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 provides 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 medical 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 completes 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. Coupled with our 100% board pass rate, our fellows are bound to succeed.

Goals are accomplished by:

  • Recognizing the indications for admission to the medical 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 medical 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 medical toxicology that are particularly pertinent to the practice of clinical medicine.
  • Applying information obtained from the medical literature and medical toxicology references to the clinical practice of medicine.
  • Demonstrating and developing skills for providing evidence-based healthcare.
  • Communicating effectively with other members of the medical 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.
  • The fellow will provide education through lectures and discussion to residents and fellows from a variety of specialties, medical students and Certified Poison Center Specialists (CSPIs).


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