Deborah Anne Fisher

Deborah Anne Fisher

Associate Professor of Medicine

1) Clinical interests and focus: I am a general gastroenterologist with a particular interest in colorectal cancer screening/surveillance and quality improvement.  I recently served on the ASGE Assessment of Quality in Endoscopy committee and currently serve on the AGA Clinical Practice Updates committee.

2) Research focus: Outcomes, big data, and health services research as applied to a variety of GI areas including weight-loss devices, NAFLD, colorectal cancer screening, choledocholithiasis.  I conduct clinical research (outcomes, clinical trials, diagnostic studies) in colorectal cancer screening and have collaborated with the School of Engineering on GI clinical applications of new technology.

3) Educational activities:  Clinical teaching in gastroenterology and endoscopy, directing the Department of Medicine MENTORS program for research fellows, mentoring trainees and junior faculty in research.  I am faculty of the GI T32 training grant and of the Duke Clinical Research Training Program. In my role as the GI Director of Social and Digital Media, I train and advise in using social media for medical education and professional development.

Appointments and Affiliations

  • Associate Professor of Medicine
  • Member of the Duke Cancer Institute
  • Member in the Duke Clinical Research Institute

Contact Information

  • Office Location: Duke 3913, Durham, NC 27710
  • Office Phone: (919) 668-3063

Education

  • Duke University, 2002
  • University of Virginia, 1999
  • M.D. Vanderbilt University, 1996

Awards, Honors, and Distinctions

  • Dawn Provenzale Mentorship Award. Duke Division of Gastroenterology. 2020
  • Fellow of the American Gastroenterology Association. American Gastroenterology Association. 2011
  • ASGE Senior Investigator Mentoring Award. American Society for Gastrointestinal Endoscopy. 2010
  • Fellow of the American Society for Gastrointestinal Endoscopy. American Society for Gastrointestinal Endoscopy. 2010
  • VA National Center for Health Promotion and Disease Prevention Special Contribution Award. VA. 2010
  • AstraZeneca Emerging Leaders in GI Award. AstraZeneca. 2007
  • Fellow of the American College of Gastroenterology. American College of Gastroenterology. 2007
  • Gastroenterology Research Group AGA Abstract of the Year Award. GRG/AGA. 2002
  • Agency for Healthcare Research and Quality Fellowship. Duke University Medical Center. 2000
  • Diabetes Research and Training Center Fellowship. Vanderbilt School of Medicine. 1993
  • Phi Beta Kappa. Vanderbilt University. 1991
  • Harold Sterling Vanderbilt Honors Scholarship. Vanderbilt University. 1988

