University of California San Francisco

Nichole Starr
Nichole Starr, MD, MPH

Clinical Fellow (PGY-7)
Trauma and Emergency Surgery

[email protected]

Biography

Dr. Nichole Starr is a Trauma & Surgical Critical Care Fellow at UCSF/Zuckerberg San Francisco General Hospital and a Clinical Advisor for Lifebox Foundation. She completed General Surgery resident at University of California, San Francisco in 2023, and was a Surgical Safety Fellow at Lifebox Foundation from 2018-2021 and the Senior Fellow at Lifebox Foundation in 2020-2021. She was an NIH Fogarty Global Health Equity Scholar from 2020-2021. Her areas of interest are in academic global surgery, surgical quality improvement and infection prevention, and strengthening trauma care systems in resource limited environments, as well as trauma induced coagulopathy and platelet function in injured patients. Dr. Starr served in the Peace Corps in Ethiopia from 2007 - 2009, and has worked in Ethiopia, Brazil and Liberia on health services research including improving surgical safety, quality of surgical and trauma care, and creating tools and technologies for safeguarding surgical providers during the COVID-19 pandemic.

Awards & Honors

Award Conferred By Date
Dr. Hilary Sanfey Outstanding Resident Award Association of Women Surgeons 2023
Evan C. Werlin Lodestar Award UCSF Department of Surgery 2023
Haile T. Debas Resident Teaching Award UCSF Department of Surgery 2023
Medical Student Teaching Award UCSF Department of Surgery 2023
William B. Schecter Trauma Resident Award UCSF 2022
Muriel Steele Society Influential Women in Surgery Honor Roll UCSF 2019/2022
Surgical Infections Society Best Oral Presentation, Second Place Surgical Infection Society 2019
Junior Resident Teaching Award UCSF 2018
Department of Emergency Medicine Surgical Consultant of the Year UCSF 2017
Dora Savenor Memorial Prize for Excellence in Surgery Boston University School of Medicine 2015
The Leonard Tow Humanism in Medicine Student Award Boston University School of Medicine 2015

Education

Institution Degree Dept or School End Date
Boston University School of Medicine MD Medicine 05/2015
Boston University School of Public Health MPH Public Health 05/2008
University of Miami BS Neuroscience 05/2006
University of Miami BA Theatre Arts 05/2006
UCSF General Surgery

Foreign Languages Spoken

Spanish, Amharic

Dechert, T., Stucchi, A., Kauffman, D., Hasty, B., Starr, N., Godfrey, T. (2014). Development of the Medical Student Surgical Research Mentorship Program. Poster presented at: John McCahan Educational Day, Boston University School of Medicine; Boston, MA. (Poster Presentation)

Kaminetzy, L., Kanneganti, M., Karkoska, K., Kimball, A., Leahy, K., Starr, N. (2012). The Outreach Van Project: Meeting People Where They Are. Poster presented at: John McCahan Educational Day, Boston University School of Medicine; Boston, MA. (Poster Presentation)

Karasek, K., Oliveira, T., Silva, D., Starr, N., Hochberg, N., Dietze, R., Ellner, J., Jones-Lopez, E. (2013). TB Index Case Factors Associated with TST Conversion of Household Contacts. Poster presented at: Consortium of Universities for Global Health, Annual Conference; Washington, DC. (Poster Presentation)

Kasotakis, G., Peitzman, E., King, E., Starr, N., Hebert, C., Rosenkranz, P., Sarkar, B., Dechert, T., McAneny, D., Burke, P. (2014). Healthcare Disparities and Risk Factors for Readmission after Emergency General and Vascular Surgical Procedures. Poster presented at: American Association for the Surgery of Trauma, 73rd Annual Meeting; Philadelphia, PA. (Poster Presentation)

Starr, N., Abbensetts, K., Sarkar, B., Dechert, T., Glantz, A., Bird, D., Burke, P., Tompkins, R., Kasotakis, G. (2014). Platelet Transfusion Independently Increases Risk for Acute Lung Injury in the Non-massively Transfused Severely Injured Blunt Trauma Patient. Poster presented at: 100th Annual Clinical Congress of the American College of Surgeons, Medical Student Program; San Francisco, CA. (Poster Presentation)

