Jul 1, 2004
Overview
The University of Pittsburgh Fellowship in Medical Toxicology is a distinguished two-year program accredited by the ACGME. This program offers exceptional training at one of the busiest medical toxicology services in the United States, providing fellows with a comprehensive clinical experience across both inpatient and outpatient settings.
A unique feature of the program is its access to a specialized hospital unit dedicated to the treatment of medical toxicology patients at UPMC Presbyterian, an opportunity that is rare across the country. In addition to admitting patients at UPMC Presbyterian, fellows also rotate through UPMC Children’s Hospital of Pittsburgh and UPMC Mercy, enriching their clinical exposure across different patient demographics.
Furthermore, fellows engage in an outpatient clinic designed for patients suffering from chronic toxicities and occupational exposures. Integral to the training is the Pittsburgh Poison Center, which handles over 100,000 calls annually. This provides fellows with the opportunity to develop extensive knowledge in the operation and management of poison control centers and local health departments, reinforcing their readiness to handle toxicological emergencies.
1Program Structure
The two-year training program is not only clinical but heavily emphasizes educational components, ensuring that fellows gain expertise in various aspects of medical toxicology. The program maintains a robust academic structure; fellows participate actively in research and are mentored by faculty members throughout their tenure. They are encouraged to submit abstracts and present at both national and international medical toxicology conferences.
1Clinical Training
During the fellowship, clinical training is intensified through direct patient care. Fellows are tasked with admitting, consulting on, and managing patients in medical toxicology, in addition to fielding calls from the Pittsburgh Poison Center. This hands-on approach ensures that fellows acquire a practical understanding of the complexities involved in treating acute poisonings and adverse drug reactions.
2Didactic Components
The educational curriculum includes a core lecture series and daily didactics. In the first three months of fellowship, daily orientation lectures establish fundamental knowledge, while weekly sessions focus on critical toxicology topics, utilizing premier texts, including Goldfrank’s Toxicologic Emergencies and Critical Care Toxicology. The program emphasizes collaborative learning through interactive discussions and board review queries.
3Research Opportunities
Research is a significant aspect of the fellowship experience at the University of Pittsburgh. Fellows partake in various research projects, guided by faculty, ensuring that they not only engage in essential clinical work but also contribute to the body of knowledge in medical toxicology. This balance of clinical and research responsibilities prepares them to excel in diverse career outcomes.
2Application Process
The application process for the fellowship is tailored to attract candidates who have completed any AOA or ACGME-approved residency. Those with a strong passion for medical toxicology, education, and research are especially encouraged to apply. Applicants will participate in an application process that includes submission via the Electronic Residency Application System (ERAS), with interviews available both in-person and virtually.
Prospective fellows are invited to submit their applications by September 20, with the fellowship starting on July 1. The program values diversity and encourages applicants from varied social and cultural backgrounds.
3Competitiveness and Visa Support
The fellowship is recognized as competitive; however, it remains friendly toward DO and IMG applicants. It reflects a commitment to diversity and inclusion in the selection process, fostering a broad range of experiences and perspectives within the fellowship cohort.
Regarding visa support, the program sponsors H-1B and J-1 visa types for eligible international medical graduates, easing the transition for IMG candidates interested in pursuing this fellowship.
3Fellowship Details
The fellowship comprises two annual positions and features a comprehensive curriculum designed not only to provide clinical expertise but also to prepare fellows for academic and administrative roles in the future. Graduates are well-equipped to enter various work environments, including clinical, academic, and governmental settings.
1Web sources
SmartPick
Program data
ACGME History [2]
Program
Program Size
-- (2 years) [1]
Accreditation Status
Continued Accreditation
(Effective: January 14, 2026)
Composition
--
Training
Fellowship Rate:--
Faculty-to-Residents Ratio:1.5X [1]
Residents Career Path
--
Quality of Life
First Year Paid Sick Leave: --
First Year Paid Vacation: --
First Year Salary: $76,386 [1]
First Year Maximum Consecutive Hours on Duty: 18 hours [1]
First Year Average Weekly Hours: 40 hours [1]
Admission
USMLE Step 2 Score: --
Visa Sponsorship:--
YOG Cutoff:--
Race / Ethnicity
No race data available.
Gender
No gender data available.
Incoming Schools
No incoming school data available.
Rotation Duration by Site
Benchmarks
Roster
Publications
7 Publications (5 yr)
Peer-reviewed output from faculty and residents, last 5 years
7 Publications (5 yr)
Building Multidisciplinary Consensus on Inpatient Xylazine Management through Clinical Protocols.
Ethanol and the Limitations of the Osmol Gap.
Location
Pittsburgh, PA [4]
- Above the national average
- Below the national average
- Similar to the national average
Housing — Rental prices [5]
Rental prices
Crime — All violent offences [6]
Rate per 100,000 residents
Living in Pittsburgh, PA
Crime Rate and Safety
Pittsburgh has a slightly higher-than-average crime rate compared to the national average. However, specific neighborhoods within the city vary in safety levels, so it's advisable to research the area where you'll be living.
Fun Activities
Pittsburgh is known for its vibrant arts and culture scene, sports events, numerous parks, and outdoor recreational opportunities along its three rivers.
Climate
Pittsburgh experiences all four seasons, with cold winters, warm summers, and beautiful fall foliage.
Races and Population
Pittsburgh is a diverse city with a mix of different races and ethnicities. The city has a population of around 300,000 people.
Education
Pittsburgh is home to several universities and colleges, offering educational opportunities and cultural events.
Cost of Living
The cost of living in Pittsburgh is relatively affordable compared to other major cities in the US, particularly in terms of housing.
Proximity to Bigger Cities
Pittsburgh is approximately a 5-hour drive from Philadelphia and a 6-hour drive from New York City. Both cities offer diverse cultural experiences, entertainment, and employment opportunities.
Pros
- Vibrant arts and culture scene
- affordable cost of living
- beautiful outdoor scenery.
Cons
- Slightly higher crime rate in some areas
- cold winters.
FAQ
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References
1. Freida - https://freida.ama-assn.org/program/1184121025
2. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search
3. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/
4. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US4261000
5. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/
6. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr