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Department: MEERM-Emergency Medicine
Course: 620-Medical Toxicology

Course Director: Spencer Greene, M.D.
Course Faculty: Spencer Greene, M.D.
Elective Location: BTH,TCH
Elective Offered Terms:
Months: 1A,1B,1C,2A,2B,3A,3B,3C,4A,4B,4C
Two Week Periods:
Min. Number of Students: Max:  2
Elective Type: Clinical
Matriculating prior to fall 20158
Matriculating fall 2015 and beyond4
Pre-requisites: Medicine
Open to US Visiting Students: Yes
Open to International Visiting Students: No
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 5 days/wk; 7 hrs/day Inpatient Ward:
Night Call: No Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: No Surgery:
Statement of Goals:
The Medical Toxicology elective is designed to teach students how to evaluate patients with possible poisonings and other toxicological conditions, including adverse drug reactions, occupational exposures, envenomations and complications of substance abuse and withdrawal.

Students will evaluate patients in the emergency departments, on the wards and in the intensive care unit under the direct supervision of the course director. Interesting cases from the SE Texas Poison Center will also be discussed without evaluating the patients at the bedside.

Students will also receive daily lectures covering the most important toxicology subjects. Additional readings will be assigned to the student to complement the lectures. At the end of every week there will be a quiz on the assigned subjects.

At the end of the rotation the student will be expected to present a 30-minute powerpoint presentation on a toxicology subject of his or her choice, subject to the approval of the course director.

Learning Activities
- Perform a toxicological exposure history
- Recognize various toxidromes on physical exam
- Behave in an ethical, non-judgmental manner when assessing drug abusers
- Describe the pathophysiology of common intoxications
- Identify and explain the use of common antidotes
- Document a complete toxicological history and physical
- Demonstrate effective listening skills when interacting with patients, family members and other healthcare providers
- Perform a literature search
- Identify outpatient resources for patients suffering from substance abuse

Evaluation Methods
Clinical Performance 70%
Scholarly Presentation 20%
Weekly Quizzes 10%
When and Where to report on first day of service:
Contact Dr. Greene at 1 week prior to rotation to obtain this information
For additional information regarding this elective contact:
Contact Name: Helen Dailey
Contact Phone: 713-873-3571
Contact Fax: 713-873-2325
Contact Location: Academic Office, Emergency Center, Ben Taub General Hospital
Address: BCM-285
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