Kasotakis, G., Peitzman, E., King, E., Starr, N., Hebert, C., Rosenkranz, P., Sarkar, B., McAneny, D., Burke, P. (2014). Healthcare Disparities and Risk Factors for Readmission After General Surgical Procedures. Oral Presentation presented at: 100th Annual Clinical Congress of the American College of Surgeons; San Francisco, CA. (Oral Presentation)

Starr, N. (2014). "Out of the Box Ideas" for Surgical Interest Groups. Oral Presentation presented at: 100th Annual Clinical Congress of the American College of Surgeons, Medical Student Program; San Francisco, CA. (Oral Presentation)

Starr, N. (2012). Lessons Learned in a Peace Corps Experience. Oral Presentation presented at: Peace Corps Masters International 25th Anniversary Celebration, Boston University School of Public Health; Boston, MA. (Oral Presentation)

Starr, N., Dechert, T. (2014). Department of Surgery Medical Student Research Mentoring. Oral Presentation presented at: Graduate Medical Education Meeting; Boston, MA. (Oral Presentation)

George Kasotakis, MD MPH; Elizabeth King, MD; Nichole Starr, BS MPH; Elpida Velmahos, BS; Christopher Hebert, BS; Elizabeth Peitzman, PA-C; Pamela Rosenkranz, RN; Peter Burke, MD; David McAneny, MD; Gerard Doherty, MD (2015). Healthcare Disparities and Risk Factors for Readmission After General Surgical Procedures. Submitted for presentation at: 135th Annual Meeting of the American Surgical Association; San Diego, CA. (Oral Presentation)

Grants and Funding

  • Global Health Equity Scholars Program - D43 Fogarty Training | NIH | 2017-07-01 - 2022-06-30 | Role: Co-Investigator
  • Research Training in Gastrointestinal Surgery | NIH | 1988-07-01 - 2021-06-30 | Role: Co-Investigator

