Toxicology | Fellowship Rotation

 

The Rotation:

The rotation is open to both medical students and residents from a variety of different specialties and interests.  The goal of the medical student rotation is to build the bridge between the basic sciences and the clinical years.  At the end of the rotation, medical students are expected to be able to explain the pathophysiologic mechanisms underlying the development of a toxidrome as well as recognize the clinical presentations of some of the most common overdoses we wee at the bedside.  We hope to give them a solid foundation as they will be taking care of these patients on the floor, potentially in hospitals without toxicology programs.  We now have between 35-50 rotators on the service each year.

The residents, students and rotating students and rotating fellows should increase their depth of understanding in the management of common overdoses and adverse reactions.  They are expected to have a solid knowledge of the diagnosis and management of overdoses involving acetaminophen, aspirin, cardioactive medications, antidepressants, and anti-psychotics.  They are also expected to develop their skills in recognizing the toxidromes associated with drugs of abuse.  Drs. Dribben, Halcomb, Mullins, and Schwarz each run daily didactic sessions with the medical students and residents while on service.  In addition, the on-call resident rounds daily with the on-call attending for all cases in-house.  The didactic teaching is a major emphasis of the program and provides the students with the time to thoroughly explore a topic.  Rotators receive a core set of lectures while on the rotation.  In addition, they have the opportunity to rotate through the medical toxicology and addiction medicine clinic.

In addition to regular didactics, every Wednesday or Thursday, we hold a formal didactics session. Topics vary each week and several articles or textbook chapters are reviewed and discussed.  These include the management of interesting cases and general principles of medical toxicology.  In addition, outside speakers may deliver a lecture and other toxicologists from the area regularly join in the sessions.  Rotators can also participate in our quarterly Scholar Track sessions and trips to the herpetarium, botanical gardens, or Monsanto. 

The rotation is highly popular with both the residents and medical students.  Additionally, multiple graduates  have gone on to excellent medical toxicology training fellowships because of their experience at Washington University.


Interested applicants should contact:


Evan Schwarz, MD FACEP

Assistant Professor
Fellowship Director
Division of Emergency Medicine
Washington University School of Medicine
schwarze@wusm.wustl.edu
314-362-9177



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