Tox Boot Camp | #ACMT2025

Tox Boot Camp | #ACMT2025

Includes a Live In-Person Event on 04/03/2025 at 8:00 AM (PDT)

  • Register
    • Early bird pricing available!
    • Non-member - Tier I - $350
    • Non-member - Tier II - $250
    • Non-member - Tier III - $175
    • Non-member - Tier IV - $150
    • Member - Tier I - $300
    • Member - Tier II - $250
    • Member - Tier III - $175
    • Member - Tier IV - $150
    • Regular Price after 02/21/2025 11:59 PM
    • Non-member - Tier I - $400
    • Non-member - Tier II - $300
    • Non-member - Tier III - $225
    • Non-member - Tier IV - $200
    • Member - Tier I - $250
    • Member - Tier II - $200
    • Member - Tier III - $125
    • Member - Tier IV - $75

#ACMT2025 | Occupational & Environmental Tox Boot Camp

April 3, 2025
Fairmont Hotel, Vancouver Canada

Join the American College of Medical Toxicology (ACMT) on Thursday, April 3, 2025 for the Occupational & Environmental Tox Boot Camp at the Fairmont Hotel in Vancouver, Canada. This in-person full-day symposium aims to address a crucial gap in toxicology education by focusing on occupational and environmental toxicology. Led by expert medical toxicologists who are also certified in Occupational and Environmental Medicine (OEM), the boot camp targets practicing toxicologists, recent grads, fellows-in-training, and others interested in occupational and environmental toxicology seeking to enhance their knowledge in this field. Through a comprehensive curriculum, attendees will delve into a variety of topics with emphasis on regulatory toxicology, risk assessment, pulmonary toxicology, and reproductive toxicology. Additional topics will include: irritant gasses, organic pollutants, and heavy metals. All sessions are led by specialists who are dually board-certified in both Medical Toxicology and Occupational Medicine. Continuing Education credits for Physicians, Pharmacists, and Nurses available.


Learner Objectives

After attending the event, participants should be able to:

  • Define principles of regulatory toxicology. 
  • Identify and manage occupational and environmental toxic exposures.
  • Develop expertise in workplace safety, environmental health, and regulatory compliance.

Questions?

Please write to ACMT at events@acmt.net

Agenda | April 3, 2025

All times listed are in local, Pacific Time.


8:00 - 8:15 AM PT 

Welcome & Opening Remarks

8:15 - 8:45 AM PT

Introduction to Regulatory Toxicology

Michael Holland, MD, FACMT, FAACT, FEACCT, FACOEM, FACEP, SUNY Upstate Medical University, Syracuse, NY 

Dr. Holland will examine critical occupational health standards, including ACGIH TLVs, BEIs, NIOSH RELs, IDLH values, and OSHA PELs, focusing on their roles in safeguarding workplace safety. He will also delve into historical events, such as the Hawk’s Nest Tunnel silicosis disaster, that have significantly influenced the development of these standards. The session will conclude with practical insights on how to apply these regulatory guidelines to assess and ensure workplace safety and compliance.


8:45 - 9:15 AM PT

Introduction to Environmental Toxicology

John Downs, MD, MPH, Associate Professor, Division of Clinical Toxicology, Virginia Commonwealth University Health System, Richmond, VA

Dr. Downs will introduce key concepts in environmental toxicology. He will define and explore the roles of EPA Maximum Contaminant Levels (MCLs), Reference Doses (RfD), Reference Concentrations (RfC), Emergency Chemical Exposure Limits (ECEL), National Chemical Exposure Limits (NCEL), the Toxic Substances Control Act (TSCA), Acute Exposure Guideline Levels (AEGL), and Emergency Response Planning Guidelines (ERPG) in environmental health and safety. The lecture will also cover the impact of the Bhopal disaster on environmental toxicology regulations and analyze a recent environmental health issue in the context of regulatory limits.


9:15 - 9:45 AM PT

General Causation, Risk Assessment, and Risk Communication

David J. Vearrier, MD, MPH, Professor of Emergency Medicine, University of Mississippi Medical Center, Madison, MS

This session will cover the application of Bradford Hill criteria, dose estimation methods, and exposure limits to evaluate risk scenarios and make informed decisions on actions such as evacuation versus sheltering in place. Additionally, Dr. Vearrier will explore the distinction between carcinogenic (no threshold) and non-carcinogenic (threshold) risks and discuss strategies for effectively communicating these risk assessments to stakeholders to guide decision-making.


