Medical Toxicology Fellowship

Mission

Advancing the care of patients suffering illness related to toxin, drug, or environmental exposures through bedside care, education, research, and public health endeavors.

Program Description

The UPMC Medical Toxicology Fellowship is an ACGME-approved 2-year training program that provides exceptional training in one of the busiest medical toxicology services in the country. The program is designed to provide a unique clinical experience in both the inpatient and outpatient setting. Our fellowship is the only service nationwide with the capability to admit to a specialized hospital unit dedicated to the treatment of toxicology patients at UPMC Presbyterian. We also admit patients to Children’s Hospital of Pittsburgh and UPMC Mercy. Fellows are also engaged in an outpatient clinic, providing care to patients with chronic toxicities and occupational exposures. Lastly, the Pittsburgh Poison Center rounds out the clinical experience which provides service in Western Pennsylvania with over 100,000 calls per year. This allows fellows to graduate with extensive knowledge in the operation and management of Poison Control Centers and local health departments.

Our educational mission is to train future leaders in medical toxicology as educators, researchers, clinicians, and administrators, locally and at peer institutions around the country. Our breadth of training provides our graduates with opportunities to pursue positions at community, academic or governmental organizations including poison centers. We do this by providing a diverse experience for our fellows. Our fellows directly experience acute poisonings, adverse drug events, addiction, withdrawal, hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures. They graduate experts in the prevention, evaluation, treatment and monitoring of illnesses from exposures to drugs and chemicals, as well as biological and radiological agents. Upon graduation, they are prepared to work in clinical, academic, and governmental environments. Coupled with our 100% board pass rate, our fellows are bound to succeed.

Goals are accomplished by:

  • Recognizing the indications for admission to the toxicology service, either to the medical floors or to an intensive care unit.
  • Developing an understanding of important clinical factors when obtaining histories and performing physical exams on toxicological patients.
  • Selecting appropriate diagnostic studies and therapeutic interventions for toxicology patients.
  • Learning how to access and utilize the resources available to the physician regarding toxicological patients.
  • Developing skills to diagnose and manage patients with acute and life-threatening illnesses related to toxicological problems.
  • Understanding the capabilities of and the resources through a regional poison center as applied to care of individual patients and patient populations. 
  • Mastering the differential diagnosis and management of toxicological patients.
  • Developing the cognitive and procedural skills necessary for the recognition and management of a wide variety of emergent toxicological conditions.
  • Acquiring a comprehensive database relating to those areas of toxicology that are particularly pertinent to the practice of clinical medicine.
  • Applying information obtained from the medical literature and toxicology references to the clinical practice of medicine.
  • Demonstrating and developing skills for providing evidence-based healthcare.
  • Communicating effectively with other members of the toxicology team and poison control center, including attendings, fellows, nurses, aides, technicians and clerical staff.
  • Developing skills to diagnose and manage patients through a tele-toxicology service.

Fellows will collaborate with the program faculty and submit abstracts to national and international medical toxicology conferences and various publication outlets. In addition, the fellow will also provide education through lectures and discussion to residents and fellows from a variety of specialties, medical students and Certified Poison Center Specialists (CSPIs).

Requirements for Applicants

Applicants who have completed any AOA or ACGME-approved residency can apply. Applicants with a passion for medical toxicology, education, research and patient care are strongly sought after. We encourage applicants from diverse cultural and social-economic backgrounds. Lastly, each trainee is required to register with the NRMP (National Resident Matching Program) at www.nrmp.org.

Application Process

All interested applicants should submit a letter of intent, CV, and three letters of reference to: Anthony Pizon, MD – Toxicology Fellowship Director and Chief of the UPMC Division of Medical Toxicology. He can be reached at pizonaf@upmc.edu or (412) 647-8284. Alternatively, please contact Janna Nelson, Administrative Coordinator at gribowiczjm@upmc.edu.

Application Dates (For 2019 Appointment Year)

Accepting applications:

July 1, 2018

Interviews available:

July 1 – October 31, 2018

Match Opens:

August 22, 2018

Ranking Opens:

September 26, 2018

Ranking Deadline:

October 31, 2018

Match Day:

November 14, 2018

Fellowship Matriculation:

July 1, 2019