LIke ThisLIke ThisLIke This

Andrew Fine, MD, MPH

Andrew Fine
Medicine Research
Emergency Medicine Research
Hospital Title:
Associate Physician in Medicine
Academic Title:
Assistant Professor in Pediatrics and Emergency Medicine, Harvard Medical School
Research Focus Area:
InformaticsClinical Prediction RulesBiosurveillanceHealth Information Exchange
Contact Via Email
Send an email to SendYour Name*Your Email Address*Subject*Comments*

Research Overview

A specialist in Pediatric Emergency Medicine, Dr. Andrew Fine’s research focuses on bridging public health informatics with medical decision sciences. He has published a series of innovative manuscripts demonstrating the methods and the value of incorporating epidemiological context into medical decision making.

The research examines approaches to building models that incorporate local trends and help guide rational testing and treatment for diseases of great public health importance, including meningitis, pertussis, Lyme disease and group A streptococcal pharyngitis. Dr. Fine is also engaged actively in projects evaluating the usage and impact of evidence-based guidelines in the emergency department, as well as the value of health information exchange. He is leading the effort to digitize evidence-based guidelines. He helps to lead the Predictors of Patient Placement (POPP) project, which is generating a tool and dashboard to shorten waiting times in the emergency department, based on real-time electronic health record information. Dr. Fine has received several awards for teaching, professionalism and citizenship. He served as a group tutorial leader for the required Clinical Epidemiology and Population Health course for 1st year Harvard Medical School students. Dr. Fine has been elected to The Society for Pediatric Research.

About Andrew Fine

Andrew Fine majored in History and received his A.B. from Harvard. He received his M.P.H. from the John Hopkins University School of Hygiene and Public Health and his M.D. from the University Of Pennsylvania School Of Medicine. He completed a residency in pediatrics and then served as Chief Resident at the University of California, San Francisco. He moved to Boston Children’s Hospital, where he completed his Pediatric Emergency Medicine Fellowship. He continued as a Research Fellow for the Center for Biopreparedness for two years after and he joined the faculty in 2005.


