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Emergency Medicine

Wisconsin Poison Center Clinical Toxicology Fellowship

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About Our Program

The Wisconsin Poison Center in conjunction with the Medical College of Wisconsin (MCW) Department of Emergency Medicine, the MCW School of Pharmacy, Children’s Wisconsin, and Froedtert Pharmacy is excited to offer specialized training in clinical toxicology. This training program will educate and develop pharmacists into leaders in clinical toxicology and poison center management, culminating in certification as a diplomate of the American Board of Applied Toxicology (DABAT).

Our goals for trainees include:

  • Develop a comprehensive foundation of clinical toxicology knowledge
  • Clinical bedside toxicology experience
  • Enhance clinical proficiency and practice skills through pharmacist staffing responsibilities
  • Strengthen teaching effectiveness and expand academic contributions
  • Achieve proficiency in poison center operations and case management
  • Develop skills in community outreach and public health education

Why Choose MCW?

Fellowship trainees will have a well-rounded education and a variety of Clinical Experiences:

  • They will answer phones as a Specialist in Poison Information at the Wisconsin Poison Center which handles about 38,000 exposures a year.
  • They will participate in bedside toxicology consults with the medical toxicology service that sees over 300 consults per year at both Children’s Wisconsin and Froedtert Hospital.
  • There will also be opportunities for staffing inpatient pharmacy services.
  • Education will occur alongside the medical toxicology learners and the medical toxicology fellows.
  • Trainees will have opportunities for teaching and precepting in the Medical College of Wisconsin School of Pharmacy.

Program Goals & Competencies

By completion, fellows will be able to:

  1. Evaluate and manage acute and chronic toxic exposures, including drugs, chemicals, envenomations, and environmental/occupational toxins.
  2. Conduct and apply toxicology research, critical literature review, and biostatistics to real-world problems.
  3. Teach and communicate toxicology concepts to learners and stakeholders.
  4. Provide expert consultation and leadership (e.g., poison centers, clinical services, public health).

One-Year Curriculum for PGY2 Entry

The curriculum moves from foundational science to advanced practice, leadership, research, and board preparation. The design emphasizes increasing clinical complexity, academic growth, and professional independence over time.

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Quarter 1: Foundations & Core Knowledge

Didactic Modules

  • Principles of Toxicology & Toxicokinetics
  • Toxicodynamics & Mechanisms of Toxicity
  • Pharmacology relevant to toxic exposures
  • History of Toxicology & Poisoning Epidemiology

Clinical Rotations

  • Poison Control Center Consultations
  • Inpatient toxicology consult service

Professional Skills

  • Journal club: critical literature evaluation
  • Teaching: core toxicology lectures to learners
  • Focus on depth, breadth, and rapid assimilation of core toxicology topics and clinical reasoning
Quarter 2: Exposure Types & Management

Didactic Modules

  • Drug intoxications (analgesics, antidepressants, cardiovasculature agents)
  • Non-drug toxicants (metals, pesticides, solvents, radiation)
  • Rare toxins (plants, biological agents)

Clinics/Experience

  • Advanced clinical toxicology consults
  • Case conference and morbidity/mortality sessions

Professional Skills

  • Teaching: case–based sessions
  • Journal club: topic-specific reviews
Quarter 3: Specialized Domains

Didactic Modules

  • Environmental toxicology (air, water, soil contaminants)
  • Occupational exposures & workplace screening
  • Addiction toxicology & substance use disorders

Clinics/Experience

  • Outpatient toxicology clinic or specialized rotation (e.g., environmental exposures)

Professional Skills

  • Research: develop project proposal
  • Leadership: engage in quality improvement
Quarter 4: Integration & Board Readiness

Didactic Modules

  • Advanced topics (novel toxicants, emerging trends)
  • Medicolegal & expert witness preparation

Clinics/Experience

  • Capstone rotation: structured high-acuity toxicology calls

Professional Skills

  • Journal review seminar
  • Teaching series: fellows deliver lectures
  • Board preparation & mock exam exercises

Two-Year Curriculum for PGY1 Entry

The curriculum is expanded to two years to allow time for greater incremental learning, reinforcement of clinical knowledge and practice, and advanced experiences.

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Year 1: Foundational Mastery

Similar to the one-year program but paced more gradually. Emphasis on toxicology fundamentals and clinical assessment basics.

Core Elements

  • Core lectures (Principles, Kinetics, Mechanisms)
  • Early poison center consult integration
  • Case reviews & practical simulations
  • Introduction to research methodology
  • Early teaching responsibilities
Year 2: Advanced Integration & Leadership

Builds on Year 1 with deeper clinical experience, research execution, and leadership.

