Department of Medical Toxicology

Clinical Rotation

[Phoenix At Night] The Medical Toxicology service can accept up to two medical student and five resident/fellow rotators per month for a one-month rotation (one week vacation is allowed assuming call requirements are met). Rotations are based at Banner - University Medical Center Phoenix but patients are also seen at Phoenix Children's Hospital. Rotators must be able to attend a minimum of three Friday morning Toxicology Conferences. The rotation is not available in December.

Goals

The rotator will:

  1. Develop clinical skills to assess a poisoning emergency.
  2. Develop problem-solving skills to manage clinical situations from poisoning and adverse drug reactions.
  3. Understand the pharmacology and mechanism of toxicity of the more frequently encountered drugs and toxins.
  4. Learn the appropriate applications of antidotes and specific therapies for common toxins.
  5. Learn how to access, critically appraise, and apply the findings of the medical literature in clinical situations. In addition, learn how to access other toxicology specific resources, which assist in the management of poisoned patients.
  6. Understand the functions of a poison center and how the public and medical community can access it.

Clinical Responsibilities

Rounds

Daily rounds begin at 9:00 am. Rotators will be expected to follow any patients they admit while on call until the patient is discharged. Prerounding and notes should be completed before morning rounds. The rotator should contact the post-call Toxicology fellow to assist in any patient care responsibilities prior to rounds.

Call

Rotators take 7 days of call during the month (or 5 days if a one-week vacation is scheduled). One weekend call (Friday, Saturday, and Sunday) is required but all other weekends are free. Rotators may establish their own call schedule assuming the preceding requirements are met. When on call, the rotator should be at the hospital and available to see patients until 5:00 pm, after which call may be taken from home. If the rotator elects to go home, he or she will be expected to come in for all admissions, consults, or problems. The rotators will not provide medical back-up for the Poison Center. Toxicology is a "front-loaded" specialty, in that patients are sickest in the first several hours. Consequently, call offers early patient contact which provides the best learning experience for the resident.

Poison Center Call Monitoring

Rotators will spend at least 6 hours during the month monitoring calls at the Banner Poison and Drug Information Center.

Didactic Activities

In addition to the above clinical responsibilities, the rotation also includes a variety of lectures, chapter reviews, and other conferences. Some highlights are outlined below.

Core Lectures

Lectures will be presented on several fundamental topics in toxicology. Each rotator will receive a reading packet with pertinent literature and is expected to read prior to each lecture. The topics covered will include:

  1. Neurotransmitters
  2. General Management
  3. Acetaminophen
  4. Salicylates
  5. Tricyclic Anti-depressants
  6. Cardiac Toxins
  7. Toxic Alcohols
  8. Carbon Monoxide
  9. Snakes/Scorpions
  10. Plants/Mushrooms

Rotator Presentations

Each rotator will present a 10-15 minute outline on two topics related to toxicology.

Poison Center Conference

The Banner Poison and Drug Information Center provides services for residents of Maricopa County. A weekly conference of poison center cases provides an opportunity to discuss exposures that would not typically be seen by a healthcare provider because they are routinely handled by the poison center staff.

More Information

Medical students interested in an away rotation with us will apply through the Visiting Student Application Service (VSAS). Resident physicians from other institutions will require a Program Letter of Agreement (PLA) to be completed. If you are interested in rotating on our service, please contact Teri Glidewell at 602-839-6690 or via email at teri.glidewell@bannerhealth.com for more information.

On the first day of your rotation, please arrive by 8:30 AM.

Our address is:
Department of Medical Toxicology
1012 E. Willetta St, Fl 2 Phoenix, AZ 85006