Publications powered by Harvard Catalyst Profiles
  1. Lindgren C, Neuman MI, Monuteaux MC, Mandl KD, Fine AM. Patient and Parent-Reported Signs and Symptoms for Group A Streptococcal Pharyngitis. Pediatrics. 2016 Jul; 138(1).
  2. Hudgins JD, Fine AM, Bourgeois FT. Effect of Randomized Clinical Trial Findings on Emergency Management. Acad Emerg Med. 2016 Jan; 23(1):36-47.
  3. Guse SE, Neuman MI, O'Brien M, Alexander ME, Berry M, Monuteaux MC, Fine AM. Implementing a guideline to improve management of syncope in the emergency department. Pediatrics. 2014 Nov; 134(5):e1413-21.
  4. Fine AM, Nizet V, Mandl KD. Participatory medicine: a home score for streptococcal pharyngitis. Ann Intern Med. 2014 Feb 18; 160(4):289.
  5. Fine AM, Nizet V, Mandl KD. Participatory medicine: A home score for streptococcal pharyngitis enabled by real-time biosurveillance: a cohort study. Ann Intern Med. 2013 Nov 5; 159(9):577-83.
  6. Walsh KE, Cutrona SL, Foy S, Baker MA, Forrow S, Shoaibi A, Pawloski PA, Conroy M, Fine AM, Nigrovic LE, Selvam N, Selvan MS, Cooper WO, Andrade S. Validation of anaphylaxis in the Food and Drug Administration's Mini-Sentinel. Pharmacoepidemiol Drug Saf. 2013 Nov; 22(11):1205-13.
  7. Nigrovic LE, Fine AM, Monuteaux MC, Shah SS, Neuman MI. Trends in the management of viral meningitis at United States children's hospitals. Pediatrics. 2013 Apr; 131(4):670-6.
  8. Hennelly KE, Fine AM, Jones DT, Porter S. Risks of radiation versus risks from injury: a clinical decision analysis for the management of penetrating palatal trauma in children. Laryngoscope. 2013 May; 123(5):1279-84.
  9. Fine AM, Nizet V, Mandl KD. Large-scale validation of the Centor and McIsaac scores to predict group A streptococcal pharyngitis. Arch Intern Med. 2012 Jun 11; 172(11):847-52.
  10. Fine AM, Nizet V, Mandl KD. Improved diagnostic accuracy of group A streptococcal pharyngitis with use of real-time biosurveillance. Ann Intern Med. 2011 Sep 20; 155(6):345-52.
  11. Show all
  12. Fine AM, Brownstein JS, Nigrovic LE, Kimia AA, Olson KL, Thompson AD, Mandl KD. Integrating spatial epidemiology into a decision model for evaluation of facial palsy in children. Arch Pediatr Adolesc Med. 2011 Jan; 165(1):61-7.
  13. Fine AM, Reis BY, Nigrovic LE, Goldmann DA, Laporte TN, Olson KL, Mandl KD. Use of population health data to refine diagnostic decision-making for pertussis. J Am Med Inform Assoc. 2010 Jan-Feb; 17(1):85-90.
  14. Fine AM, Kalish LA, Forbes P, Goldmann D, Mandl KD, Porter SC. Parent-driven technology for decision support in pediatric emergency care. Jt Comm J Qual Patient Saf. 2009 Jun; 35(6):307-15.
  15. Nigrovic LE, Thompson AD, Fine AM, Kimia A. Clinical predictors of Lyme disease among children with a peripheral facial palsy at an emergency department in a Lyme disease-endemic area. Pediatrics. 2008 Nov; 122(5):e1080-5.
  16. Fine AM, Nigrovic LE, Reis BY, Cook EF, Mandl KD. Linking surveillance to action: incorporation of real-time regional data into a medical decision rule. J Am Med Inform Assoc. 2007 Mar-Apr; 14(2):206-11.
  17. Andrew M. Fine. Shock. Comprehensive Pediatric Hospital Medicine (Zaoutis and Chiang). 2007.
  18. Fine AM, Goldmann DA, Forbes PW, Harris SK, Mandl KD. Incorporating vaccine-preventable disease surveillance into the National Health Information Network: leveraging children's hospitals. Pediatrics. 2006 Oct; 118(4):1431-8.
  19. Fine AM, Forbes P, Osganian S, Goldmann DA, Mandl KD. Feasibility of leveraging electronic data from pediatric hospitals for national surveillance: a survey of chief information officers. AMIA Annu Symp Proc. 2005; 954.
  20. Fine AM, Greenes D. R/O Appy in a 10-year-old – But How to Pin Down the Diagnosis. Contemporary Pediatrics. 2004; 21(5):24-28.
  21. Fine AM, Wong JB, Fraser HS, Fleisher GR, Mandl KD. Is it influenza or anthrax? A decision analytic approach to the treatment of patients with influenza-like illnesses. Ann Emerg Med. 2004 Mar; 43(3):318-28.
  22. Fine AM, Fraser HSF, Mandl KD. Is it Anthrax or Influenza: How Good Does a Rapid Test Have to be?. Pediatric Research. 2003; 53(4:2):104A.
  23. Garabedian E, Siderak R, Fine A, Kitterman J, Farmer D, Snyder J. Nutritional Impact of Gastroschisis. J Pediatr Gastroenterol Nutr. 2002; 35:A442.
  24. Fine L, Fine A, Cunningham ET. Multiple evanescent white dot syndrome following hepatitis a vaccination. Arch Ophthalmol. 2001 Dec; 119(12):1856-8.
  25. Fine, AM, K Love, B Bratton, O Elkayam, MB Heyman, A Sola, and JD Snyder. Total Parenteral Nutrition Cholestasis in Neonates: Incidence and Risk Factors, 1995-98. J Pediatr Gastroenterol Nutr. 1999; 29:A514.
  26. Wiggs JL, Haines JL, Paglinauan C, Fine A, Sporn C, Lou D. Genetic linkage of autosomal dominant juvenile glaucoma to 1q21-q31 in three affected pedigrees. Genomics. 1994 May 15; 21(2):299-303.
  27. Fine, AM. Barron vs Baltimore: A Case Study in the Late Career of Chief Justice John Marshall. 1991.
  28. Ebert EM, Fine AM, Markowitz J, Maguire MG, Starr JS, Fine SL. Functional vision in patients with neovascular maculopathy and poor visual acuity. Arch Ophthalmol. 1986 Jul; 104(7):1009-12.
  29. Fine AM, Elman MJ, Ebert JE, Prestia PA, Starr JS, Fine SL. Earliest symptoms caused by neovascular membranes in the macula. Arch Ophthalmol. 1986 Apr; 104(4):513-4.
LIke ThisLIke ThisLIke This