General Information for Fellows          

The toxicology program consists of various facets.  These include the Section of Toxicology in the Division of Emergency Medicine within the University of Texas Southwestern Medical School, Parkland Health and Hospital System, Parkland Memorial Hospital, the North Texas Poison Center, the Texas Department of Health, and the Toxicology Service.

The University of Texas Southwestern (UTSW) Medical School guides most graduate medical education on the campus; this includes toxicology fellowship.  Many of the rules of training are established by UTSW.  Most of the faculty on campus, including the Toxicology and Emergency Medicine faculty, are employees of UTSW.

The Parkland Health and Hospital System (PHHS) employs the toxicology fellows.  Most fellows and residents in the various disciplines are employed by PHHS.  The centerpiece of the PHHS is Parkland Memorial Hospital (PMH); the county hospital for Dallas County.  The fellows are thus employees of Dallas County and receive the generous benefit program received by other PMH employees.   

The North Texas Poison Center (NTPC) is located within PMH. The Toxicology Fellows, along with the Toxicology program director, are based in the NTPC.  The employees of the NTPC are employed by PMH.  Funding for the NTPC actually comes from the Texas Department of Health (TDH).  The TDH funds PMH who pay NTPC employees.  The TDH funds the entire Texas Poison Center Network.  Texas has six regional poison centers; of which the NTPC is one. 

Childrens Medical Center is a vital part of the training program.  Its emergency room is one of the busiest Childrens ERs in the nation.  As a major referral center, many envenomated and toxic patients are sent there for continued evaluation. One of our current fellows comes from Pediatric Emergency Medicine.  Colin Goto, a boarded toxicologists, joins the Children’s faculty within the ER in the Fall of 2006.  

Toxicology is a Section within the Division of Emergency Medicine, which is within the Department of Surgery of the UTSW Medical School.  Toxicology Fellows may have faculty appointments within the medical school within their respective areas of training.  For example, Fellows who have trained in Emergency Medicine will have appointments to Emergency Medicine within the medical school.  Fellows then can function as emergency medicine faculty within the emergency room in PMH. 

The Toxicology Service provides patient care and education.  The Service provides back-up for the Specialists in Poison Information within the NTPC.  The service also delivers bedside evaluations and care to patients within institutions on the UTSW campus.  Most evaluations are done in PMH and in Children’s Medical Center.


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