David Fiore

David Fiore, M.D.

Professor

Summary

I had a varied experience as a physician before coming to the University of Nevada. After I completed my Transitional Internship in NYC I took a position as a full-time emergency department physician in a busy hospital in upstate New York. After working there for approximately a year and a half took a break and with an extended trip to Asia. I started it by working on the island of Saipan for three months and then traveled throughout Southeast Asia for the next six months. One of the most rewarding aspects of my travels was arranging an informal "school" where I taught rural medics in the Mon controlled region of Burma.

Upon returning to upstate New York, I resumed my Emergency Medicine practice part-time and also worked in a local, very rural, general practice office. It was great but I knew I want to complete a residency and traveled to Redding, CA for two years of family medicine training. After residency I worked for three months in a rural clinic on the rainy side of the Big Island of Hawaii and then spent six months as the doc at a Sierra ski resort. (I joke that was a tough year!)

Following my stint at the ski area, I was ready for a "real job" and was very fortunate to join the faculty of the University of Nevada, Reno, Family and Community Medicine in 1992. In addition to teaching students and residents in the Family Medicine Center and during hospital round, I also teach the first and second year courses. I have been the course or block director for multiple courses including developing a longitudinal curriculum on Clinical Decision Making. Lastly, I've been incredibly lucky to be able to meld my passion for medicine, education and being outside into a focus on wilderness medicine.

Personal

I was born in New York State where I spent the first 18 years of my life. i left the Empire State for Charlottesville, Virginia to attend college and then medical school. In addition to my studies, he took up boxing, twice qualifying for the national finals tournament. While in Redding i met Dina, who I convinced to marry me after only seven years. We now have three wonderful boys, Darius, Treyson and Bridger (and two huskies, Rocky and Lobo). My passions outside of work include my wonderful family, skiing, mountain biking, whitewater kayaking and rafting, and just about anything outdoors - especially when I can do it with my family.

Education

  • Medical School: University of Virginia
  • Undergraduate: University of Virginia
  • Residency: Mercy Medical Center Redding (Family Medicine)

