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Challenging Cases in Toxicology

Course Description | Faculty | Accreditation | General Information

Course Description

The course will provide a series of multiple-choice question based cases in common and life-threatening clinical poisonings typically encountered in the Urgent Care or Emergency Department environment. The cases will feature multimedia content to engage the participant. Faculty for the course will primarily be drawn from Harvard Medical School (HMS) associated hospitals. The core faculty will be supplemented by a small number of selected external faculty who are nationally and internationally recognized in the field of contribution.

Emergency Medicine physicians as well as primary care physicians (e.g., Internists, Family Practice physicians, and Pediatricians) who practice Emergency Medicine are the target audience for the course. The participants will have an opportunity to review and advance their knowledge of current practice patterns and recent advances in clinical emergency medicine by taking the course. They will be required to complete all content associated with the course

Original Release: 5/27/2004
Most Recent Update: 7/10/2013
Termination Date: 7/10/2016

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 4 hours to complete.

COST: $80.00 for the average learner. Participants living in emerging nations receive a 50% discount or can register for free. See our International Pricing Page for details.

OVERALL LEARNING OBJECTIVES:

  1. Teach the general principles of the care of the poisoned patient.
  2. Teach specific and crucial points of pathophysiology, diagnosis and management of particular poisonings.
  3. Introduce the important medical literature which serves as the underpinning for the rational practice of toxicology.
  4. Case-based clinical problem solving (a multiple choice question based format will be used for the cases).

CLINICAL LEARNING OBJECTIVES:
Summarize the diagnosis and management of the following common clinical problems:

  1. Aspirin poisoning
  2. Acetaminophen poisoning
  3. Methylenedioxymethamphetamine (Ecstasy) poisoning, particularly Ecstasy-induced hyponatremia
  4. Amanita mushroom poisoning
  5. Carbon monoxide poisoning
  6. Digoxin poisoning

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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Faculty
MICHAEL GANETSKY, MD, FACEP,
Course Director
Michael Ganetsky, MD, is the Director of the Medical Toxicology consult service based in the Department of Emergency Medicine at Beth Israel Deaconess Medical Center and a Assistant Professor in Medicine at Harvard Medical School. Dr. Ganetsky runs the toxicology rotation for the BIDMC Emergency Medicine residents and received the prestigious BIDMC Emergency Medicine Residency Teaching Attending Award in 2009. Dr. Ganetsky is also a Staff Consultant at the MA/RI Poison Control Center. Dr. Ganetsky’s research interests include acetaminophen toxicity, oral anticoagulants, patterns of opiate abuse, and serotonergic adverse drug reactions.

DISCLOSURE:
Cumberland Pharmaceutical, Research funds recipient (acetaminophen poisoning); UpToDate: Royalty Income (SSRI poisoning); Gold Standard/Elsevier: Membership on editorial board (ToxEd electronic toxicology textbook)



VALERIE BYRNES, MD
Course Contributor
Bio and Photo Coming Soon.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



JOHN HALAMKA, MD, MS
Course Contributor
John D. Halamka, MD, MS, is Chief Information Officer of the CareGroup Health System, Chief Information Officer and Associate Dean for Educational Technology at Harvard Medical School, Chairman of the New England Health Electronic Data Interchange Network (NEHEN), Chief Information Officer of the Harvard Clinical Research Institute and a practicing Emergency Physician. As Chief Information Officer at CareGroup, he is responsible for all clinical, financial, administrative and academic information technology serving 3000 doctors, 12000 employees and one million patients. As Chief Information Officer and Associate Dean for Educational Technology at Harvard Medical School, he oversees all educational, research and administrative computing for 18000 faculty and 3000 students.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



SAGE W. WIENER, MD
Course Contributor
Bio and Photo Coming Soon.

DISCLOSURE:
Reported no relevant relationships with commercial entities.



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Reviewers
JIM GORDON, MD
Reviewer
Bio and Photo Coming Soon.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



MELISA LAI BECKER, MD FACEP
Reviewer
Melisa W Lai Becker MD FACEP FAAEM is Chief of Emergency Medicine at Whidden Hospital (Cambridge Health Alliance) and Director of the Division of Medical Toxicology at Cambridge Health Alliance. A graduate of the Brown University School of Medicine, Dr. Lai Becker trained at the Harvard Affiliated Emergency Medicine Residency (Brigham & Women's/Massachusetts General Hospitals) and the Harvard Medical Toxicology Fellowship. After training, she served as Associate Director Medical/Surveillance for the American Association of Poison Control Centers while practicing as an Emergency physician at Prince George's Health Center (Cheverly MD), affiliated with the George Washington University residency in Emergency Medicine (Washington DC). She is currently an instructor in Emergency Medicine (Medicine) at Harvard Medical School and on faculty with the toxicology services at Beth Israel Deaconess Medical Center, Children's Hospital Boston and the Regional Center for Poison Control and Prevention Serving MA and RI.

DISCLOSURE:
The commercial entities with which I have relationships do not produce, market, re-sell or distribute health care goods or services relevant to the content I am planning, developing, presenting, or evaluating for the activity. However, I choose to disclose the following relationships: WebMD/Medscape, Independent contractor, Emergency Medicine/Medical Toxicology; Wolters Kluwer, Publisher - textbook; "Pocket Emergency Medicine" includes medical toxicology information



ROBERT H. SHMERLING, MD
Reviewer
Robert H. Shmerling, M.D., is associate physician at Beth Israel Deaconess Medical Center and Associate Professor in Medicine at Harvard Medical School. For the last 20 years, he has been an active clinician and teacher at Beth Israel Deaconess Medical Center where he serves as the Robinson Firm Chief. He is also a practicing rheumatologist and teacher in the Rheumatology Fellowship program.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



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Course Planners
SANJIV CHOPRA, MD
Planner
Dr. Sanjiv Chopra is Professor of Medicine and Faculty Dean for Continuing Medical Education at Harvard Medical School and Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. In his role as Faculty Dean for Continuing Education, Dr. Chopra provides oversight and leadership of the Department and oversees the academic development of our programs. Dr. Chopra is an experienced clinician, researcher, and educator. In his research roles, he has served both as a principal investigator as well as co-investigator. He has more than 120 publications and five books to his credit, addressing topics in disease states, patient care, and leadership. Dr. Chopra’s teaching experience is extensive, and he has won numerous teaching awards for his work with medical students, residents and physicians. Currently, he directs and speaks at 10 multiday CME courses, nine of which are through HMS. For his full bio, please click here.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



ANDI LONG, EdM
Planner
Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



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Accreditation

NUMBER OF CREDITS: 4 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 4 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate


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General Information

HARDWARE/SOFTWARE REQUIREMENTS

Computers
Any computer running Windows, Mac OS, or Unix machines are supported.


Internet Connection
Your computer should be configured to access the Internet. A high speed internet connection may be required to view some of the large multimedia files.

Browsers
Firefox or Internet Explorer 5.5 or higher are recommended. JavaScript and cookies must be enabled.

Plugins
Some of the multimedia resources in this course require Apple Quicktime, RealMedia, or a Flash player. You will be prompted to download the appropriate plugin when necessary. No plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.


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