Medical Toxicology Fellowship
Toxicology Fellowship
Faculty Director: Cathleen Clancy MD, FACEP, FACMT, ABIM, ABEM
Contact: cat@poison.org
This fellowship was approved by the ACGME in September 2005. Two Fellows will start in the coming July. Fellows will be based at the National Capital Poison Center and provide bedside adult and pediatrics toxicology consultations to patients at The George Washington University Medical Center, Children's National Medical Center and Uniformed Services University of the Health Sciences (USUHS). The location in the nation's capital will provide Fellows with exposure to the public policy implications of health care decisions.
Goals:
1. To maximize the care provided to possibly poisoned patients by
" Providing fellows with in-depth, well-rounded clinical skills and academic background in medical toxicology;
" Fostering research skills and interests that will improve future patient care.
2. To provide career development opportunities by exposing fellows to:
" A variety of clinical sites;
" Multiple venues for specialized research;
" Opportunities for teaching; and
" A range of academic training opportunities.
Objectives:
At the conclusion of the two-year fellowship, participants will be able to:
1. Assess and manage patients with acute poisoning from a variety of sources.
2. Assess and manage patients with sub-acute/chronic exposures to toxic substances from a variety of
sources.
3. Assess the potential contribution of workplace and environmental poison exposures to the health of
patients with physical complaints or documented illness.
4. Select and apply relevant principles of pharmacology and toxicology to the management of poisoned
patients.
5. Select and interpret relevant assays and laboratory testing procedures when evaluating patients, potential
research questions, and forensic studies.
6. Identify poison prevention strategies relevant to common poison exposure scenarios in the home,
workplace and environment as well as iatrogenic exposures.
7. Incorporate epidemiologic data into research questions, protocol development, and poison prevention
strategies.
8. Complete a research project, including: selection of a research problem; selection of the appropriate
methodology; development and execution of a research plan; data analysis; presentation of findings; and
possible preparation of a scientific manuscript.
9. Participate in poison center operations with knowledge of administrative functions, essential elements of
budgeting, staffing requirements, certification standards, computerized documentation of patient records,
and legal elements of record keeping.
10. Participate in agency and community disaster planning for toxic agent release as a result of industrial
accidents, hazardous materials events and chemical and biological warfare events.
Fellows will be based at the National Capital Poison Center and provide bedside adult and pediatrics toxicology consultations to patients at The George Washington University Medical Center, Childrens National Medical Center and Uniformed Services University of the Health Sciences (USUHS). They will also act as initial back-up for the National Capital Poison Center. They will spend dedicated time at USUHS providing medical and pharmacology bedside consultations. Fellows will have the opportunity to see patients in ambulatory clinic settings, including pediatric environmental health and occupational medicine (The Mid-Atlantic Center for Children's Health and the Environment ). They will also be able to take courses at the National Institutes of Health and in The George Washington University School of Public Health and School of Law. In addition, Fellows training will include a combination of conferences, lectures, research, and online instruction, all under the guidance of an experienced team of toxicologists and recognized experts in related fields. The location in the nations capital will provide Fellows with exposure to the public policy implications of health care decisions.