ACMT
@ NACCT

ACMT Pre-Symposium
Wed. October 21

ACMT 27th Annual Clinical Pathological (CPC) Presentation Competition
Thu. October 22

ACMT FIT Visiting Professor Lecture | Could It Be Tox?
Fri. October 23

ACMT Scientific Symposium | Paracelsus Meets the Flint Water Crisis: When Dose and Data Are Ignored
Sat. October 24

ACMT Practice Symposium | Pharmacokinetics Principles for Medical Toxicologists
Sun. October 25

ACMT FIT Roundtable
Sun. October 25

Pre-Symposium | Beyond the Beat: Toxicology and Harm Reduction at Mass Gatherings

Join the American College of Medical Toxicology (ACMT) at the 2026 North American Congress of Clinical Toxicology (NACCT) in San Diego from October 21-25. The ACMT Pre-Meeting on Wednesday, October 21, 2026 will explore the fascinating topic of Updates in the Toxicology of Mushroom Poisoning.

This symposium will examine key aspects of mushroom toxicology, including basic science, foraging mix ups, updates on novel mechanisms of toxicity, emerging clinical syndromes, evolving regulation on cultivated psychoactive mushrooms, and a focus on incorporating lessons from several recent mushroom poisoning outbreaks—including death cap cases—to highlight challenges in clinical recognition and public health response. Bringing together clinicians, toxicologists, public health experts, and mycologists, the program will explore both classic and emerging issues in the field. Overall, the goal is to connect clinical care, public health, and research to improve recognition and management of mushroom-related toxicities.

Learner Objectives

  1. To be announced.

Registration information can be found on the NACCT website at: www.clintox.org/nacct

ACMT Pre-Symposium Agenda | October 21, 2026
Fungus Among Us: Updates in the Toxicology of Mushroom Poisoning

All times listed in local (Pacific) time zone.

8:45-9:00 AMWelcome & Opening Remarks
9:00-9:45 AMHow to Forage for Information: Identification & Analysis 101TBD
9:45-10:30 AMNew Syndromes Review and AnalysisMichael Yeh, MD, MS, Medical Toxicology Physician, Centers for Disease Control and Prevention (CDC), National Center for Environmental Health (NCEH)
TBD
TBD
10:30-10:45 AMMorning Break (15 minutes)
10:45-11:30 AMOutbreak on the Mountain: Gryometrin and ALS on Mount ChavinPeter S. Spencer, PhD, FANA, FRCPath, Professor of Neurology, School of Medicine, Oregon & Health Sciences University
11:30-12:00 PMKidneys in the Crosshairs: Expanding the Differential of Nephrotoxic Mushroom PoisoningColleen Cowdery, MD, Chief Medical Officer, Washington Poison Center
12:00-1:15 PMBreak for Lunch (75 minutes)
1:15-2:00 PMA Deadly Harvest: Death Cap Mushroom in CaliforniaColleen Cowdery, MD, Chief Medical Officer, Washington Poison Center
Craig Smollin, MD, FACMT, Clerkship Director, University of California, San Francisco
2:00-3:00 PM
Outbreaks and Public Health Panel
Craig Smollin, MD, FACMT, Clerkship Director, University of California, San Francisco
Michael Yeh, MD, MS, Medical Toxicology Physician, Centers for Disease Control and Prevention (CDC), National Center for Environmental Health (NCEH)
Russ Bartlet, MPH, Lead for Toxicology Outbreak Division, California Department of Public Health
3:00-3:15 PMAfternoon Break (15 minutes)
3:15-3:45 PMClimate Change and Invasive SpeciesTBD
3:45-4:15 PMPsilocybin Lab Testing and Regulation in Commercial MushroomsBenjamin Hatten, MD, MPH, Medical Toxicologist, Toxicology Associates & Associate Professor of Emergency Medicine, University of Colorado
TBD
4:15-4:45 PMLet’s talk about Mushroom databases: the Good the Bad, the Mis-classifiedRobert Hendrickson, MD, FACMT, Professor of Emergency Medicine, Medical Director, Program Director, Oregon Health & Science University, Oregon Poison Center
TBD
TBD