
2023
A pilot study to identify pharmacogenomic and clinical risk factors associated with opioid related falls and adverse effects in older adults
Clinical and Translational Science. 16(11):2331-2344 [DOI] 10.1111/cts.13634. [PMID] 37705211.
2023
Association of Early Serum Phosphate Levels and Mortality in Patients with Sepsis.
The western journal of emergency medicine. 24(3):416-423 [DOI] 10.5811/westjem.58959. [PMID] 37278802.
2023
Gaps in the Identification of Child Race and Ethnicity in a Pediatric Emergency Department.
The western journal of emergency medicine. 24(3):547-551 [DOI] 10.5811/westjem.59145. [PMID] 37278792.
2023
Holistic strategy for promoting effective handoffs.
BMJ leader. 7(2):91-95 [DOI] 10.1136/leader-2022-000639. [PMID] 37200171.
2023
Patient centered or provider centered? The inclusion of social determinants of health in emergency department billing and coding
Academic Emergency Medicine. 30(8):882-884 [DOI] 10.1111/acem.14698. [PMID] 36794328.
2022
Breaking through barriers: the need for effective research to promote language-concordant communication as a facilitator of equitable emergency care.
Journal of the American College of Emergency Physicians open. 3(1) [DOI] 10.1002/emp2.12639. [PMID] 35072163.
2022
Developing adaptive performance: A conceptual model to guide simulationā€based training design
AEM Education and Training. 6(3) [DOI] 10.1002/aet2.10762. [PMID] 35756335.
2022
Disparities and implicit bias in the management of low-risk febrile infants: a mixed methods study protocol.
BMJ open. 12(9) [DOI] 10.1136/bmjopen-2022-063611. [PMID] 36127098.
2022
Process Modeling of ABCDE Primary Survey in Trauma Resuscitations: A Crucial First Step for Agent-Based Simulation Modeling of Complex Team-Based Clinical Processes.
Simulation in healthcare : journal of the Society for Simulation in Healthcare. 17(6):425-432 [DOI] 10.1097/SIH.0000000000000622. [PMID] 34934025.
2021
Does team leader gender matter? A Bayesian reconciliation of leadership and patient care during trauma resuscitations.
Journal of the American College of Emergency Physicians open. 2(1) [DOI] 10.1002/emp2.12348. [PMID] 33532754.
2021
Quantitative and Qualitative Assessments of Cholesterol Association With Bacterial Infection Type in Sepsis and Septic Shock.
Journal of intensive care medicine. 36(7):808-817 [DOI] 10.1177/0885066620931473. [PMID] 32578468.
2020
An Eventā€based Approach to Measurement: Facilitating Observational Measurement in Highly Variable Clinical Settings
AEM Education and Training. 4(2):147-153 [DOI] 10.1002/aet2.10395. [PMID] 32313861.
2020
IMPACT survey: IMpaired fecundity in Physicians and Association with Clinical Time
Journal of the American College of Emergency Physicians Open. 1(5):1023-1029 [DOI] 10.1002/emp2.12170. [PMID] 33145554.
2020
Simulation-Based Team Leadership Training Improves Team Leadership During Actual Trauma Resuscitations: A Randomized Controlled Trial.
Critical care medicine. 48(1):73-82 [DOI] 10.1097/CCM.0000000000004077. [PMID] 31725441.
2020
Time to vasopressor initiation and organ failure progression in early septic shock.
Journal of the American College of Emergency Physicians open. 1(3):222-230 [DOI] 10.1002/emp2.12060. [PMID] 33000037.
2019
Development and Empirical Testing of a Novel Team Leadership Assessment Measure: A Pilot Study Using Simulated and Live Patient Encounters.
AEM education and training. 3(2):163-171 [DOI] 10.1002/aet2.10321. [PMID] 31008428.
2019
Identification of processes that mediate the impact of workplace violence on emergency department healthcare workers in the USA: results from a qualitative study.
BMJ open. 9(8) [DOI] 10.1136/bmjopen-2019-031781. [PMID] 31462490.
2019
Targeted Simulation-based Leadership Training for Trauma Team Leaders.
The western journal of emergency medicine. 20(3):520-526 [DOI] 10.5811/westjem.2019.2.41405. [PMID] 31123555.
2018
A Simulation-based Approach to Measuring Team Situational Awareness in Emergency Medicine: A Multicenter, Observational Study.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 25(2):196-204 [DOI] 10.1111/acem.13257. [PMID] 28715105.
2018
Changing Systems Through Effective Teams: A Role for Simulation.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 25(2):128-143 [DOI] 10.1111/acem.13260. [PMID] 28727258.
2018
The 2017 Academic Emergency Medicine Consensus Conference: Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 25(2):109-115 [DOI] 10.1111/acem.13302. [PMID] 28853200.
2017
Developing Team Cognition: A Role for Simulation.
Simulation in healthcare : journal of the Society for Simulation in Healthcare. 12(2):96-103 [DOI] 10.1097/SIH.0000000000000200. [PMID] 28704287.
2017
Promoting Workplace Safety: Teaching Conflict Management and De-Escalation Skills in Graduate Medical Education.
Journal of graduate medical education. 9(5):562-566 [DOI] 10.4300/JGME-D-17-00006.1. [PMID] 29075371.
