Toxicology Fellowship

Toxicology Rotation for Residents & Med Students


The Medical Toxicology rotation is open for 4th year medical students and residents in all medical specialties. The rotation is designed to give students and residents a well-rounded education in the core principles in Medical Toxicology.

Each day (except Wednesday), residents and students arrive to the Poison Center by 8am, meet with the Poison Center nurses and get a list of patient cases. Each student/resident's pick 3 cases for themselves, review the cases and identify the potential toxins/medications. The student/resident should look up any information that they need about the medications/toxins concerning expected clinical effects and treatments. After educating themselves on the medications/toxins involved, the students/residents should call the hospital and speak to a nurse or physician who is caring for the patient for an update on the patient's condition and pertinent labs.

At 10am, the students/residents will meet with the Toxicology Team including the fellows, pharmacy student, and faculty member. The Toxicology Team may see some of the cases at the bedside if they are at OHSU or DCH. If there are no inpatient consultations for the day, then the team meets in the conference room to discuss the active cases. The student/resident will be expected to know details about the medication/toxin, what type of medication, what it is used for, what its clinical effects are, and all treatment modalities.

After rounds, students/residents document the patient's condition and treatment in the TOXICALL system.

On Monday mornings, the team will participate in the Multi-State Toxicology Case Conference at 830am. Instructions on how to dial into this conference call are in the conference room.

On Wednesday mornings, the students and residents on the rotation are invited to attend the Emergency Medicine Conference Day in DCH 11600.

Every afternoon, there will be a didactic session. This will vary from a lecture from a faculty member to a chapter review to journal club. The schedule is posted in the Poison Center.

View a typical month in the fellowship