Publications

  • Awards and Recognitions
    • 2011 - Honored Alumnus, UC Davis Family Practice Residency Network
    • 2008 - Outstanding Teaching Award, Family Medicine Residency
    • 2000 - Lombardi Family Medicine Faculty Scholar.
    • 1997 - University of Nevada Outreach Clinic Award for Outstanding Service
    • 1996 - Outstanding Teaching Faculty, Univ. of Nevada Family Medicine Residency
    • 1990, 1991 - People of Progress Community Service Award, Redding CA
    • 1990, 1991 - Salvation Army Volunteer Service Award, Redding CA
    • 1991 - STFM Outstanding Resident Teacher Award, Shasta-Cascade Family Practice Residency
    • 1991 - Shasta-Cascade Family Practice Residency Program Outstanding Resident, Second Year Class
  • Research Interests
    • Professionalism and Ethics in Medicine
    • End of Life Issues
    • Wilderness Medicine
    • Sports medicine topics related to endurance sports
    • Decision Making
  • Books and Chapters
    • "Healthcare 101" Fiore DC, Crawford J. In Guerrero A, Piasecki M (Ed's). Problem Based Behavioral Science and Psychiatry. Publ. Springer, NY. ISBN: 978-0-387-77483-1 (Print) 978-0-387-78585-1. 2008
  • In Refereed Journals
    • Fiore DC, Passalacqua BR, Lauf B, Thiele K. Between forefoot and shod running (rear foot strike), which mode of running is indicated to prevent injuries? Evidence Based Practice. May 2018;21(5) E9-10
    • Maples S, Johnson G, Fiore DC. Is a brief intervention effective in managing and decreasing severe alcohol use? Evidence Based Practice. Dec 2017. E5
    • Fiore DC, Fettic LP, Wright LP, Ferrara BR. Antibiotic overprescribing: Still a major concern. J Fam Pract. 2017 December;66(12):730-736
    • Fiore DC; Fox CL. Urology and Nephrology Update. FP Essentials. Jan 2014. Edition #416.
    • Passalacqua BP, Fiore DC; Nguyen C. Is prophylactic anticoagulation safe and effective in older adults with atrial fibrillation? Evidence Based Practice.2013:16(7):8
    • Nguyen C, Durant K, , Fiore D. What medications are safe and effective for heartburn during pregnancy? Evid Based Practice. 2012:15(12);12-13.
    • Fiore DC, Hall SJ, Pantea S. Altitude Illness: Risk factors, prevention, presentation and treatment. Am Fam Physician. 2010:82(9);1103-10.
    • Naylor EV, Antonuccio DO, Litt M, Johnson GE, Spogen DR, Williams R, McCarthy C, Lu MM, Fiore DC, Higgins DL. Bibliotherapy as a treatment for depression in primary care. J Clin Psychol Med Setttings. 2010:17:258-271.
    • Fiore DC, Pasternak AV, Radwan RM. Pain in the quiet (not red) eye. Am Fam Physician. 2010:82(1):69-73.
    • Stello B, Schwartz LM, Fiore DC. FPIN Clinical Commentary. Leukotriene receptor antagonists for the treatment of allergic skin disorders. Am Fam Physician. 2008;78(1):112, 114.
    • Fiore DC. Injuries associated with whitewater rafting and kayaking. J Wilderness Environ Med. 2003 Winter;14(4):255-60
    • Fiore DC, Houston JD. Injuries in whitewater kayaking. Br J Sports Med 2001 Aug;35(4):235-41.
    • Paige TE, Fiore DC, Houston JD. Injury in traditional and sport rock climbing. J. Wilderness and Environ Med. 1998;9:2-7.
    • Houston JD, Fiore DC. Online medical surveys: using the internet as a research tool. MD Computing. 1998;15(2) 116-120.
    • Fiore DC, Scott B. Fueling your body for exercise. Your Patient and Fitness1997;11:27-30. (reprinted in Physician and Sports Medicine 1998;26(3)24I-24q)
    • Fiore DC, McKee DD, Janiga MA. Red snow: Is it safe to eat? A pilot study. J. Wilderness and Environ Med. 1997;8:94-95.
    • Oujevolk AV, Fiore DC. Neonatal Group B Streptococcus Infection - Recommendations for Screening and Prophylaxis, Western Journal of Medicine July 1995;163(1):68-69.
    • Fiore DC. A homeless shelter medical clinic organized and staffed by family practice residents. Western Journal of Medicine 1995;163:
    • Fiore DC. Death on a Ski Slope: Response and Prevention. The Physician and Sports Med 1994;22(2):46-55.
  • Letters to the Editor
    • Bunuel-Jordana L, Fiore DC. Is Ophthalmologic Follow-Up for Corneal Abrasions Needed? AFP 2004;70(1):32.
    • Fiore DC. Boxing: Does the size of the prize affect the drain on the brain? JAMA 1996;276:954.
    • Fiore DC. Travelers' diarrhoea and use of single-dose ciprofloxacin. Lancet 1995;345:381.
  • Other Professional Publications
    • Fiore DC, Johnson GE. The effect of mountain biking on prostate specific antigen levels. Wilderness and Environmental Medicine, 1995;6(2):227. (Abstract)
    • Fiore DC. Red Snow: Is It Safe To Eat?. Wilderness Medicine Newsletter 1993;10(3):8.
    • Scott BJ, StJoer ST, Fiore DC, Quan R. Teaching nutrition assessment to first year medical students in a practice setting. J Am Dietetic Assoc. 1997;97;A-114. Suppl. (Abstract)
  • Peer Reviewed Presentations
    • The Painful, Quiet (Not Red), Eye. Fiore DC. Lecture/Interactive. American Academy of Family Physicians Scientific Assembly. Boston. Oct. 16th, 2009.
    • Advice for Preparation for Wilderness Travel. Fiore DC. Lecture/Interactive. American Academy of Family Physicians Scientific Assembly. Boston. Oct. 16th and 17th, 2009.
    • Mistakes Happen: Apologies in Medicine. Lecture/Interactive. American Academy of Family Physicians Scientific Assembly. Boston. Oct. 16th and 17th, 2009.