In the News

Representative Publications

  • Johnson, MR; Grubber, J; Grambow, SC; Maciejewski, ML; Dunn-Thomas, T; Provenzale, D; Fisher, DA, Physician Non-adherence to Colonoscopy Interval Guidelines in the Veterans Affairs Healthcare System., Gastroenterology, vol 149 no. 4 (2015), pp. 938-951 [10.1053/j.gastro.2015.06.026] [abs].
  • ASGE Standards of Practice Committee, ; Fisher, DA; Shergill, AK; Early, DS; Acosta, RD; Chandrasekhara, V; Chathadi, KV; Decker, GA; Evans, JA; Fanelli, RD; Foley, KQ; Fonkalsrud, L; Hwang, JH; Jue, T; Khashab, MA; Lightdale, JR; Muthusamy, VR; Pasha, SF; Saltzman, JR; Sharaf, R; Cash, BD, Role of endoscopy in the staging and management of colorectal cancer., Gastrointest Endosc, vol 78 no. 1 (2013), pp. 8-12 [10.1016/j.gie.2013.04.163] [abs].
  • Srygley, FD; Abbott, DH; Grambow, SC; Provenzale, D; Sandler, RS; Fischer, DA, Variability in resource use: diagnosing colorectal cancer., Am J Manag Care, vol 19 no. 5 (2013), pp. 370-376 [abs].
  • Bian, J; Bennett, CL; Fisher, DA; Ribeiro, M; Lipscomb, J, Unintended consequences of health information technology: evidence from veterans affairs colorectal cancer oncology watch intervention., Journal of Clinical Oncology, vol 30 no. 32 (2012), pp. 3947-3952 [10.1200/JCO.2011.39.7448] [abs].
  • Shah, T; Desai, S; Haque, M; Dakik, H; Fisher, D, Management of occluded metal stents in malignant biliary obstruction: similar outcomes with second metal stents compared to plastic stents., Dig Dis Sci, vol 57 no. 11 (2012), pp. 2765-2773 [10.1007/s10620-012-2272-7] [abs].
  • Shah, TU; Voils, CI; McNeil, R; Wu, R; Fisher, DA, Understanding gastroenterologist adherence to polyp surveillance guidelines., The American Journal of Gastroenterology, vol 107 no. 9 (2012), pp. 1283-1287 [10.1038/ajg.2012.59] [abs].
  • Hwang, JH; Fisher, DA; Ben-Menachem, T; Chandrasekhara, V; Chathadi, K; Decker, GA; Early, DS; Evans, JA; Fanelli, RD; Foley, K; Fukami, N; Jain, R; Jue, TL; Khan, KM; Lightdale, J; Malpas, PM; Maple, JT; Pasha, S; Saltzman, J; Sharaf, R; Shergill, AK; Dominitz, JA; Cash, BD; Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy,, The role of endoscopy in the management of acute non-variceal upper GI bleeding., Gastrointest Endosc, vol 75 no. 6 (2012), pp. 1132-1138 [10.1016/j.gie.2012.02.033] [abs].
  • Srygley, FD; Gerardo, CJ; Tran, T; Fisher, DA, Does this patient have a severe upper gastrointestinal bleed?, Jama, vol 307 no. 10 (2012), pp. 1072-1079 [10.1001/jama.2012.253] [abs].
  • Long, MD; Lance, T; Robertson, D; Kahwati, L; Kinsinger, L; Fisher, DA, Colorectal cancer testing in the national Veterans Health Administration., Dig Dis Sci, vol 57 no. 2 (2012), pp. 288-293 [10.1007/s10620-011-1895-4] [abs].
  • Balmadrid, BL; Thomas, CM; Coffman, CJ; Liddle, RA; Fisher, DA, Factors associated with survival of veterans with gastrointestinal neuroendocrine tumors., J Cancer Epidemiol, vol 2012 (2012) [10.1155/2012/986708] [abs].
  • ASGE Standards of Practice Committee, ; Fisher, DA; Maple, JT; Ben-Menachem, T; Cash, BD; Decker, GA; Early, DS; Evans, JA; Fanelli, RD; Fukami, N; Hwang, JH; Jain, R; Jue, TL; Khan, KM; Malpas, PM; Sharaf, RN; Shergill, AK; Dominitz, JA, Complications of colonoscopy., Gastrointest Endosc, vol 74 no. 4 (2011), pp. 745-752 [10.1016/j.gie.2011.07.025] [abs].
  • Gellad, ZF; Stechuchak, KM; Fisher, DA; Olsen, MK; McDuffie, JR; Ostbye, T; Yancy, WS, Longitudinal adherence to fecal occult blood testing impacts colorectal cancer screening quality., The American Journal of Gastroenterology, vol 106 no. 6 (2011), pp. 1125-1134 [10.1038/ajg.2011.11] [abs].
  • Burgess, DJ; van Ryn, M; Grill, J; Noorbaloochi, S; Griffin, JM; Ricards, J; Vernon, SW; Fisher, DA; Partin, MR, Presence and correlates of racial disparities in adherence to colorectal cancer screening guidelines., J Gen Intern Med, vol 26 no. 3 (2011), pp. 251-258 [10.1007/s11606-010-1575-7] [abs].