Core Elements

  • Specialized clinical rotations: occupational/environmental toxicology
  • Advanced management of uncommon and complex toxic exposures
  • Capstone research project & seminar
  • Teaching portfolio and peer mentoring
  • Leadership rotation (poison center managerial skills)
Core Curriculum Content Areas

Your didactic and experiential training should cover these major domains, consistent with ABAT board expectations and practice realities:

Principles of Toxicology

  • Dose–response, toxicodynamics, toxicokinetics
  • Mechanistic toxicology & biochemical mechanisms

Agents & Toxicants

  • Drugs: overdose syndromes, pharmacokinetics in overdose
  • Chemicals: industrial solvents, pesticides, metals
  • Environmental/Occupational: air pollutants, workplace exposures
  • Envenomations & biotoxins
  • Radiation & chemical warfare agents

Clinical Assessment & Management

  • History taking, toxidrome recognition
  • Diagnostic strategies, lab interpretation
  • Decontamination & supportive care
  • Antidotes & extracorporeal therapies

Professional & Academic Skills

  • Teaching & communication
  • Research design, biostatistics & critical appraisal
  • Leadership, ethics & medicolegal issues

These areas are reflected in the ABAT exam preparation resources and topic lists, which include drugs, chemicals, environmental/occupational agents, toxicology theory, and biologicals, among others.)

How to Apply

Eligibility
We will be accepting applications from pharmacists who have completed or are in the process of completing a PGY1 or PGY2 program. Dependent upon the following criteria, applicants will be accepted for a one-year or two-year fellowship:

One-year fellowship applicants

  • Completion or planned completion of a PGY2 training program
  • Completion of a PGY1 training program with documented clinical experience with critically ill poisoned patients (i.e. years working as an EM or Critical Care pharmacist)

Two-year fellowship applicants

  • Completion or planned completion of a PGY1 training program

Applications

Please submit the following application materials to Dr. Matthew Stanton (mastanton@mcw.edu):

  • Letter of Intent
  • CV
  • Two letters of recommendation – one must be from a clinical supervisor or program director

Applications are accepted on a rolling basis and will be followed by virtual interviews until May 15, 2026.

 

Reasons to live in Milwaukee

Milwaukee is a one-of-a-kind city with a vibrant and diverse culture, this charming, yet metropolitan must-see is just 90 minutes north of Chicago and nestled on the coast of Lake Michigan. Whether you’re catching a show at Summerfest, the world’s largest music festival, immersing yourself in the old world charm of the Historic Third Ward or taking in the sights and sounds of one of the many cafés, beer gardens or restaurants that line the city’s riverbank and shoreline, Milwaukee never disappoints. Find out why MCW residents and fellows take pride in calling Milwaukee home.

Meet Our Team

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Amy Zosel, MD, MSCS

Professor; Division Chief, Medical Toxicology; Director of Research Operations and Mentorship

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Grant Comstock, MD

Assistant Professor; Interim Associate Medical Director, Wisconsin Poison Center

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Justin N. Corcoran, MD

Assistant Professor; Director, Medical Toxicology Fellowship Program

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Andrew Farkas, MD

Associate Professor; Course Director, Toxicology Elective

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Ryan Feldman, PharmD, BCPS, DABAT

Clinical Associate Professor, Department of Clinical Sciences

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Damilola Idowu-Ellsworth, MD

Assistant Professor; Assistant Director, Medical Toxicology Fellowship Program

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Mark Kostic, MD, FAACT, FACMT, FAAEM

Professor; Chief of Emergency Services, Clement J. Zablocki VA Medical Center

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Matthew Stanton, PharmD, BCPS, DABAT

Clinical Associate Professor, Department of Clinical Sciences

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Jillian Theobald, MD, PhD

Associate Professor; Associate Medical Director, Wisconsin Poison Center

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Michelle Thompson, DO

Assistant Professor

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Merritt Tuttle, MD

Toxicology Fellow

Contact Us

Questions? We would love to hear from you.

Mailing Address/Physical Location
Department of Emergency Medicine
Medical College of Wisconsin
Hub for Collaborative Medicine
8701 Watertown Plank Rd.
Milwaukee, WI 53226

Fellowship Coordinator
Janice Hinze
_emfellowships@mcw.edu

 

Administrative Office
(414) 955-6450
(414) 955-0082 (fax)

Medical College of Wisconsin Google map location