    • Honor Codes in Medical Schools: Philosophy, Implementation, and Outcomes. Moderator: Pamela Schaff, Discussants: David C. Fiore, Clarence Braddock. Association of American Medical Colleges Annual Meeting, Group of Educational Affairs/Group on Student Affairs. November 5th, 2007. Washington DC.
    • Honor Codes in Medical School Settings: Philosophy and Implementation Across Three Medical Schools. Moderator: David C. Fiore, Discussants: Pamela Schaff, Clarence Braddock. Western Group on Education Affairs Annual Meeting, April 15th, 2007. Honolulu, HI.
    • A "high tech" personalized nutrition assignment enhances the Introduction to Patient Care (IPC)course for first-year medical students. Scott B., David C.Fiore., Krenkel JA, St Jeor ST. The Federation of American Societies for Experimental Biology Annual Meeting, American Society for Nutrition, EB06 Symposium, April 1, 2006, San Francisco, California.
    • Students as Teachers: Added Value, Added Skills
    • Moderator: Jonathan Rosen Discussants: Benjamin Blatt , Patricia Charles , David C Fiore, Larry Greenberg, Linnie Newman AAMC (Association of American Medical Colleges) Annual Meeting , November 8, 2005. Washington, DC
    • In their own words: Medical students speak from the heart. Using narrative journals. Anderson JT, Fiore DC, Newhall L. Presentation, WGEA, Denver, CO. April 1, 2005
    • Professionalism - We Measured It, We Think. Fiore DC, Anderson JT, Charles P, Dudding BA, Kimmel J, Larson TA. WGEA. Reno, NV March 29, 2003.
    • Improving Medline Searching Skills Using a Novel Interactive Instructional Software Tool. Henner TA, Fiore DC, Goodman PH, Bronander K. WGEA. Reno, NV March 29, 2003
    • Where do residents look for answers - are they satisfied? Fiore DC, Goodman PH, Henner TA. WGEA/WGSA Annual Conference, Asilomar CA. April 28th - May 1st, 2002
    • Novel Web-Based Tutorial to Teach Boolean Search Skills -Real-Time Medline Search Evaluation Features Fiore DC, Goodman PH, Henner TA. WGEA/WGSA Annual Conference, Asilomar CA. April 28th - May 1st, 2002.
    • Professionalism, Let's Measure It. Fiore DC, Anderson J, Charles P, Dudding BA, Kimmel J, Larson T, Fiore DC, Goodman PH, Henner TA. TA. WGEA/WGSA Annual Conference, Asilomar CA. . April 28th - May 1st, 2002.
    • Working without a mess: New approaches in Medline instruction to clinicians. Henner H, Fiore DC, Goodman P. Northern California - Nevada Medical Library Group Regional Meeting. Jan 31 - Feb 2, 2002. Scottsdale, AZ.
    • Antibiotic Prescribing for Respiratory Tract Infections In A Family Medicine Residency Program. Fiore DC. Residency Director Workshop, NIPDD Fellowship. Kansas City, MO. June 2, 2001.
    • Medical students learn nutrition assessment through self-evaluation. Scott BJ, St. Joer S, Ashley J, Fiore DC. Society for nutrition education 34th annual conference. Oakland, CA. July 20-24, 2001.
    • Medical Students as Teachers: Are There Long Term Benefits? Kimmel J, Charles P, Fiore DC.Sesney J, Veach T. Oral presentation of a work in progress CDIM National Meeting Washington DC. 2000
    • Teaching nutrition assessment to first year medical students in a practice setting. Scott BJ, StJoer ST, Fiore DC, Quan R. Western Group on Educational Affairs. Monterey CA. April 26-28, 1998
    • The Difficult Interview: A Workshop for MS2's Piasecki M., Erickson B., Fiore DC. WGEA, April 26-28, 1998, Monterey CA.
    • Teaching opportunities for fourth year students: Collaboration in medical education. Charles P, Fiore DC. Generalists in Medical Education. Wash DC. Nov. 2, 1997.
    • Maximizing the Preceptorship. Fiore DC. AAMC, WGEA. Tucson, AZ. April 5, 1997.
    • Booster Shots: The WAC Consultant From A Medical Perspective. Eliason J, Fiore DC The Writing Across the Curriculum Conference. Charleston, SC Feb.7-9, 1997.
    • St Joer ST, Scott BJ, Silverstein L, Krenkel J, Brunner RL, Fiore DC, Veach T. Nutrition olympics for teaching medical students self-assessment. Presented at the ASCN 1997 Annual meeting. Montreal, Canada. July 24th, 1997.
    • Literature, humanism and medicine: An interactive teaching model. Fiore DC, Ellison J. Western Society of Teachers of Family Medicine. Oct. 19, 1996.
    • Developing fourth year medical students as effective teachers: Designing an educational curriculum. Fiore DC. Western Society of Teachers of Family Medicine. Oct. 18, 1996.
    • A Practicum in Medical Education: Maximizing educational experiences of fourth year medical students as small group leaders. Fiore DC, Veach T. Western Group on Educational Affairs. April 28, 1996.
    • Experiences and Lessons in Introducing Generalism into Early Medical Education. Fiore DC, Gerken P. Generalists in Medical Education. Oct. 20, 1995
    • The Effect of Mountain Biking on PSA Levels. Fiore DC. Wilderness Medical Society Scientific Meeting. Big Sky MT July 8, 1994
    • A Homeless Shelter Medical Clinic Organized and Staffed by Family Practice Residents. Fiore DC. Western Region STFM Conference Oct. 19, 1993
    • Family Practice Residents in a Homeless Shelter Clinic. Fiore DC. UC Davis Family Practice Residency Network Research Conference March. Yosemite, CA 1990