Research Interests

Cost-Effectiveness Analyses of Surgical Organizations

Barriers to Accessing Surgical Care

Trauma Care

Research Pathways

Global Surgery & Public Health

Publications

MOST RECENT PUBLICATIONS FROM A TOTAL OF 41
  1. Review of a large trauma registry in Addis Ababa, Ethiopia: insights into prehospital care and provider training for trauma quality improvement.
    Starr N, Ayehu M, Zhuang A, Minalu HT, Alemu GK, Fisseha S, Chekol S, Habtemariam A, Hadis M, Alemtsehay B, Mengiste M, Kefeni Bori A| | PubMed
  2. Prehospital balanced resuscitation may mitigate hypofibrinogenemia in traumatic hemorrhagic shock.
    Starr N, Kornblith L| | PubMed
  3. The Devil's in the Depot Details: Case of Iatrogenic Opioid Intoxication After Buprenorphine Injection Requiring Surgical Excision.
    Vais S, Starr N, Castro M, Brand N, Murphy A, Tesoriero R, Kryzhanovskaya I| | PubMed
  4. Scalability and Sustainability of a Surgical Infection Prevention Program in Low-Income Environments.
    Starr N, Gebeyehu N, Nofal MR, Forrester JA, Tesfaye A, Mammo TN, Weiser TG, and Lifebox Clean Cut Collaborative, Amdie DA, Abreha M, Alemu M, Ally S, Abdukadir AA, Assefa G, Bedore Y, Bekele A, Berhanu M, Alemu SB, Chimdesa Z, Derbew M, Fast C, Fernandez K, Kahsay S, Kassahun A, Kebede H, Kitesa G, Koritsanszky L, Lima B, Mellese B, Mengistu M, Negash S, Tara M, Taye S, Torgeson K, Tsehaye M, Tiruneh A, Stave K| | PubMed
  5. Addressing knowledge gaps in Surgical Safety Checklist use: statistical process control analysis of a surgical quality improvement programme in Ethiopia.
    Nofal MR, Starr N, Negussie Mammo T, Trickey AW, Gebeyehu N, Koritsanszky L, Alemu M, Tara M, Alemu SB, Evans F, Kahsay S, Weiser TG| | PubMed
  6. Feasibility of Gastrografin Use for Adhesive Small Bowel Obstruction in Low-Income Countries.
    Starr N, Tadesse M, Igwebuike C, Sherefa K, Genetu A, Aregawi Y, Zewdu E, Tamirat D, Desalegn M, Getahun B, Harris H, Zemenfes D| | PubMed
  7. Correction: Academic global surgical competencies: A modified Delphi consensus study.
    Pawlak N, Dart C, Aguilar HS, Ameh E, Bekele A, Jimenez MF, Lakhoo K, Ozgediz D, Roy N, Terfera G, Ademuyiwa AO, Alayande BT, Alonso N, Anderson GA, Anyanwu SNC, Aregawi AB, Bandyopadhyay S, Banu T, Bedada AG, Belachew AG, Botelho F, Bua E, Campos LN, Dodgion C, Drejza M, Durieux ME, Dutta R, Erdene S, Vaz Ferreira R, Gathuya Z, Ghosh D, Jawa RS, Johnson WD, Khan FA, Navas Leon FJ, Long KL, Macleod JBA, Mahajan A, Maine RG, Malolos GZC, McClain CD, Nabukenya MT, Nthumba PM, Nwomeh BC, Ojuka DK, Penny N, Quiodettis MA, Rickard J, Roa L, Salgado LS, Samad L, Seyi-Olajide JO, Smith M, Starr N, Stewart RJ, Tarpley JL, Trostchansky JL, Trostchansky I, Weiser TG, Wobenjo A, Wollner E, Jayaraman S| | PubMed
  8. Academic global surgical competencies: A modified Delphi consensus study.
    Pawlak N, Dart C, Aguilar HS, Ameh E, Bekele A, Jimenez MF, Lakhoo K, Ozgediz D, Roy N, Terfera G, Ademuyiwa AO, Alayande BT, Alonso N, Anderson GA, Anyanwu SNC, Aregawi AB, Bandyopadhyay S, Banu T, Bedada AG, Belachew AG, Botelho F, Bua E, Campos LN, Dodgion C, Drejza M, Durieux ME, Dutta R, Erdene S, Ferreira RV, Gathuya Z, Ghosh D, Jawa RS, Johnson WD, Khan FA, Leon FJN, Long KL, Macleod JBA, Mahajan A, Maine RG, Malolos GZC, McClain CD, Nabukenya MT, Nthumba PM, Nwomeh BC, Ojuka DK, Penny N, Quiodettis MA, Rickard J, Roa L, Salgado LS, Samad L, Seyi-Olajide JO, Smith M, Starr N, Stewart RJ, Tarpley JL, Trostchansky JL, Trostchansky I, Weiser TG, Wobenjo A, Wollner E, Jayaraman S| | PubMed
  9. Correction: Exploring the Use of a Fit-for-Purpose Surgical Headlight in Sub-Saharan Africa: Mixed Methods Study.
    Hussien M, Capo-Chichi N, Starr N, Johansen E, Negash S, Utam T, Negussie T, Fernandez K, Weiser TG| | PubMed
  10. Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries.