9:45 - 10:15 AM PT

Occupational Dermatology

Beth Baker, MD, MPH, FACOEM, FACMT, OEM Academic Director, School of Public Health, University of Minnesota, Minneapolis, MN

Dr. Baker will differentiate between irritant and allergic contact dermatitis, examining critical occupational and environmental risk factors and preventive measures. The session will also cover the systemic signs of dermal absorption and identify key toxicants responsible for systemic poisonings through skin exposure.


10:15 - 10:30 AM PT | Break (15 min)


10:30 - 11:00 AM PT

Occupational Cancer

TBA

This speaker will address occupational cancer and related toxicological concerns. He will distinguish between water-soluble and insoluble irritant gases, including their signs, symptoms, and diagnostic keys. Additionally, the lecture will outline effective treatment strategies for exposure to these different types of irritant gases, providing a comprehensive overview of both prevention and management approaches.


11:00 - 11:30 AM PT

Pulmonary Toxicology

Michael Holland, MD, FACMT, FAACT, FEACCT, FACOEM, FACEP, SUNY Upstate Medical University, Syracuse, NY

The session will cover the gross and microscopic anatomy of the lungs and its significance in understanding pulmonary toxicology. Dr. Holland will explain how to interpret pulmonary function test results to distinguish between obstructive and restrictive lung patterns. Additionally, this lecture will focus on recognizing and differentiating interstitial lung diseases, such as COPD, BOF, ILD, asbestosis, and silicosis, and understanding their effects on lung function.


11:30 - 12:00 PM PT

Asphyxiant Gases

John G. Benitez, MD, MPH, Retired Medical Director of Emergency Preparedness and Environmental Epidemiology , TN Dept of Health, Nashville, TN

The session will cover the differentiation between simple and toxic asphyxiants, highlighting their signs, symptoms, and keys to diagnosis. Dr. Benitez will explain appropriate treatment strategies, including antidote administration, for exposure to asphyxiant gases. Additionally, this lecture will focus on real-world applications and case studies to enhance understanding and preparedness for managing asphyxiant gas exposures.


12:00 - 1:30 PM PT - Lunch Break (90 min)


1:30 - 2:00 PM PT

Irritant Gases

TBA

The session will cover the distinction between water-soluble and insoluble irritant gases, highlighting their signs, symptoms, and keys to diagnosis. The speaker will explain effective treatment strategies for exposure to both types of irritant gases. Additionally, this lecture will focus on real-world applications and case studies to enhance understanding and preparedness for managing exposures to irritant gases.


2:00 - 2:30 PM PT

Miscellaneous Chemicals Toxicology

David J. Vearrier, MD, MPH, Professor of Emergency Medicine, University of Mississippi Medical Center, Jackson, MS

The session will cover the toxicological properties of acids, alkalis, polymers, and solvents, highlighting their mechanisms of action and associated health effects. Dr. Vearrier will explain how to identify solvents that can induce peripheral neuropathy and understand their specific toxicological effects on the nervous system. Additionally, this lecture will focus on real-world applications and case studies to enhance understanding and preparedness for managing exposures to miscellaneous chemicals.


2:30 - 3:00 PM PT

Persistent Organic Pollutants (POPs)

John Downs, MD, MPH, Associate Professor, Division of Clinical Toxicology, Virginia Commonwealth University Health System, Richmond, VA

Dr. Downs will explore the sources and environmental persistence of select persistent organic pollutants (POPs). He will explain the health and environmental impacts of exposure to POPs, including polychlorinated biphenyls (PCBs), organochlorine pesticides, polychlorinated dioxins, and per- and polyfluoroalkyl substances (PFAS).


3:00 - 3:30 PM PT

Metals Toxicology I: Traditional “Heavy Metals” 

Michael J. Kosnett, MD, MPH, FACMT, Associate Clinical Professor, Department of Medicine, University of Colorado School of Medicine, Denver, CO 

Dr. Kosnett will identify the traditional heavy metals of major toxicologic significance, including lead, mercury, cadmium, arsenic, and thallium. He will explain their sources and routes of exposure, providing insights into the health risks associated with these metals.