  • De Ceglie, A; Fisher, DA; Filiberti, R; Blanchi, S; Conio, M, Barrett's esophagus, esophageal and esophagogastric junction adenocarcinomas: the role of diet., Clinics and Research in Hepatology and Gastroenterology, vol 35 no. 1 (2011), pp. 7-16 [10.1016/j.gcb.2010.08.015] [abs].
  • Jou, JH; Fisher, DA, Predictive algorithms: uses and limitations., Dig Dis Sci, vol 55 no. 11 (2010), pp. 3016-3017 [10.1007/s10620-010-1436-6] [abs].
  • Salz, T; Weinberger, M; Ayanian, JZ; Brewer, NT; Earle, CC; Elston Lafata, J; Fisher, DA; Weiner, BJ; Sandler, RS, Variation in use of surveillance colonoscopy among colorectal cancer survivors in the United States., Bmc Health Services Research, vol 10 (2010) [10.1186/1472-6963-10-256] [abs].
  • Partin, MR; Noorbaloochi, S; Grill, J; Burgess, DJ; van Ryn, M; Fisher, DA; Griffin, JM; Powell, AA; Halek, K; Bangerter, A; Vernon, SW, The interrelationships between and contributions of background, cognitive, and environmental factors to colorectal cancer screening adherence., Cancer Causes Control, vol 21 no. 9 (2010), pp. 1357-1368 [10.1007/s10552-010-9563-0] [abs].
  • Yancy, WS; McDuffie, JR; Stechuchak, KM; Olsen, MK; Oddone, EZ; Kinsinger, LS; Datta, SK; Fisher, DA; Krause, KM; Østbye, T, Obesity and receipt of clinical preventive services in veterans., Obesity (Silver Spring), vol 18 no. 9 (2010), pp. 1827-1835 [10.1038/oby.2010.40] [abs].
  • Palmer, LB; Abbott, DH; Hamilton, N; Provenzale, D; Fisher, DA, Quality of colonoscopy reporting in community practice., Gastrointest Endosc, vol 72 no. 2 (2010), pp. 321-327.e1 [10.1016/j.gie.2010.03.002] [abs].
  • Fisher, DA; Grubber, JM; Castor, JM; Coffman, CJ, Ascertainment of colonoscopy indication using administrative data., Dig Dis Sci, vol 55 no. 6 (2010), pp. 1721-1725 [10.1007/s10620-010-1200-y] [abs].
  • Fisher, DA; Zullig, LL; Grambow, SC; Abbott, DH; Sandler, RS; Fletcher, RH; El-Serag, HB; Provenzale, D, Determinants of medical system delay in the diagnosis of colorectal cancer within the Veteran Affairs Health System., Dig Dis Sci, vol 55 no. 5 (2010), pp. 1434-1441 [10.1007/s10620-010-1174-9] [abs].
  • Gellad, ZF; Almirall, D; Provenzale, D; Fisher, DA, Time from positive screening fecal occult blood test to colonoscopy and risk of neoplasia., Dig Dis Sci, vol 54 no. 11 (2009), pp. 2497-2502 [10.1007/s10620-008-0653-8] [abs].
  • Fisher, DA; Voils, CI; Coffman, CJ; Grubber, JM; Dudley, TK; Vernon, SW; Bond, JH; Provenzale, D, Validation of a questionnaire to assess self-reported colorectal cancer screening status using face-to-face administration., Dig Dis Sci, vol 54 no. 6 (2009), pp. 1297-1306 [10.1007/s10620-008-0471-z] [abs].
  • Partin, MR; Burgess, DJ; Halek, K; Grill, J; Vernon, SW; Fisher, DA; Griffin, JM; Murdoch, M, Randomized trial showed requesting medical records with a survey produced a more representative sample than requesting separately., J Clin Epidemiol, vol 61 no. 10 (2008), pp. 1028-1035 [10.1016/j.jclinepi.2007.11.015] [abs].
  • Partin, MR; Grill, J; Noorbaloochi, S; Powell, AA; Burgess, DJ; Vernon, SW; Halek, K; Griffin, JM; van Ryn, M; Fisher, DA, Validation of self-reported colorectal cancer screening behavior from a mixed-mode survey of veterans., Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, vol 17 no. 4 (2008), pp. 768-776 [10.1158/1055-9965.EPI-07-0759] [abs].
  • Patwardhan, M; Fisher, DA; Mantyh, CR; McCrory, DC; Morse, MA; Prosnitz, RG; Cline, K; Samsa, GP, Assessing the quality of colorectal cancer care: do we have appropriate quality measures? (A systematic review of literature)., Journal of Evaluation in Clinical Practice, vol 13 no. 6 (2007), pp. 831-845 [10.1111/j.1365-2753.2006.00762.x] [abs].