    National Institute for Health and Care Research Global Health Research Unit on Global Surgery| | PubMed
  11. Exploring the Use of a Fit-for-Purpose Surgical Headlight in Sub-Saharan Africa: Mixed Methods Study.
    Hussien M, Capo-Chichi N, Starr N, Johansen E, Negash S, Utam T, Negussie T, Fernandez K, Weiser TG| | PubMed
  12. Bridging the know-do gap in low-income surgical environments: Creating contextually appropriate training videos to promote safer surgery in Ethiopia.
    Hawkins J, Rangel UJS, Tesfaye A, Gebeyehu N, Weiser TG, Bitew S, Mammo TN, Starr N| | PubMed
  13. Evaluation of an adaptive, multimodal intervention to reduce postoperative infections following cesarean delivery in Ethiopia: study protocol of the CLEAN-CS cluster-randomized stepped wedge interventional trial.
    Mammo TN, Feyssa MD, Haile ST, Fikre T, Shiferaw MA, Woldeamanuel H, Temesgen F, Gebeyehu N, Starr N, Fernandez K, Henrich N, Alemu SB, Miller K, Weiser TG| | PubMed
  14. Platelet Transfusion for Trauma Resuscitation
    Nichole Starr, Zachary Matthay, Alexander Fields, Matthew D. Neal & Lucy Zumwinkle Kornblith| | UCSF Research Profile
  15. Perioperative provider safety in the pandemic: Development, implementation and evaluation of an adjunct COVID-19 Surgical Patient Checklist.
    Starr NE, Moore JN, Shreckengost CSH, Fernandez K, Ambulkar RP, Capo-Chichi N, Varallo JE, Ademuyiwa AO, Krouch S, Rana PS, Ingabire JA, Weiser TG, Mammo TN, Evans FM| | PubMed
  16. Perioperative health care provider safety and resource availability during the COVID-19 pandemic in India and other low middle-income countries.
    Ambulkar R, Rana PS, Starr N, Moore J| | PubMed
  17. Global Collaboration on a UV-C Cabinet to Decontaminate and Reuse N95 Respirators in Low- and Middle-Income Environments
    Nichole Starr, MD, MPH, Natnael Gebeyehu, MD, Anderson S. L. Gomes, PhD, E. Rosas, PhD, Tyler N. Chen, MS, Dawit Assefa, PhD, Jared Shless, Jit Bhattacharya, PhD, Arnab Bhattacharya, PhD, David Robinowitz, MD, MHS, MS, Martin Purschke, PhD, and Thomas Baer, PhD| | UCSF Research Profile
  18. Clean and Confident: Impact of Sterile Instrument Processing Workshops on Knowledge and Confidence in Five Low- and Middle-Income Countries.
    Harrell Shreckengost CS, Starr N, Negussie Mammo T, Gebeyehu N, Tesfaye Y, Belayneh K, Tara M, Lima I, Jenkin K, Fast C, Weiser TG| | PubMed
  19. Operating room efficiency in a low resource setting: a pilot study from a large tertiary referral center in Ethiopia.
    Negash S, Anberber E, Ayele B, Ashebir Z, Abate A, Bitew S, Derbew M, Weiser TG, Starr N, Mammo TN| | PubMed
  20. Sustainability of a Surgical Quality Improvement Program at Hospitals in Ethiopia.
    Starr N, Nofal MR, Gebeyehu N, Forrester JA, Derbew M, Weiser TG, Mammo TN| | PubMed
  21. Comment on "COVID-19 Preparedness Within the Surgical, Obstetric, and Anesthetic Ecosystem in Sub Saharan Africa".
    Starr N, Weiser TG| | PubMed
  22. Perioperative Provider Safety in Low- and Middle-income Countries During the COVID-19 Pandemic: A Call for Renewed Investments in Resources and Training.
    Starr N, Capo-Chichi N, Moore J, Shreckengost CH, Fernandez K, Ambulkar R, Varallo JE, Ademuyiwa AO, Krouch S, Rana PS, Ingabire JA, Weiser TG, Mammo TN, Evans FM| | PubMed
  23. Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach.
    Jayaram A, Pawlak N, Kahanu A, Fallah P, Chung H, Valencia-Rojas N, Rodas EB, Abbaslou A, Alseidi A, Ameh EA, Bekele A, Casey K, Chu K, Dempsey R, Dodgion C, Jawa R, Jimenez MF, Johnson W, Krishnaswami S, Kwakye G, Lane R, Lakhoo K, Long K, Madani K, Nwariaku F, Nwomeh B, Price R, Roser S, Rees AB, Roy N, Ruzgar NM, Sacoto H, Sifri Z, Starr N, Swaroop M, Tarpley M, Tarpley J, Terfera G, Weiser T, Lipnick M, Nabukenya M, Ozgediz D, Jayaraman S| | PubMed