2017
Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.
BMJ quality & safety. 26(11):881-891 [DOI] 10.1136/bmjqs-2017-006656. [PMID] 28866621.
2017
Using Simulation as an Investigational Methodology to Explore the Impact of Technology on Team Communication and Patient Management: A Pilot Evaluation of the Effect of an Automated Compression Device.
Simulation in healthcare : journal of the Society for Simulation in Healthcare. 12(3):139-147 [DOI] 10.1097/SIH.0000000000000205. [PMID] 28575891.
2016
Assessing Team Leadership in Emergency Medicine: The Milestones and Beyond.
Journal of graduate medical education. 8(3):332-40 [DOI] 10.4300/JGME-D-15-00400.1. [PMID] 27413434.
2016
Perception of the Risks of Ebola, Enterovirus-E68 and Influenza Among Emergency Department Patients.
The western journal of emergency medicine. 17(4):391-5 [DOI] 10.5811/westjem.2016.5.29981. [PMID] 27429689.
2016
Proactive Risk Assessment for Ebola-Infected Patients: A Systematic Approach to Identifying and Minimizing Risk to Healthcare Personnel.
Infection control and hospital epidemiology. 37(7):867-71 [DOI] 10.1017/ice.2016.78. [PMID] 27226216.
2015
A Systematic Review of Tools Used to Assess Team Leadership in Health Care Action Teams.
Academic medicine : journal of the Association of American Medical Colleges. 90(10):1408-22 [DOI] 10.1097/ACM.0000000000000848. [PMID] 26200585.
2015
Leveraging Social Science-Healthcare Collaborations to Improve Teamwork and Patient Safety.
Current problems in pediatric and adolescent health care. 45(12):370-7 [DOI] 10.1016/j.cppeds.2015.10.005. [PMID] 26573242.
2014
An in situ standardized patient-based simulation to train postpartum hemorrhage and team skills on a labor and delivery unit.
Simulation in healthcare : journal of the Society for Simulation in Healthcare. 9(1):65-71 [DOI] 10.1097/SIH.0000000000000007. [PMID] 24401919.
2014
BE-SAFE: Bedside sonography for assessment of the fetus in emergencies: educational intervention for late-pregnancy obstetric ultrasound.
The western journal of emergency medicine. 15(6):636-40 [DOI] 10.5811/westjem.2014.7.18480. [PMID] 25247032.
2014
Leadership training in health care action teams: a systematic review.
Academic medicine : journal of the Association of American Medical Colleges. 89(9):1295-306 [DOI] 10.1097/ACM.0000000000000413. [PMID] 25006708.
2014
Simopoly: improving simulation center operations through a tabletop simulation exercise.
Simulation in healthcare : journal of the Society for Simulation in Healthcare. 9(5):304-11 [DOI] 10.1097/SIH.0000000000000051. [PMID] 25268954.
2013
Evaluation of a computer-based educational intervention to improve medical teamwork and performance during simulated patient resuscitations.
Critical care medicine. 41(11):2551-62 [DOI] 10.1097/CCM.0b013e31829828f7. [PMID] 23949473.
2013
Going DEEP: guidelines for building simulation-based team assessments.
BMJ quality & safety. 22(5):436-48 [DOI] 10.1136/bmjqs-2012-000957. [PMID] 23355693.
2012
An agenda for increasing grant funding of emergency medicine education research.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 19(12):1434-41 [DOI] 10.1111/acem.12041. [PMID] 23252424.
2011
The use of in situ simulation to evaluate teamwork and system organization during a pediatric dental clinic emergency.
Simulation in healthcare : journal of the Society for Simulation in Healthcare. 6(2):101-8 [DOI] 10.1097/SIH.0b013e3182070f9d. [PMID] 21358566.
2010
Simulation center accreditation and programmatic benchmarks: a review for emergency medicine.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 17(10):1093-103 [DOI] 10.1111/j.1553-2712.2010.00815.x. [PMID] 21040111.
2009
The presence of a family witness impacts physician performance during simulated medical codes.
Critical care medicine. 37(6):1956-60 [DOI] 10.1097/CCM.0b013e3181a00818. [PMID] 19384215.
2008
Developing expert medical teams: toward an evidence-based approach.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 15(11):1025-36 [DOI] 10.1111/j.1553-2712.2008.00232.x. [PMID] 18785937.
2008
The assessment of individual cognitive expertise and clinical competency: a research agenda.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 15(11):1071-8 [DOI] 10.1111/j.1553-2712.2008.00271.x. [PMID] 19032553.
2008
Toward a definition of teamwork in emergency medicine.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 15(11):1104-12 [DOI] 10.1111/j.1553-2712.2008.00250.x. [PMID] 18828831.
2007
A randomized comparison trial of case-based learning versus human patient simulation in medical student education.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 14(2):130-7 [PMID] 17267529.
2007
The use of simulation in emergency medicine: a research agenda.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 14(4):353-63 [PMID] 17303646.

