Applying for a Medical Toxicology Fellowship

All medical toxicologists must complete a fellowship in medical toxicology. Fellowships are approved by the Accreditation Council for Graduate Medical Education (ACGME) and consist of two years of training. 

Fellowship Facts

  • Number of fellowships: 28 medical toxicology fellowship training programs in the United States
  • Number of fellowship spots: Typically, there are about 80 fellows-in-training at any one time.
  • Length of fellowship training: Two years
  • Primary Specialties that apply: Emergency Medicine, Pediatrics, Internal Medicine, Family Medicine, and Preventative Medicine.
  • Board certification: Fellows are permitted to take the medical toxicology board certification examination after completing a two-year ACGME accredited Medical Toxicology fellowship. The board exam is administered every 2 years in the fall

How to choose a fellowship?

  • Fellowship programs are typically small and diverse in what they offer.
  • Although all accredited programs must adhere to a core curriculum, some programs place varied emphasis on research, clinical care, addiction medicine, scholarly activities, or administration.
  • Some offer additional experiences (international opportunities) or degrees (MPH).
  • For primary trained Emergency Physicians, the emergency medicine shift expectation varies from program to program.
    • Certain programs will require fellows to work shifts in the emergency department as part of their fellowship program, while others do not require it and/or allow for moonlighting.

How do I apply for a Medical Toxicology Fellowship?

  • Medical Toxicology Fellowships now participate in the NRMP Match.
  • The match date is on the second Wednesday of November for programs starting the following July.
  • Interested applicants are encouraged to apply and interview early in order to participate in the Match.
  • Application requirements: This varies by program. Applications have to be requested directly from each program, and instructions are typically found on each program’s website. However, most programs will require a current CV, multiple letters of recommendation, and a personal statement.

Resources about fellowship program requirements and deadlines:

2023 Match/2024 Appointment Year 
Match Opens: August 16, 2023 
Ranking Opens: September 20, 2023 
Quota Change Deadline: October 11, 2023 
Ranking Deadline: October 25, 2023 
Match Day: November 08, 2023

Questions about fellowships?

Contact Louise Kao at or Mark Simon at