Medical Toxicology Education Page

Medical Toxicology Rotation Survey

ACMT is developing a listing of medical toxicology rotations for students, residents, and others who wish to take an elective in medical toxicology. Once compiled, it will serve as a reference for those seeking such a rotation. If you presently provide a rotation and are interested in having it listed on www.acmt.net, please complete the following brief survey.

Contact Information

First Name

Last Name

Host Institution

Medical School Affiliation

Hospital Name

Street Address

City

State/Province

Country

Telephone

Email

Which is the best contact method?

1. Rotation Details

   How many rotators can you accommodate per block?   
   
2. Does the rotation have specific start dates throughout the year?
    Yes
    No
   
3. If yes, what are the dates of the rotation?  
   
4. What is the typical length of the rotation?
    2 weeks
    4 weeks
    6 weeks
    Other
   Other (Specify):
5. What are the typical hours of the rotation per week? Provide as much information as you feel necessary.
   
6. Which of the following clinical venues does your rotation provide [check all that apply]?
    On-Site Poison Center (within primary location)
    Off-Site Poison Center (within reasonable commuting distance)
    Regional Poison Center (contact through telephone/teleconference)
    Inpatient Consultation Service
    Inpatient Toxicology Service
    Outpatient Toxicology Clinic, Office or Faculty Practice
    Other
   Other (Specify):
7. Please describe any special features of the rotation (other than rounds or didactic conferences).
   

8. Eligibility

   Which medical students are eligible for the rotation [check all that apply]?
    3rd Year Medical Students
    4th Year Medical Students
    US Students Only
    US and International Students
    International Students Only
   
9. Which of the following groups are eligible for the rotation [check all that apply]?
    Emergency Medicine Residents
    Internal Medicine Residents
    Pediatric Residents
    Fellows (Other Sub-Specialties)
    International Physicians
    Nursing
    Pharmacy
    EMS
    Other
   Other (Specify):
10. What level of training is your program available to for residents?
     PGY 1  PGY 2  PGY 3  PGY 4  PGY 5
    
11. Is your rotation open to medical toxicology fellows from other programs?
     Yes  No
    

12. Institutional Details

    Which relevant specialty programs can be found at your institution [check all that apply]?
     Medical Toxicology Fellowship
     Emergency Medicine Residency
     Preventative Medicine Residency
     Pediatric Residency
     Occupational Medicine Program
     Hyperbaric and Undersea Medicine Fellowship
     Other
    Other (Specify):
13. How many medical toxicology fellows do you currently have at your institution?  
    
14. How many board certified medical toxicologists are actively involved as faculty for the rotation?  
    
15. Does your institution charge a fee for participation in the rotation?
     Yes  No
    
16. If Yes, how much?  
    
17. Does your institution collect GME dollars for the rotator?
     Yes  No
    
18. Should the rotator have malpractice coverage from their home institution?
     Required  Strongly Recommended  May Be Waived  Not Required
    
19. Does your program assist rotators in finding housing?
     Yes  No