  • Fisher, DA; Galanko, J; Dudley, TK; Shaheen, NJ, Impact of comorbidity on colorectal cancer screening in the veterans healthcare system., Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association, vol 5 no. 8 (2007), pp. 991-996 [10.1016/j.cgh.2007.04.010] [abs].
  • Fisher, DA, Calling a spade a spade--are we biased against "normal"?, American Journal of Gastroenterology, vol 102 no. 8 (2007), pp. 1588-1589 [10.1111/j.1572-0241.2006.00963.x] [abs].
  • Fisher, DA, The bottom line: offer the colorectal cancer screening test that you can deliver., Gastrointestinal Endoscopy, vol 65 no. 4 (2007), pp. 646-647 [10.1016/j.gie.2006.07.027] [abs].
  • Lin, S; Konstance, R; Jollis, J; Fisher, DA, The utility of upper endoscopy in patients with concomitant upper gastrointestinal bleeding and acute myocardial infarction., Digestive Diseases and Sciences, vol 51 no. 12 (2006), pp. 2377-2383 [10.1007/s10620-006-9326-7] [abs].
  • Prosnitz, RG; Patwardhan, MB; Samsa, GP; Mantyh, CR; Fisher, DA; McCrory, DC; Cline, KE; Gray, RN; Morse, MA, Quality measures for the use of adjuvant chemotherapy and radiation therapy in patients with colorectal cancer: a systematic review., Cancer, vol 107 no. 10 (2006), pp. 2352-2360 [10.1002/cncr.22278] [abs].
  • Garman, KS; Jeffreys, A; Coffman, C; Fisher, DA, Colorectal cancer screening, comorbidity, and follow-up in elderly patients., The American Journal of the Medical Sciences, vol 332 no. 4 (2006), pp. 159-163 [10.1097/00000441-200610000-00001] [abs].
  • Fisher, DA; Jeffreys, A; Coffman, CJ; Fasanella, K, Barriers to full colon evaluation for a positive fecal occult blood test., Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, vol 15 no. 6 (2006), pp. 1232-1235 [10.1158/1055-9965.EPI-05-0916] [abs].
  • Patwardhan, MB; Samsa, GP; McCrory, DC; Fisher, DA; Mantyh, CR; Morse, MA; Prosnitz, RG; Cline, KE; Gray, RN, Cancer care quality measures: diagnosis and treatment of colorectal cancer., Evidence Report/Technology Assessment no. 138 (2006), pp. 1-116 [abs].
  • Fisher, DA, Watchful waiting after endoscopic removal of common bile duct stones: cheaper and better?, American Journal of Gastroenterology, vol 101 no. 4 (2006), pp. 753-754 [10.1111/j.1572-0241.2006.00489.x] [abs].
  • Fisher, DA; Judd, L; Sanford, NS, Inappropriate colorectal cancer screening: findings and implications., American Journal of Gastroenterology, vol 100 no. 11 (2005), pp. 2526-2530 [10.1111/j.1572-0241.2005.00322.x] [abs].
  • Sultan, S; Fisher, DA; Voils, CI; Kinney, AY; Sandler, RS; Provenzale, D, Impact of functional support on health-related quality of life in patients with colorectal cancer., Cancer, vol 101 no. 12 (2004), pp. 2737-2743 [10.1002/cncr.20699] [abs].
  • Fisher, DA; Martin, C; Galanko, J; Sandler, RS; Noble, MD; Provenzale, D, Risk factors for advanced disease in colorectal cancer., American Journal of Gastroenterology, vol 99 no. 10 (2004), pp. 2019-2024 [10.1111/j.1572-0241.2004.40010.x] [abs].
  • Fisher, DA; Dougherty, K; Martin, C; Galanko, J; Provenzale, D; Sandler, RS, Race and colorectal cancer screening: a population-based study in North Carolina., North Carolina Medical Journal, vol 65 no. 1 (2004), pp. 12-15 [abs].
  • Schmulewitz, N; Fisher, DA; Rockey, DC, Early colonoscopy for acute lower GI bleeding predicts shorter hospital stay: a retrospective study of experience in a single center., Gastrointestinal Endoscopy, vol 58 no. 6 (2003), pp. 841-846 [10.1016/s0016-5107(03)02304-6] [abs].
  • Fisher, DA; Jeffreys, A; Grambow, SC; Provenzale, D, Mortality and follow-up colonoscopy after colorectal cancer., American Journal of Gastroenterology, vol 98 no. 4 (2003), pp. 901-906 [10.1111/j.1572-0241.2003.07376.x] [abs].
  • Fisher, D; Jeffreys, A; Bosworth, H; Wang, J; Lipscomb, J; Provenzale, D, Quality of life in patients with Barrett's esophagus undergoing surveillance., American Journal of Gastroenterology, vol 97 no. 9 (2002), pp. 2193-2200 [10.1111/j.1572-0241.2002.05972.x] [abs].