Department Faculty


James Fehr, MD

Pediatric Anesthesiology and Critical Care Professor of Anesthesiology
Pediatrics Director, Saigh Pediatric Simulation Center

Research Interests

As director of the Saigh Pediatric Simulation Center, Dr. Fehr is intimately involved in the development and unfolding of projects which use pediatric simulators to instruct or evaluate clinicians and trainees. The research and educational projects of the Saigh Pediatric Simulation Center serve the entire clinical community represented at St. Louis Children's Hospital in an environment that fosters clinician development and puts no patients at risk. The Center opened in May 2009 with the express goal to impact the educational and clinical environment at St. Louis Children’s Hospital. In the first year 1,600 participants came through the Center’s various workshops, simulation sessions and mock codes.

Support of Dr. Fehr and the Saigh Pediatric Simulation Center has come from numerous sources. The Saigh Foundation provided funding to create the center and has remained directly involved in the Center’s development. The St. Louis Children’s Foundation has also actively supported the Center. Dr. Fehr received a 2008-2009 Loeb Teaching Fellowship, which provided critical support to develop the simulation program for Washington University medical students and residents. Dr. Fehr also received a 2009-2011 Research in Education Grant from the Foundation for Anesthesia Education & Research, which is supporting a study of anesthesia resident performance of simulated pediatric anesthesia tasks. Dr. Fehr is also a co-investigator on the Agency for Healthcare Quality Research funded project, “Teamwork, Communication and Decision-making: An Assessment Program Using Simulation” [RO1 HS018734-01, Dr. David Murray, PI]

Dr. Fehr has numerous research projects ongoing at the Saigh Pediatric Simulation Center. One study involves the assessment of pediatric resident’s management of simulated acutely ill pediatric patients. The FAER-funded study is assessing the performance of anesthesia residents in managing simulated pediatric anesthesia patients. The AHRQ-funded study is evaluating the communication and performance of pediatric rapid response teams in managing simulated acutely deteriorating pediatric patients. Research programs under development include a project evaluating of the management of decompensating simulated ECMO patients and a project evaluating the management of acutely deteriorating patients with sickle cell disease.