Medical Student and Resident Toxicology Rotation Requirements

On weekdays (except for conference days) the rotators will arrive at 0800 and review all of the active cases from both BUMCS and BUMCT and 63 other hospitals followed by the Arizona Poison and Drug Information Center (APDIC). They will present these cases to the attending medical toxicologist at morning rounds, usually at 0930. Bedside rounds will also be conducted for admitted patients at Banner UMC Tucson and South campuses. Medical student clerkships can be research or clinical rotations but no less than 4 weeks in duration.

  • Rotators will see all consults from 0800-1700 and leave a written note for the requesting service.
  • When not evaluating patients, rotators are expected to be at the APDIC.
  • Lectures will be given after rounds according to the didactic schedule issued at the beginning of the rotation.
  • Each rotator will spend two five-hour shifts answering calls under the supervision of a Certified Specialist in Poison Information (CSPI).
  • All rotators have to document listening to 20 incoming calls to the APDIC.
  • Rotators may be assigned mini projects to be completed during the rotation.
  • BUMCS residents are expected to complete 20 consultations; 70% should be new consults.
  • BUMCT residents are expected to complete 10 consultations; 70% should be new consults.
  • Residents are expected to participate in home calls. The number of home calls will depend on total number of residents on service. Residents are not allowed to take more than six consecutive home calls without a day off.
  • Vacations are not allowed without prior approval of the Program Director and the Toxicology Attending on service.
  • Each rotator will also be expected to complete and present a project by the end of the rotation. This can consist of an APDIC chart review of a particular intoxicant or an in-depth presentation on interesting or controversial topics in toxicology.
  • Residents and medical students will be supervised by Medical Toxicology Fellows and Faculty on Service.

At the end of the rotation, the rotator will complete rotation evaluation.

Lecture list

  1. Intro to Poison Center Operations                                                      
  2. General Management of the Poisoned Patient                             
  3. Envenomations – Reptiles                                      
  4. Envenomations – Arthropods
  5. Toxic Alcohols
  6. Aspirin
  7. Acetaminophen
  8. Psych meds
  9. Critical Heat Illness
  10. Drugs of Abuse
  11. Cardiovascular Toxins
  12. Anticonvulsants
  13. Teratology
  14. Alcohol emergencies

Additional lectures may be given at the discretion of toxicology faculty.

Reading list

Required and optional readings will be provided in a binder on the first day of the rotation.

The following sources should be used for additional readings:

Goldfrank's Toxicologic Emergencies, Tenth Edition

Poisoning and Drug Overdose, Sixth Edition