3:30 - 3:45 PM PT - Break (15 min)


3:45 - 4:15 PM PT

Reproductive Toxicology

Beth Baker, MD, MPH, FACOEM, FACMT, OEM Academic Director, School of Public Health, University of Minnesota, Minneapolis, MN

In this session, Dr. Baker will describe key reproductive toxicants, including DES, lead, methyl mercury, ethanol, pesticides, and radiation. She will explain their potential effects on parents and offspring, and provide insights into the stages of fetal development and organogenesis where these toxins are most likely to impact fetal development.


4:15 - 4:45 PM PT

Pesticides, Herbicides, and Fumigants

John G. Benitez, MD, MPH, Retired Medical Director of Emergency Preparedness and Environmental Epidemiology , TN Dept of Health, Nashville, TN

Dr. Benitez will identify and assess the health risks associated with exposure to various pesticides, herbicides, and fumigants. He will cover substances such as organophosphates (OPs), organochlorines, chlorfenopyr, glyphosate, and methyl bromide, providing insights into their health effects and exposure risks.


4:45 - 5:15 PM PT

Metals Toxicology II: Other

Michael J. Kosnett, MD, MPH, FACMT, Associate Clinical Professor, Department of Medicine, University of Colorado School of Medicine, Denver, CO 

Dr. Kosnett will recognize and explain the adverse health effects of "other" metals of toxicologic importance found in occupational, environmental, and consumer settings. He will cover metals such as beryllium, chromium, cobalt, manganese, nickel, selenium, and zinc, providing insights into their health risks and exposure routes.

Beth Baker, MD, MPH, FACOEM, FACMT, OEM

Academic Director, School of Public Health

University of Minnesota

Dr. Beth Baker is the Academic Program Director for Occupational and Environmental Medicine at the Midwest Center for Occupational Health and Safety, University of Minnesota School of Public Health. She previously served as the HealthPartners/ U of MN OEM residency program director and lectured in the U of MN OEM course (PubH 6170) since 2006. She has practiced Occupational and Environmental Medicine in the Twin Cities for over 30 years, and is currently on the board of directors of the American Board of Preventive Medicine, a Past President of the American College of Occupational and Environmental Medicine, and a Past Trustee of the Minnesota Medical Association.

John G. Benitez, MD, MPH

Retired Medical Director of Emergency Preparedness and Environmental Epidemiology

Tennessee State Health Department

Dr. John G. Benitez completed his Medical Doctorate at Southern Illinois University, Springfield, and a Master of Public Health (MPH) degree at University of Pittsburgh. He completed a surgical residency at Southwestern Michigan Area Health Education Center, a hyperbaric medicine “mini-fellowship” at St. Luke's Hospital in Milwaukee, WI, a medical education fellowship at the University of Texas Southwestern Medical Center in Dallas, and completed a fellowship in clinical toxicology at Vanderbilt University. Dr. Benitez is the retired medical director for the emergency preparedness program at the Tennessee State Health Department. Previously, Dr. Benitez was appointed professor of clinical medicine at Vanderbilt University in Nashville where still holds an appointed as adjunct professor. He was also associate professor of clinical emergency medicine, community and preventive medicine, environmental medicine, and pediatrics at the University of Rochester, New York, where he also worked as the managing director of the RA Lawrence Poison and Drug Information Center. From 2000-2008, he was director for regional emergency preparedness at the University of Rochester Medical Center, medical director of the Pittsburgh Poison Center, and director of the multidisciplinary MPH program at the University of Pittsburgh Graduate School of Public Health. He is a member of the National Academies of Science, Engineering, and Medicine’s Committee on Strengthening the Disaster Resilience of Academic Research Communities. Dr. Benitez is also a member of the U.S. Army Reserves, where he holds the rank of Colonel and serves as a Preventive Medical Officer.