  • Selected Invited Presentations
    • Snow Safety - Bootcamp and On Snow Experience. Fiore, DC. Wilderness Medical Society Winter Meeting. South Lake Tahoe, NV. Feb 25 - 28, 2018.
    • Family Medicine Blast - What's New and Exciting. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting. February 1, 2018
    • Mountain Biking Injuries. Fiore DC. Wilderness Medical Society Summer Meeting. Tucson, AZ. Sept 24, 2017.
    • Family Medicine Blast - What's New and Exciting. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting. January 2017
    • Avalanches - How to avoid and how to treat victims. Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting. January 2017
    • Family Medicine Blast - What's New and Exciting. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting. January 2016
    • The Art of End of Life Discussions. Dopf R, Fiore DC. Saint Mary's Medical Center Ethics Series. April 30, 2015.
    • Family Medicine Blast - What's New and Exciting. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting. January 2015
    • Nevada POLST - An Effective Tool For Complying With End Of Life Wishes. Fiore DC. Hardwick S. Nevada Academy of Family Physicians Winter CME Meeting. January 2015
    • Nevada POLST .Brown MA, Ewald P, Fiore DC, Hadwick S, Phillips S, Rowe K. CME Ethics Series, Saint Mary's Medical Center. April 17 2014.
    • Hot Topics in Family Medicine. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting. January 2014.
    • USPSTF Recommendations. Fiore DC. Nevada Academy of Family Physicians Summer CME Meeting. August 2013.
    • Don't Do That! Choosing Wisely Campaign. Fiore DC. Nevada Academy of Family Physicians Summer CME Meeting. August 2013 and Winter Meeting. January 2013.
    • Approaching End of Life Discussions: Marriage of Compassion and Hard Truth. Fiore DC. Nevada Academy of Family Physicians Winter Meeting. January 2013
    • Hot Topics in Family Medicine. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting. January 2012
    • The USPSTF- What is it? What's With Their Cancer Screening Recommendations? Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting. January 2012.
    • Hot Topics in Family Medicine. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Summer CME Meeting. August 2011.
    • Apologies in Medicine, Round Table Discussion. Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting January 2011
    • Hot Topics in Family Medicine. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting January 2011
    • Hot Topics in Family Medicine. Crawford JP, Fiore DC. Nevada Academy of Family Physicians Winter CME Meeting January 2010
  • Grants
    • "TWOFUN": Treatment with Ondansetron for ultra-marathon-associated nausea and vomiting". Granting Agency: Ultra Sports Science Foundation. Amount $950. Co-Principle Investigator. A study to Determine the efficacy of ondansestron for treating nausea and vomiting during an ultra marathon
    • "Integrating Patient-Centered Health Information into the Patient Centered Medical Home". Granting Agency: National Network of Libraries of Medicine. Amount $12,000. Co-Principle Investigator. This award will support a collaborative effort with the UNSOM Department of Family Medicine, Reno in developing web-based, patient-centered education programs. The project will explore the use of iPads in the clinical setting and their impact in improving physician-patient communication.
    • "Wilderness Exposure - Educating Children about the link between Environmental Health and Personal Health" Granting Agency: The Academy for the Environment. Amount: $4567. Principle Investigator. This pilot project assessed the impact of teaching at risk children about caring for the environment as a link towards caring for themselves. 7/1/2008 - 6/30/2009.
    • This project has led to the development of a pilot program with the Boys and Girls Club, "Fit In With Nature".
    • Integrating Spirituality into a Family Medicine Residency Curriculum. Funding Agency: George Washington Institute for Spirituality and Health (GWISH). Amount: $30,000. Role: Principle Investigator 7/07. Dates: 7/1/2005 - 6/30/2008.
    • Antibiotic Prescribing Practices for Respiratory Tract Infections. Granting agency: DHHS, HRSA, PHS, Bureau of Health Professions. Role on Project: Principle Investigator. Dates: 9/1/99 - 8/31/02
    • (This research study was completed as part of a larger project: Family Medicine Clinical Research Initiative; PI: George Hess, MD and Gary Johnson, MD; Grant period: 9/1/99 to 8/31/02) total Direct Costs: $467,492; Total Costs: $504,435)
    • Cancer and Nutrition: A Generalist Education Model. Granting Agency: National Cancer Institute. Amount: $1,231,543. Core Faculty. Date: June, 1995.
    • Mexican Medical Outreach. A project to expose residents, nursing and medical students to medical problems and solutions in the developing world. Funding Agency: International Activities Committee, Univ. of Nevada. Faculty Advisor. Dates April 1994 , $2,000: 
    • The effect of mountain biking on PSA values. Granting Agency: Wilderness Medical Society. Amount: $6,000. Secondary Granting Agency: Abbot Laboratory. In Kind Donation: Principle Investigator. $2,000. June 1993.