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Medical Toxicology Fellowship

Mission

Is to produce physicians capable of providing care to any poisoned patient.

This will be accomplished through:

  • Hands on management of poisoned patients at 2 large inner city hospitals, a university hospital, and a large children's hospital which are all regional and statewide tertiary referral centers.
  • Consultations through the Indiana Poison Center on poisoned patients throughout the state of Indiana and surrounding areas.
  • Weekly didactics covering all areas of toxicology
  • Outpatient clinic for occupational/environmental exposures
  • Basic science and clinical research in the field of toxicology
  • Involvement in forensic toxicology cases
  • Clinical education of residents and students rotating on the toxicology service

Goals & Objectives

Medical Toxicology is composed of:

  • Clinical service via in-hospital acute care, outpatient occupational clinic, and medical backup for the Indiana Poison Center
  • Education via an ACGME-accredited Medical Toxicology fellowship and a busy resident rotation
  • Research both clinical and basic science
  • Community service such as Fire Department Hazmat advisory and community disaster planning

Our Division is active in community, resident, student, and medical staff education.  A Medical Toxicology rotation is available to medical students and housestaff. We also support an inpatient clinical toxicology consult service at Methodist Hospital, Wishard Memorial Hospital, Indiana University, and Riley Children’s Hospital. The toxicology service was founded by Dr Furbee in April 1992 and currently sees approximately 500 patients a year. Six board-certified medical toxicologists run the service.  Dr Furbee serves as Division leader.

The inpatient toxicology service is unique in the state, and one of only a few in the country. Emergency Medicine residents spend one month on the toxicology service during the R1 year.

Clinical

Monthly Coverage for covered hospital and the Indiana Poison Center

  • First year fellows take call 7-9 days per month including one weekend from 5pm - 8am except on weekends.
  • Second year fellows have reduced call requirement, along with the fellow, a faculty member is available 24 hours a day for staffing or direct patient care.
  • Call is taken from home.

 

Shift Requirement

 

  • The fellow is responsible to work 21 clinical hours in the Emergency Department as part of the curriculum.  Additional moonlighting is permitted providing the program requirements are met.

Admissions & Consultations

  • Responsible for all toxicology admissions and consultations at Methodist, Eskenazi, Riley, and University from 8am - 5pm Monday through Friday

Daily Rounds

  • Lead daily rounds with roating residents and staff, participate in Internal Medicine morning report and present selected cases at Riley Hospital
  • Review posion center cases resulting in hospitalizations or potentially serious outcomes throughout the state

Didactics

Didactic Series

  • Be involved in an ongoing didactic series designed to cover both pertinent material for the management of toxicology patients and prepare them for the Medical Toxicology Board Examination.

Didactic include:

  • Weekly readings with quizzes
    Weekly journal club designed to review both current and historical toxicologic articles
    Review of poison center cases
    Monthly presentations on selected topics in toxicology.

Occupation / Forensic

Occupational Toxicology Clinic

  • Responsible for seeing all patients scheduled. 
  • The clinic is typically one to two days per month and involves seeing patients referred for neurotoxicology issues such as neuropathy

Pulmonary Occupational Clinic

Forensic Cases

  • Researching specific topics related to pathologic, criminal, or legal cases
  • Develop skill set necsesary for becoming an expert in both criminal and legal proceedings involving medical toxicology.

Research

Research Project or Scholarly Activity

  • Understand the strengths and weaknesses of published research by participating in either a research project or scholarly activity.
    • Research Project: Basic science projects or animal, clinical and poison center research.
    • Scholary Acitivity: Publication of a case report, case series, or review article in toxicology.

Presentations & Symposiums

  • Present at the North American Congress of Clinical Toxicology yearly meeting
  • The annual Midwest toxicology symposium
  • Local venues such as the Indiana Poison Center toxicology symposium, Emergency Medicine Research Day, and IU Emergency Medicine Grand Rounds. 
  • During the second year of the fellowship, necessary “protected” time will be provided for these activities.

