Toxicology Fellowship

Curriculum - Overview

The Medical Toxicology Fellowship Program is a two-year training program for physicians who are already qualified in a primary specialty recognized by the American Board of Medical Specialties. The program is designed to prepare the fellow for board certification in medical toxicology. The goals of the fellowship are to provide an excellent experience in a broad range of areas related to medical toxicology and to facilitate in-depth training in an area of emphasis chosen by the fellow.

The Fellowship uses a combination of didactic teaching, bedside consultation, and Poison Center consultation to meet the core of its educational goals and prepare the Fellow for Board Certification.

Typical Day

A typical day for our fellows is to meet at the Poison Center between 9 and 10am and identify inpatient consultations. There is typically a team doing the Toxicology rotation that includes an Emergency Medicine resident, several medical students, residents from other specialties (e.g. pediatrics, internal medicine, critical care), a pharmacy student, the fellows and toxicology faculty. The team then rounds on inpatient consultations in the morning. Our inpatient consultative service cares for patients in both the Oregon Health and Science University (OHSU) and the Doernbecher Children's Hospital (DCH). After in-patient consultations, the students and residents present information on our hospitalized patients that are being followed by the Poison Center, then discuss them in "rounds" until noon. The learning group also includes a pharmD toxicology fellow from Utah who video conferences with our group one week per month for both rounds and didactics. There is a scheduled didactic every afternoon that includes (please see the schedule for details) a variety of presentations from the medical students, residents, pharmacy students, and fellows; "antidote of the day", "clinical toxicology questions", "toxicology visual aid/board review", "toxicology disaster of the week", "new medication of the week", journal club, journal review, dogma review, and "minor toxicology topics review".