John Downs, MD, MPH

Medical Toxicologist

Virginia Commonwealth University (VCU) Health in Richmond, VA

John W. Downs MD MPH is a graduate of the Virginia Military Institute and served two years as a US Army infantry officer, prior to attending medical school at the Uniformed Services University of the Health Sciences (USU). Dr. Downs completed residency training in internal medicine at Tripler Army Medical Center, Honolulu, Hawaii, and in occupational & environmental medicine at USU, where he also completed a Master of Public Health degree. Dr. Downs later completed a fellowship in medical toxicology at the Virginia Commonwealth University (VCU) Health System. Dr. Downs was a US Army officer for more than 20 years and recently joined VCU as medical toxicology faculty. His final active-duty tour was at the Uniformed Services University where he was an Associate Professor and the Associate Program Director for the Occupational and Environmental Medicine residency, and an attending physician at Walter Reed National Military Medical Center. His military medical experience includes multiple tours as senior medical officer to special operations and light infantry units to include deployments to operations in Iraq and Afghanistan. Dr. Downs’s public health experience includes service as Chief of the Department of Preventive Medicine at Fort Campbell, Kentucky, and Chief, Occupational & Environmental Medicine Service, Walter Reed National Military Medical Center during the COVID-19 pandemic. Dr. Downs is board certified as a physician in internal medicine, occupational & environmental medicine, and medical toxicology. Dr. Downs also holds allied health certifications as a certified public health professional (CPH), and Diplomate of the American Board of Toxicology (DABT). Dr. Downs is a recipient of the Army Surgeon General’s 9A Proficiency Designation in occupational and environmental medicine. He has authored more than 25 peer-reviewed publications. He is a Fellow of the American College of Physicians, and the American College of Occupational and Environmental Medicine.

Michael G. Holland, MD, FEAPCCT, FAACT, FACOEM, FACMT, FACEP

Professor of Emergency Medicine

SUNY Upstate Medical University

Dr. Holland is Clinical Professor of Emergency Medicine at SUNY Upstate Medical University in Syracuse, NY where he is on the faculty of the Medical Toxicology Fellowship Training Program and is a Consulting Medical Toxicologist at the Upstate New York Poison Center and the Onondaga County Medical Examiner’s Office-both in Syracuse, NY. Dr. Holland is also the Director of Occupational Medicine for the Saratoga Hospital Medical Group, and is the Saratoga Hospital Employee Health Medical Director, where he oversees the health and safety of over 3100 employees and staff. He also serves as Employee Health Medical Director at Glens Falls Hospital in Glens Falls, NY, covering 2500 employees. He is also Principal Medical Toxicologist at the Center for Toxicology and Environmental Health (CTEH) in Little Rock, AR.    

Michael J. Kosnett, MD, MPH, FACMT

Associate Clinical Professor, Department of Medicine

University of Colorado School of Medicine

Michael J. Kosnett, MD, MPH, FACMT has 34 years of experience as a physician specializing in medical toxicology and occupational and environmental health. He is board certified in internal medicine, medical toxicology, and preventive medicine (occupational medicine). He has served in a leadership and advisory capacity to multiple national and international medical and public health organizations. This includes service as past president of the American College of Medical Toxicology and a member of the Committee on Toxicology of the National Academies of Sciences, Engineering, and Medicine and the Board of Scientific Counselors of the National Institute for Occupational Safety and Health. In addition, Dr. Kosnett has served as a consultant and temporary advisor to the World Health Organization; EPA Science Advisory Board expert panels; and advisory committees of the CDC National Center for Environmental Health and ATSDR. He has also served as a medical toxicology consultant to the US Army Public Health Command, the US Air Force Science Advisory Board, and the US Navy Naval Air Systems Command. In 2016, the American College of Medical Toxicology awarded Dr. Kosnett the Matthew J. Ellenhorn Award, a career achievement award that recognizes “extraordinary contributions to the field of medical toxicology.”

