TOXICOLOGY
Dr. ________, you are assigned to Toxicology for the month of _________.
Orientation: There is a mandatory orientation for this rotation. Dr. Tuckler is the
director of the toxicology rotation. Contact him one week prior to starting the rotation.
Orientation occurs on the first day of each month. Vacation and time off are not
allowed during the rotation. There is an exit interview on the last day of the rotation
that you must attend. All required materials are due at that time.
Scheduling: The majority of your time on this rotation will be spent performing consults,
taking call, attending lectures, and giving lectures. When you meet with Dr. Tuckler, you
will be given a list of lectures and persons giving you those lectures. It is your
responsibility to contact each lecturer and schedule the date and time of each lecture.
Responsibilities:
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Daily rounds on all toxicology patients in the MER, ICUs and wards.
Responding to all ED and in house toxicology consults.
Giving intern and resident lectures.
Giving one conference lecture.
Attendance to the Trauma Conference.
Presenting at M & M conference.
Attending all emergency medicine conferences and journal club.
Availability for Disaster call.
Completing a "toxicology case of the month". Report due at the end of the month.
Completing one toxicology oral board scenario case.
Completing a set of “written board” toxicology questions.
Attending an interactive review session of past toxicology cases.
Goals, objectives and responsibilities will be given to you during orientation.
Meeting with Dr. Tuckler for toxicology teaching.
Conferences: You must attend all conferences.
Extras: All consults and required paper work must be turned in to Dr. Tuckler on the last
day of the month.
Supervision: Per Dr. Tuckler 664-5383
Evaluation: Compiled and pooled from all faculty and Dr. Tuckler.
LSU Emergency Medicine Residency Program
MCLANO
Toxicology Rotation
GOALS and OBJECTIVES
What follows are the goals and objectives for the MCLANO Toxicology rotation, that will
range from a 2 week to 1 month rotation, as assigned by the Program Director. The
rotation will take place at the MCLANO University Hospital. The year of training is
assigned in the PGY4 year but may include PGY 1-5.
Toxicology is a core component of the Emergency Medicine curriculum mandated by the
Residency Review Committee.
1. ROUNDS and CALL at MCLNO
The most important part of your rotation will be DAILY ROUNDS as a stimulus to further
your education in emergency toxicology. You are expected to make rounds with the
interns and emergency medicine residents caring for poisoned patients. These rounds
should be geared to educate the residents and interns as to the appropriate evaluation,
treatment, and disposition of the patient, as well as the pathophysiology of the agent or
agents causing the overdose. You should be available to the residents to answer
questions that may arise regarding treatment of overdoses and perform consults on
those patients admitted. Document these rounds by having the ESU staff sign your daily
round sheet. Also, document the date, patient's name, hospital number, type of
overdose, and location of all patients seen.
In addition YOU WILL BE ON CALL (24 hour call). A schedule will be provided.
You will be required to round with the toxicology staff when they ask you to round with
them. You will consult with the staff when you are called for a consult. You will be
required to follow patients admitted to the hospital.
DAILY PROGRESS NOTES need to be written and placed in the patient’s chart.
You will also be made familiar with the HAZMAT disaster protocol and you and the staff
will be called to come to the hospital in the event of a citywide HAZMAT incident. NO
VACATION TIME SHOULD BE PLANNED DURING YOUR TOXICOLOGY MONTH.
YOU ARE REQUIRED TO ATTEND ALL RESIDENT CONFERENCES. NO EXCUSES!!!
You will be required to LECTURE TO THE INTERNS AND RESIDENTS IN THE ED. The
subjects of these lectures will be given to you at the beginning of the month. You should
also PREPARE A HANDOUT for the interns covering the lecture material. Please provide
copies of the lectures to Dr. Tuckler when you check out at the end of the month. The
date, time, and subject of these lectures should be documented on the toxicology
rotation checklist provided with this packet. You will be REQUIRED TO HAVE A
TOXICOLOGY LECTURE LOG SIGNED by all persons attending your lecture. ONE LOG
SHEET PER LECTURE
2. MEETINGS: Toxicology meetings will be held with members of the faculty who have a
interest in toxicology, namely, Drs. Edward Halton, Keith Van Meter, and Victor Tuckler.
You will be provided with a Topics Form, which will list the topics and designate which
the faculty will discuss each topic with you. It is your responsibility to establish the time
and place with each faculty member. Please do not wait till the end of the month to
have these lectures. These meetings will provide one-on-one interaction and allow the
discussion of varied issues in toxicology.
3. LECTURE: Each resident is expected to give a hour long lecture to the Emergency
Medicine residents. The lecture is to be given on the Last Wednesday of the month at
11:00 a.m. The topic of your lecture will be assigned on the first day of the month so
that adequate preparation time is available. HANDOUTS AND SLIDES ARE REQUIRED FOR
THIS LECTURE. FIVE BOARD TYPE QUESTIONS REGARDING YOUR LECTURE ARE
REQUIRED. Please provide a copy of the handout in a floppy disk to Dr. Tuckler. A copy
of the handout will be added to the toxicology file. Please meet with the toxicology staff
prior to your presentation to review your presentation and discuss possible changes.
4. QUESTIONS: One hundred well documented questions of a national board type are
required to be handed in at the end of the rotation. These questions will be discussed
at the end of the month with Dr. Tuckler during your check out meeting.
5. PATIENT LOG: YOU WILL NEED TO KEEP A LOG OF ALL PATIENTS SEEN DURING THIS
ROTATION. PLEASE LIST THEM ON THE PROVIDED CHECKLIST. Use extra sheet if needed.
At the end of the rotation please place all materials to Dr. Tuckler.
6. TOXICOLOGY ORAL BOARD SESSION AND WRITTEN EXAM REVIEW:
You will have one oral board scenario practice session with Dr. Tuckler. Please arrange
the date and time with Dr. Tuckler. You will also have a review session with Dr. Tuckler
over written exam topics and questions.
7. TOXICOLOGY CASE OF THE MONTH You will have one toxicology case to solve during
the month. The case will be provided to you at the beginning of the month by Dr.
Tuckler. Please answer all the questions, provide a diagnosis, and explain why you
reached the diagnosis that you did.
8. TOXICOLOGY CASES REVIEW: You will review toxicology cases with Dr. Tuckler and will
be asked to discuss and answer questions regarding toxidromes and pathophysiology.
10. HAZMAT/DISASTER MEDICINE Please contact Dr. Aiken and Dr. Hardy to help with
teaching Hazmat and attending Hazmat drills.
11. MONTHLY EVALUATIONS: A final evaluation of your performance and completion of
all the above requirements are submitted to Dr. Haydel/Avegno to be put in your file.
You are required to turn in to Kathy a copy of your lecture, case of the month answers, a
copy of the one hundred questions, patient log, sign in sheets, and lectures attended.
For any concerns or questions call Dr. Tuckler at 664-5383.