Toxicology Education

TOXICOLOGY is a rapidly growing part of the division and is committed to providing the most up-to-date training in the managemtn of poisoning and overdoses and addiction.  We currently have our faculty members who participate in both bench and bedside research.  They provide a vital consulting service to the medical center.  Emergency medicine residents, medical students, residents from other services and programs and pediatric emergency medicine fellows rotate on the service.  While on this rotation, residents, fellows, and students are available for bedside consults for all toxicological emergencies and staff each patient with the on-call attending.  During this time,  the toxicology faculty discuss emerging toxicological issues, new concepts, and noteworthy toxicological stories in the news.  Each week, we hold a toxicology conference.  Attendees from Saint Louis University and the Missouri Poison Center regularly attend the sessions.  Additionally, the section’s goal is to improve the residents’ exposure to interesting toxicology cases.  Toward that end, toxicology has forged alliances in the community to heighten awareness of the toxicology service.

Washington University was designated by the St. Louis Zoo as the site for the management of exotic snakebites, and we have an ongoing collaboration with Monsanto and several ethnobotanists at the Missouri Botanical Garden.  Rotators are also welcome to observe in the medical toxicology and addiction medicine clinic.


A strength of the toxicology rotation is an emphasis on didactics.  Drs. Dribben, Halcomb, Mullins, and Schwarz have daily didactic sessions when they are on call.  These are in addition to impromptu lectures done at the bedside, when the service is contacted for consultation.  As part of these lectures, we also go on field trips to the Zoo and the Botanical Garden.

A core set of lectures for our daily didactics were organized to expose residents to critical topics in toxicology.  Didactic sessions focus on any interesting cases in addition to core articles that shaped the practice of toxicology.

Clinical Services:

Bedside teaching is critical to the understanding of the pathophysiology of toxicology.  The Toxicology service provides bedside consultations for all toxicological emergencies.  The section’s goal is to improve the residents’ exposure to interesting toxicological cases.  Toward that end, toxicology has forged alliances in the hospital and community to heighten the awareness of toxicology services.  Further collaboration occurs at the Regional Poison Control Center where residents and fellows review cases.

Interested applicants should contact:

Evan S Schwarz, MD

Associate Professor, Emergency Medicine

Andrea Ramirez

Program Coordinator