Applicants

As of 2013 Medical Toxicology has joined the National Resident Matching Program for the starting class of July 2014.  For information on the application timeline please view http://www.acmt.net/resources_training.html

Benefits

Fellowship stipend is equivalent to PGY-4 and PGY-5 level for Indiana University residents.

In addition, an attractive benefit package includes: health care insurance, malpractice insurance, disability and life insurance and loan deferment.  A meal stipend is offered as well. 

For salary information you can visit http://medicine.iu.edu/residents/gme-house-staff-handbook/payroll-information/

More information can be obtained at the School of Medicine Graduate Medical Education page.

Alumni
  • Our current alumni work in 8 different statesMap.png
  • 15 hold academic appointments
  • 1 works with the military
  • 1 works in community practice

Emergency Medicine Medical Education
Carolinas HealthCare System

2012 - Laura Tormoehlen, MD

Department of Emergency Medicine
Indiana Unversity School of Medicine
Indianapolis, IN

2011 - Jen Acciani, MD
Department of Emergency Medicine
Indiana Unversity School of Medicine
Indianapolis, IN

2010 - Anna Arroyo, MD
Division of Hospital Medicine, Division of Emergency Medicine (Medical Toxicology)

Washington University School of Medicine
St. Louis, MO

2007 – Blake Froberg, MD
Department of Emergency Medicine

Indiana Unversity School of Medicine
Indianapolis, IN

2006 – Danyal Ibrahim, MD
Medical Toxicology Service, Section of Medical Toxicology

Department of Emergency Medicine
St. Francis Hospital and Medical Center
Hartford, CT

2005 – Ayrn O Connor, MD
Banner Good Samaritan Medical Center
Pheonix, AZ

2004 – Kris Nanagas, MD
Department of Emergency Medicine
Indiana Unversity School of Medicine
Indianapolis, IN

2003 – Bryan Judge, MD, FAAEM, FACMT
Department of Emergency Medicine
Grand Rapids Medical Education Partners / Michigan State University
Grand Rapids, MI

2002 - Louise Kao, MD
Department of Emergency Medicine
Indiana Unversity School of Medicine
Indianapolis, IN

2001 - Lisa Snyder, MD, MPH
Division of Medical Toxicology
University of Virginia

2001 - Daniel Rusyniak, MD
Department of Emergency Medicine
Indiana Unversity School of Medicine
Indianapolis, IN

2000 - William Dribben, MD
Division of Hospital Medicine, Division of Emergency Medicine (Medical Toxicology)

Washington University School of Medicine
St. Louis, MO

1999 - Christopher Holstege, MD

Division of Medical Toxicology
University of Virginia School of Medicine
Charlottesville, VA

1998 - Mary Wermuth, MD
Department of Emergency Medicine
Indiana Unversity School of Medicine

Indianapolis, IN

1997 - Jane Witman, MD
Emergency Medicine Physician
Aurora Health Care
Green Bay, WI

 

Division Chief

Professor of Emergency Medicine
Division Chief, Toxicology
Medical Director, Indiana Poison Center

 

Fellowship Director

Associate Professor of Clinical Emergency Medicine
Fellowship Director, Toxicology

 

Faculty & Fellows

Jen Acciani, MD

Assistant Professor of Clinical Emergency Medicine

Brent Furbee, MD

Professor Emeritus Medical Toxicology

James Mowry, Pharm. D.

Assistant Professor of Clinical Emergency Medicine

Dan Rusyniak, MD

Professor of Emergency Medicine
Division Chief, Toxicology
Medical Director, Indiana Poison Center

Mary Wermuth, MD

Assistant Professor of Clinical Emergency Medicine

Blake Froberg, MD

Assistant Professor of Clinical Emergency Medicine and Pediatrics

Louise Kao, MD

Associate Professor of Clinical Emergency Medicine
Fellowship Director, Toxicology

Kristine Nanagas, MD

Associate Professor of Clinical Emergency Medicine
Medical Director, Medical Toxicology Service

Laura Tormoehlen, MD

Assistant Professor of Clinical Emergency Medicine and Neurology

 

 

1701 N. Senate Blvd, B401 | Indianapolis, IN 46202 | (317) 962-5975