Toxicology Fellowship

Curriculum - Didactic Teaching Schedule  (page 2)

In-patient Consultative Service

Our toxicology service sees patients in both the Oregon Health and Science University (OHSU) Hospital and the Doernbecher Children's Hospital (DCH). These hospitals, which see more than 400,000 annual patient visits and comprise over 700 total inpatient beds are all located within a short walking distance from the fellow's office in Poison Center. Doernbecher Children's Hospital is the largest children's hospital in Oregon and a Level-1 pediatric trauma center and frequently is the referral site for toxicology patients, including many followed by the Poison Center prior to transfer. OHSU is the only medical school in the state and a major tertiary care pediatric and adult referral center. OHSU and DCH receive transferred patients from Northern California, southern Washington, and the entire state of Oregon. The toxicology service has a congenial and respectful relationship with referral institutions as well as referring services on campus.

Poison Center

Toxicology fellows gain significant breadth and depth of knowledge while taking call for the Poison Center. The Oregon Poison Center handles about 70,000 phone consultations per year from a catchment area that covers Oregon, Alaska, Guam and the Northern Marianas Islands.

This diverse catchment area allows our fellows to learn the entire spectrum of toxicology, from acute care toxicology in Portland, Oregon to marine envenomations (e.g. Lionfish, Stonefish) in Guam, shellfish poisoning on the Oregon Coast (e.g. paralytic shellfish poisoning, domoic acid poisoning) to snake bites from Eastern Oregon and mushroom toxicity in Western Oregon. Our fellows learn how to handle toxicology cases in large cities where laboratory testing and resources are readily available, as well as in remote frontier Alaska and in Guam, where testing is highly limited and transfers may take days.

Occupational / Environmental Toxicology

All occupational toxicology topics in the Core Curriculum are covered in the didactic curriculum. However it is important for toxicology fellows to have clinical experience with occupational and environmental toxicology patients in order to gain experience in obtaining a detailed exposure history, understanding the confounding factors which complicate occupational toxicology assessments, understanding the limitation of analytical tests in the occupational setting and gaining familiarity with the economic medico-legal aspects of the field. Our fellows gain this experience in several ways.

Our fellowship is privileged to be affiliated with a private practice Medical Toxicologist, Brent Burton, MD, who sees occupational toxicology cases full-time. Once a month, our fellows see patients with this toxicologist in his office.

In addition, our fellowship has our own Occupational and Environmental Toxicology clinic where we can see patients on Wednesday mornings.