Toxicology Fellowship

• Two ACGME-approved fellowship slots per year
• High volume, high acuity bedside toxicology consult service at large academic adult and pediatric hospitals on the same campus
• Competitive salary
• Access to a large, shared office with your own computer and space
• Emphasis on fellow life to make sure you enjoy your time inside and outside of the hospital
• Well-connected faculty who are active in toxicology at the national level and can assist you in jump-starting your career

Fellows evaluate patients at Barnes-Jewish Hospital and St. Louis Children’s Hospital in addition to spending time at the Missouri Poison Center. Fellows lead our daily teaching rounds and are in charge of our consultation service, which includes rotating residents, medical students, and critical care and pediatric emergency medicine fellows. Our fellows also staff our weekly medical toxicology clinic. We evaluate patients with concerning exposures both at home and work, unexplained organ dysfunction, snake and spider envenomations, and patients with substance use disorders. We also use telehealth services for clinic patients as well as for consultations at other BJC-system hospitals.

Toxicology fellows work in close collaboration with the executive director and medical director of the Missouri Poison Center. At the poison center, fellows assist with reviewing the protocols and educating the specialists in poison information (SPIs).  They also perform case review and are available to take calls and assist the SPIs with challenging cases. 

In addition to daily teaching, there are weekly formal didactic sessions with toxicology faculty, SPIs from the poison center, pharmacists, clinical toxicology chemists and forensic toxicologists from the St. Louis County Medical Examiner’s Office. At the weekly conference, we review both critically important landmark journal articles and cutting-edge articles on topics chosen by toxicology fellows. We review the majority of Goldfrank’s Toxicologic Emergencies over the two-year fellowship and set aside dedicated time each month to occupational and environmental toxicology. Rotators produce high-yield presentations on a large array of toxicology topics that are frequently encountered as visual stimuli on board examinations. They also create and deliver end-of-rotation projects, which provide additional depth into a specific toxicology topic.

We also participate in:

• ACMT National Case Conference
• ACMT Grand Rounds
• The Midwest Toxicology Case Conference
• Toxicology Scholar Tracks
• Emergency Medicine Didactics including Grand Rounds and Emergency Medicine Expert Lectures
• Lectures to other groups on campus and at regional meetings
• Pharmaceuticals and Therapeutics subcommittee meetings
• Emergency Medicine Journal Club
• ACMT National Journal Club

Our two-year curriculum is based on the Core Content of Medical Toxicology, as well as on what we believe is necessary for toxicologists to know. We cover the majority of Goldfrank’s Toxicologic Emergencies, 11th Edition, including additional textbook readings in occupational and environmental toxicology, critical journal articles, and guest lectures from forensic toxicologists, radiation safety officers, occupational toxicologists and pharmacists. Board review is incorporated into didactic sessions, with attending toxicologists reviewing board-type questions and topics.