Medical Toxicology Fellowship

Program Description

The Medical Toxicology Fellowship is a 2 year fully accredited ACGME program. The program is designed to provide a unique clinical experience in both the inpatient and outpatient setting. The goal of the Medical Toxicology Fellowship is to produce well-trained, well-rounded fellows who will acquire the necessary knowledge and skills needed to pursue a clinical or academic career in medical toxicology. The fellow may also pursue positions in education, research, and administration. During the fellowship the trainee will admit patients to the medical toxicology service, provide consultations to the Pittsburgh Poison Center and other services, and participate in the out-patient clinic. The program focuses on a wide variety of toxicological events, including drug overdoses, adverse drug events, envenomations, occupational exposures, and environmental exposures. After successful completion of the program, the fellow will be eligible to take the Medical Toxicology board exam.  

Goals are accomplished by:

  • Recognizing the indications for admission to the toxicology service, either to the medical floors or to an intensive care unit.
  • Developing an understanding of important clinical factors when obtaining histories and performing physical exams on toxicological patients.
  • Selecting appropriate diagnostic studies and therapeutic interventions for toxicology patients.
  • Learning how to access and utilize the resources available to the ED physician regarding toxicological patients.
  • Developing skills to diagnose and manage patients with acute and life-threatening illnesses related to toxicological problems.
  • Understanding the capabilities of and the resources through a regional poison center as applied to care of individual patients. 
  • Mastering the differential diagnosis and management of toxicological patients.
  • Developing the cognitive and procedural skills necessary for the recognition and management of a wide variety of emergent toxicological conditions.
  • Acquiring a strong data base relating to those areas of toxicology that are particularly pertinent to the practice of emergency medicine.
  • Applying information obtained from the medical literature and toxicology references to the clinical practice of medicine.
  • Demonstrating and developing skills for providing evidence-based healthcare.
  • Communicating effectively with other members of the toxicology team and poison control center, including attendings, fellows, nurses, aides, technicians and clerical staff.


Applicants who are board-eligible or board certified in Emergency Medicine are able to apply. Each trainee will be required to collaborate with the program faculty and submit abstracts to national and international medical toxicology conferences and various publication outlets. In addition, the fellow will also provide education through lectures and discussion to residents and fellows from a variety of specialties, medical students and Certified Poison Center Specialists (CSPIs). Lastly, the fellow will also be required to work in one of the UPMC Emergency Departments to maintain clinical skills. 

Application process

All interested applicants should submit a letter of intent, CV, and three letters of reference to Dr. Anthony Pizon, MD – Toxicology Fellowship Director and Chief of the UPMC Division of Medical Toxicology. He can be reached at or (412) 647-8773.