Grants

Oct 2023 ACTIVE
Pterygopalatine Fossa (PPF) Block as an Opioid Sparing Treatment for Acute Headache in Aneurysmal Subarachnoid Hemorrhage
Role: Co-Project Director/Principal Investigator
Funding: MEDICAL COLLEGE OF VIRGINIA FOUNDATION via BRISTOL-MYERS SQUIBB FOUNDATION
Aug 2023 ACTIVE
Implicit racial bias in pediatric emergency medicine: A foundational investigation of physician behaviors
Role: Other
Funding: NATL INST OF HLTH NIMHD
Jul 2022 – Jun 2023
A Novel Approach to Improving Pre-Emergency Care in Ghana: A Pediatric Telemedicine and Medication Delivery Service
Role: Other
Funding: SOC FOR ACADEMIC EMERGENCY MED
Mar 2022 ACTIVE
Developing a Just-in-Time Refresher Trainer for Advanced Life Support in Austere Regions: Phase II
Role: Principal Investigator
Funding: UNVEIL via DEFENSE HEALTH AGENCY
Sep 2021 ACTIVE
Informing the Emergency Care of Septic Shock Patients: A Novel Application of Data-Driven Analytics
Role: Other
Funding: NATL INST OF HLTH NIGMS
Jan 2021 – Aug 2021
Refresher Training and Assessment in Austere Environments
Role: Principal Investigator
Funding: UNVEIL via DEFENSE HEALTH AGENCY
Jan 2021 – Dec 2023
FW-HTF-P: Mapping the Human-Technology Frontier to Improve Trauma Care: A Transdisciplinary Approach to Identify Opportunities, Challenges, and Risks
Role: Faculty
Funding: NATL SCIENCE FOU
Oct 2020 ACTIVE
SaFE CARE Simulation for Effective COVID Assessment and Response
Role: Principal Investigator
Funding: FLORIDA SELF-INSURANCE PROGRAM
Jan 2020 – Dec 2021
More than they bargainED for: Responsive design to address physical and sociocultural antecedents of violence against healthcare professionals in the emergency department setting
Role: Consultant
Funding: ACADEMY OF ARCHITECTURE FOR HEALTH FOUND
May 2019 – Apr 2022
VITAS – Education – Primary Palliative Care for Emergency Medicine
Role: Principal Investigator
Funding: MISCELLANEOUS DONORS
Aug 2018 – Dec 2022
Translating Military Simulation-Based Trauma Team Research Into Outcomes: LEADing Effective Resuscitations (LEADER)
Role: Principal Investigator
Funding: US ARMY MED RES ACQUISITION
May 2018 – Jun 2023
Primary Palliative Care for Emergency Medicine
Role: Principal Investigator
Funding: NEW YORK UNIVERSITY SCHOOL OF MEDICINE via NATL CTR FOR COMPLEM AND INTEGRATIVE HLT
Apr 2018 – Mar 2019
Development of an Integrated Team Training Design and Assessment Architecture to Support Adaptability in Healthcare Term
Role: Principal Investigator
Funding: UNIV OF WASHINGTON via US ARMY MED RES ACQUISITION
Jan 2018 – Jul 2018
Translating Simulation-based Team Leadership Training into Patient-level Outcomes
Role: Principal Investigator
Funding: UNIV OF WASHINGTON via AGENCY FOR HEALTHCARE RES AND QUALITY
Apr 2017 ACTIVE
HSC COM Matching Commitment
Role: Project Manager
Funding: UNIV OF FLORIDA

Education

Residency – Emergency Medicine
2013 · University of Cincinnati
Medical Degree
1999 · University of Michigan
Fellow
1994-1997 · Howard Hughes Medical Institute

Contact Details

Phones:
Business:
(352) 294-8170
Emails:
Addresses:
Business Mailing:
PO Box 100186
GAINESVILLE FL 32610
Business Street:
PO Box 100186
GAINESVILLE FL 32610