Toxicology
Elective Name: Medical Toxicology
Elective Mentor: Dr. Brian Wolk
Elective Location: LLUMC
Elective Duration: 2 or 4 weeks
Elective Description: Medical toxicology is a clinical specialty that includes the monitoring, prevention, evaluation and treatment of injury and illness due to occupational and environmental exposures, pharmaceutical agents, as well as intentional & unintentional poisoning in all age groups.
Educational Goals:
● Become comfortable initiating the evaluation and management of intoxicated/poisoned patients
● Improve understanding of pharmacology/toxicology of common & dangerous medications that may cause harm to patients
● Improve toxicology knowledge as measured by standardized testing
● Evaluate intoxicated/poisoned patients in Emergent and Critical Care settings
● Participate in weekly didactic session to enrich knowledge of various topics
Educational Objectives:
The ACGME competency and sub-competency domains that will be met by this elective:
Patient Care
● Emergency stabilization
● Performance of focused history and physical exam
● Diagnostic studies
● Diagnosis
● Pharmacotherapy
● Observation and reassessment
● Disposition
● Medical knowledge
● Systems-based management
● Practice-based performance improvement
Assessment Tools:
Create and deliver a presentation on a chosen Medical Toxicology topic, Pre/Post-test
Readings/Resources: Poisoning & Drug Overdose (Lange Clinical Manual): Kent R. Olson, ACEP Toxicology Antidote App, Micromedex, Goldfrank’s Goldfrank's Toxicologic Emergencies; other resources to be provided
Tips for Success:
● Read as much as possible
● Toxidromes often key to management
● Pharmacokinetics ≠ Toxicokinetics
● Understand limitations of common testing
● Understand interventions that may be likely to cause harm; indications and contraindications