The fellows are on-call approximately 6-8 times per month. While on call, fellows are responsible for admitting, consulting and managing patients on the service and fielding telephone calls from the Pittsburgh Poison Center. Every morning, daily rounds are also coordinated by the fellows. The medical toxicology service has a large number of rotators including residents, medical students, and pharmacists. Therefore, morning rounds are great opportunities for fellows to teach rotators at the bedside.
The Medical Toxicology Division also treats patients with addiction. Fellows, therefore, treat inpatient addiction medicine patients to learn the nuances of treating addiction and withdrawal. Depending upon a fellow’s level of interest, additional addiction medicine opportunities are available. All fellows obtain their buprenorphine waiver, and motivational interview training in order to compliment patient care.
UPMC Presbyterian Hospital
UPMC Presby is the main teaching site for the Medical Toxicology Fellowship. This is the only hospital in the region with a dedicated inpatient medical toxicology unit, outpatient clinic, Liver Transplant ICU, and hyperbaric oxygen chambers. Over 1,000 patients are treated every year at this site alone.
UPMC Children's Hospital of Pittsburgh
This site serves as the pediatric training center for acute and chronic medical toxicology patients. The inpatient pediatric experience takes place here. Much like the primary teaching facility (UPMC Presbyterian), this site acts as a tertiary care referral center for pediatrics in the tri-state region. This site provides a large volume and breadth of pediatric patients for the fellowship. In conjunction with the primary site, the total patient volume provided by both sites makes this one of the busiest inpatient medical toxicology services in the country.
UPMC Mercy Hospital
UPMC Mercy serves as an additional teaching site for the fellowship. Due to its intercity location, UPMC Mercy offers a unique inpatient experience with more frequent exposures to drugs-of-abuse and addiction medicine services.