  24. Author response to: Clean Cut (adaptive, multimodal surgical infection prevention programme) for low-resource settings: a prospective quality improvement study.
    Forrester JA, Starr N, Gebeyehu N, Negussie T, Weiser TG| | PubMed
  25. Early Outcome of Laparotomy Wounds in Pediatric Patients in TASH, Addis Ababa, Ethiopia: A Six-Months Prospective Study.
    Temesgen F, Gosaye A, Starr N, Kiflu W, Getachew H, Dejene B, Tadesse A, Derbew M, Negussie T| | PubMed
  26. Clean Cut (adaptive, multimodal surgical infection prevention programme) for low-resource settings: a prospective quality improvement study.
    Forrester JA, Starr N, Negussie T, Schaps D, Adem M, Alemu S, Amenu D, Gebeyehu N, Habteyohannes T, Jiru F, Tesfaye A, Wayessa E, Chen R, Trickey A, Bitew S, Bekele A, Weiser TG| | PubMed
  27. Construction and validation of UV-C decontamination cabinets for filtering facepiece respirators.
    Purschke M, Elsamaloty M, Wilde JP, Starr N, Anderson RR, Farinelli WA, Sakamoto FH, Tung M, Tam J, Hesselink L, Baer TM| | PubMed
  28. Pulse oximetry in low-resource settings during the COVID-19 pandemic.
    Starr N, Rebollo D, Asemu YM, Akalu L, Mohammed HA, Menchamo MW, Melese E, Bitew S, Wilson I, Tadesse M, Weiser TG| | PubMed
  29. COVID-19 Preparedness Within the Surgical, Obstetric, and Anesthetic Ecosystem in Sub-Saharan Africa.
    Ademuyiwa AO, Bekele A, Berhea AB, Borgstein E, Capo-Chichi N, Derbew M, Evans FM, Feyssa MD, Galukande M, Gawande AA, Gueye SM, Harrison E, Jani P, Kaseje N, Litswa L, Mammo TN, Mellin-Olsen J, Muguti G, Nabukenya MT, Ngoga E, Ntirenganya F, Rulisa S, Starr N, Tabiri S, Tadesse M, Walker I, Weiser TG, Wren SM| | PubMed
  30. Identification of injury and shock driven effects on ex vivo platelet aggregometry: A cautionary tale of phenotyping.
    Starr NE, Matthay ZA, Fields AT, Nunez-Garcia B, Callcut RA, Cohen MJ, Kornblith LZ| | PubMed
  31. The Lifebox Surgical Headlight Project: engineering, testing, and field assessment in a resource-constrained setting.
    Starr N, Panda N, Johansen EW, Forrester JA, Wayessa E, Rebollo D, August A, Fernandez K, Bitew S, Mammo TN, Weiser TG| | PubMed
  32. Value and Feasibility of Telephone Follow-Up in Ethiopian Surgical Patients.
    Starr N, Gebeyehu N, Tesfaye A, Forrester JA, Bekele A, Bitew S, Wayessa E, Weiser TG, Negussie T| | PubMed
  33. Diagnosis and management of surgical disease at Ethiopian health centres: cross-sectional survey of resources and barriers to care.
    Starr N, Carpenter S, Carvalho M, Souza A, Chin R, Kasotakis G, Worku M| | PubMed
  34. Qualitative outcomes of Clean Cut: implementation lessons from reducing surgical infections in Ethiopia.
    Mattingly AS, Starr N, Bitew S, Forrester JA, Negussie T, Bereknyei Merrell S, Weiser TG| | PubMed
  35. Global variation in anastomosis and end colostomy formation following left-sided colorectal resection.
    GlobalSurg Collaborative| | PubMed
  36. Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy.
    GlobalSurg Collaborative| | PubMed
  37. Platelet transfusion increases risk for acute respiratory distress syndrome in non-massively transfused blunt trauma patients.
    Kasotakis G, Starr N, Nelson E, Sarkar B, Burke PA, Remick DG, Tompkins RG, Inflammation and Host Response to Injury Investigators| | PubMed
  38. Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.
    GlobalSurg Collaborative| | PubMed
  39. Provision of surgical care in Ethiopia: Challenges and solutions.
    Kelly CM, Starr N, Raykar NP, Yorlets RR, Liu C, Derbew M| | PubMed
  40. Socially Responsible Surgery: Building Recognition and Coalition.
    Robinson TD, Oliveira TM, Timmes TR, Mills JM, Starr N, Fleming M, Janeway M, Haddad D, Sidhwa F, Macht RD, Kauffman DF, Dechert TA| | PubMed
  41. Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries.
    GlobalSurg Collaborative| | PubMed