Medical Toxicology Elective
Preceptor: Daniel M. Lugassy, M.D.
Course Code: 17-31
Telephone: (212) 447-2102
Prerequisites: All Clerkships
Medical toxicologists care for patients suffering from intentional or inadvertent exposure to pharmaceuticals, drugs of abuse, industrial and hazardous materials, environmental chemicals, plant toxins, and animal venoms. The purpose of this elective is: (1) To integrate pharmacology, pathophysiology and clinical medicine, in order to understand the care of poisoned patient (2) To learn how to evaluate and treat common toxic exposures (3) To expose the medical student to the resources and structure of a regional poison control center.
Objectives of the Elective
Students will understand the evaluation of poisoned patients. Students will be able to describe the pharmacology and toxicology of common poisons, understand the use of common antidotes and to describe the function of poison centers.
Key Responsibilities of the student while on Elective
- To attend all conferences and lectures
- To perform daily follow up poisoned patients (AKA “Call backs”)
- To present articles for Journal Club once during 4 week elective
- Brief presentation (5-10 minute) at the end of the rotation on a topic picked by the student
Mon, Tues, Thurs, Fri; 8:15 a.m. - 9:00 a.m. Emergency Medicine Rounds
Daily 9:00 a.m. - 12:00 p.m. Toxicology Case Follow-up
Daily 1:00 p.m. - 4:00 p.m. Toxicology Rounds (Note that start time may change daily and will be posted in NYCPCCevery morning at 9AM)
First Thursday of each month @2-4 p.m. Consultant's Conference (A regional gathering of toxicologists presenting unique cases of the month)
All other Thursdays 9:00 a.m. Journal Club
Optional: NYU Emergency Medicine Residency Weekly Wednesday Conference from 8AM-Noon
Method of Evaluation
Students will be evaluated on their performance on rounds, “call backs” and a small individual project.
On your first day, we meet at 8:15 am in the ED conference room at Bellevue Hospital (27th Street and First Avenue) for morning report. The conference room is located in the “back” of the emergency department between the Discharge Center and Radiology, if you are having trouble just enter the ED and ask for ED conference room. If you are starting on a Wednesday, meet at the EM conference on the 3rd floor of the A building.
Following morning report you should proceed at 9 AM (11 AM on Wednesdays) to the Poison Center, which is across 1st Avenue from Bellevue Hospital, at 455 First Ave, in the Public Health Laboratories Building (in room 124). Sign in with security on the way into the building and we will get you an ID later. Morning report is usually attended by other toxicology rotators, faculty or fellows who can also help guide you there. There will be a toxicology fellow who will orient you and others at about 9:15am.
No scrubs or white coats are needed, but dress is medically appropriate.
Months Offered: All year except June
Students Per Period: Variable based on the month and availability
Duration: Four Weeks