David J. Vearrier, MD, MPH

Professor of Emergency Medicine

University of Mississippi Medical Center

Dr. Vearrier is board-certified in occupational medicine, addiction medicine, medical toxicology, and emergency medicine. He obtained his undergraduate degree from University of California Berkeley in 1996 and his Doctor of Medicine degree from University of California San Diego in 2000. He completed his emergency medicine residency at Drexel University College of Medicine in Philadelphia, PA in 2008 and his medical toxicology fellowship at Drexel in 2010. Dr. Vearrier was core faculty for the emergency medicine residency and medical toxicology fellowship at Albert Einstein Healthcare Network from 2010 to 2011 before returning to Drexel University College of Medicine as core faculty for the emergency medicine residency and the medical toxicology fellowship director from 2011 to 2019. He obtained his Master of Public Health degree at Drexel University School of Public Health in 2013. He completed his occupational medicine residency at University of Pennsylvania in Philadelphia, PA in 2015. Dr. Vearrier came to University of Mississippi Medical Center in 2020 where he serves as chief of the division of medical toxicology and service chief for medical toxicology. He is the associate director for preventive medicine residency, co-medical director of student and employee health, core faculty for the emergency medicine residency, and the institution’s medical review officer. Dr. Vearrier is very active in academic endeavors having published numerous peer-reviewed publications and book chapters, serving as a peer reviewer for journals in the occupational medicine and medical toxicology fields, and serving as a Chief Editor at Medscape.

Registration Rates

Registration includes:

  • Access to the live in-person event on Thursday, April 3, 2025

  • Access to the on-demand recording for 90 days after the event

  • Access to the speaker slides

  • Continuing Education credits are available for purchase for an additional fee. Click here for more info.


ACMT Member RatesEarly-Bird

Expires: Feb 21, 2025

Regular Rate

Begins: Feb 22, 2025


     Member Tier I: Full, Affiliate, International, Emeritus

$250
$300

     Member Tier II: Fellows

$200
$250

     Member Tier III: Residents, International - Developing Country


$125

$175

     Member IV: Medical Students


$100

$150

Non-Member RatesEarly-Bird

Expires: Feb 21, 2025

Regular Rate

Begins: Feb 22, 2025


     Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"


$350

$400

     Non-member Tier II: Fellows, SPIs, Nurses, etc.


$250

$300

     Non-member Tier III: Educators & Emergency Responders


$175

$225

     Non-member IV: Residents & Students


$150

$200


Early-Bird Rate

Early-bird rates expire at midnight on FEBRUARY 21, 2025. Fees increase to the Regular Rate after this date, no exceptions.


ACMT Membership

ACMT Members receive a discounted rate. Interested in becoming an ACMT Member? Contact our Membership Team at membership@acmt.net. Learn more at: www.acmt.net/membership


Refunds and Cancellations

Event registration cancellations received on or before February 17, 2025 (2/17/25) will receive a full refund less a 8% processing fee. Cancellations received between February 18, 2025 and March 18, 2025 (2/18/25-3/18/25) will receive a 50% refund. Cancellations made on or after March 19, 2025 (3/19/25) will not receive a refund. All Continuing Education registrations will be refunded in full less an 8% processing fee regardless of date.

All cancellation requests must be made in writing and emailed to: events@acmt.net. No telephone cancellations will be accepted. A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment.

Pending review, limited exceptions will be made based on need and circumstance and must be submitted in writing to events@acmt.net. Because each exception must undergo a review and approval process, we ask in advance for your patience.


Questions?

For any questions, please email us at events@acmt.net.

Continuing Education

image

Continuing Education credit for this activity is available for an additional fee. 

Accreditation is provided by AKH Inc., Advancing Knowledge in Healthcare, and registrants will be able to claim up 7.0 credits, commensurate with their participation. 

Available Continuing Educations Credits:

  • Continuing Medical Education (CME)
  • Continuing Pharmacist Education (CPE)
  • Continuing Nursing Education (CNE)


Purchase/Claim CE

Key:

Complete
Failed
Available
Locked
Live In-Person Event
04/03/2025 at 8:00 AM (PDT)   |  9 hours, 15 minutes
04/03/2025 at 8:00 AM (PDT)   |  9 hours, 15 minutes
Attendance Certificate
No credits available  |  Certificate available
No credits available  |  Certificate available This is an optional certificate verifying that you attended this live event. Please note that this is NOT a certificate for continuing education credits.
Continuing Education
Purchase or Claim Credits
Select the "Click here" button to begin.
Select the "Click here" button to begin. Up to 7.0 CME, CPE, or CNE credits available for an additional fee.