Lehigh Valley Health Network’s (LVHN) Medical Toxicology Program provides innovative, fellow-centered training. We received initial accreditation from the Accreditation Council for Graduate Medical Education (ACGME) in June, 2017, and our inaugural class began in July, 2018. The two-year fellowship provides an outstanding opportunity for clinical and academic training taught by devoted and energetic faculty.
Lehigh Valley Health Network is a premier health care organization comprising a multitude of hospitals and outpatient clinics located throughout the greater Lehigh Valley area (population 820,000). The toxicology fellowship is primarily based at Lehigh Valley Hospital–Cedar Crest. This is a tertiary care, level one trauma center and is home to the region’s only burn center, pediatric emergency department and pediatric intensive care unit. The fellows are afforded the opportunity to manage acutely ill or injured patients secondary to occupational and environmental exposures, pharmaceuticals agents, and unintentional and intentional poisoning across all age groups. Under the guidance of faculty Medical Toxicologists who are also board-certified in Addiction Medicine, the fellows also have the opportunity to develop expertise in screening, initiation of medication for addiction treatment, and referral to treatment for people with substance use conditions. Toxicology fellows will interact with students, residents and fellows of a variety of subspecialties, with opportunities to design and deliver bedside and didactic education. LVH–Cedar Crest provides the fellows the opportunity to gain experience managing patients requiring extracorporeal membrane oxygenation.
Fellows also manage poisoned patients at Lehigh Valley Hospital–Muhlenberg. This community hospital is located 13 miles from the Cedar Crest campus. It features an inpatient mental health facility and a unique intensive care unit manned only by emergency medicine residents and intensivists.
Fellows also treat patients in our established toxicology clinic located at the Tilghman Street Express Care location. This clinic is the only outpatient toxicology referral clinic in northeast Pennsylvania. Fellows are provided the opportunity to evaluate and manage patients referred from industrial, occupational, and local medical clinics. The clinic also provides screening and preventative services when appropriate.
To further augment the fellows’ experience with industrial exposures, they also rotate at East Penn Manufacturing located in Lyon Station, Pennsylvania. East Penn Manufacturing is the largest single-site, lead-acid battery manufacturing facility in the world. We believe this experience provides the fellows with an unparalleled experience to industrial exposures.
Finally, it is imperative that toxicology fellows have the opportunity to provide telephone consultation to healthcare providers. Lehigh Valley Health Network has developed a unique toxicology practice model whereby telephone consultation with multiple hospitals throughout the eastern half of Pennsylvania is provided. The fellows provide consultative advice under the guidance of the supervising toxicologist. Fellows also participate in both periodic phone call review and didactic experiences at the Philadelphia Poison Control Center.
Fellows are given the opportunity to participate in a scholarly project of their choosing. This project may be focused on an area of the fellow’s choosing such as protocol development, quality improvement, research, or development of educational resources.