Emergency Medicine

Medical Toxicology Fellowship Curriculum

Medical Toxicology fellows lead daily rounds, present grand rounds for emergency medicine, and may participate in teaching and interesting case presentations with pediatrics, critical care, internal medicine, and psychiatry/addiction medicine. Fellows participate in research and scholarly activities, with mentorship from toxicology faculty.

Education Experience

Fellows assist in the clinical education of residents and students rotating on the toxicology service (emergency medicine residents spend one month on the toxicology service.) Fellows in this program also participate in the Emergency Medicine Junior Faculty Development program, which offers didactic teaching and hands-on workshops designed to provide junior faculty and fellows with the skills required to enhance their academic careers.

Clinical Experience

Monthly coverage for the hospital and Indiana Poison Center requires that first-year fellows take call 7-9 days per month. Second-year fellows have reduced call requirement. Along with the fellow, a faculty member is available 24 hours a day for staffing or direct patient care. Call for this fellowship is taken from home.

The Medical Toxicology fellow is responsible for working 21 clinical hours in the emergency department. Additional moonlighting is permitted, providing program requirements are met.

Occupational / Forensic Experience

Medical Toxicology fellows are responsible for seeing all patients scheduled in the Occupational Toxicology Clinic, typically one or two days per month. This involves seeing patients referred for neurotoxicology issues such as neuropathy. Medical Toxicology fellows participate in the Neurotoxicology Clinic with neurotoxicologist Dr. Laura Tormoehlen. Patients are typically scheduled 1-2 days per month. Fellows also see patients in the Pulmonary Occupational Clinic. For forensic cases, Medical Toxicology fellows research specific topics related to pathologic, criminal or legal cases and develop the skill set necessary to become an expert in both criminal and legal proceedings involving medical toxicology.

Didactics

Medical Toxicology fellows participate in an ongoing didactic series designed to cover both pertinent material for the management of toxicology patients and prepare them for the Medical Toxicology Board Examination. This includes weekly readings with quizzes, weekly journal club to review both current and historical toxicology articles, review of Poison Center cases and monthly presentations on selected topics in toxicology. Weekly didactics cover all areas of toxicology.