Toxicosurveillance Symposium | #ACMT2026 | On-Demand

Toxicosurveillance Symposium | #ACMT2026 | On-Demand

  • Register
    • Non-member - Tier I - $475
    • Non-member - Tier II - $350
    • Non-member - Tier III - $250
    • Non-member - Tier IV - $225
    • Member - Tier I - $400
    • Member - Tier II - $300
    • Member - Tier III - $200
    • Member - Tier IV - $175

2026 ACMT Symposium | Toxicosurveillance of Emerging Substances in the Management of SUD

On-Demand

Join the American College of Medical Toxicology for a full-day of programming focused on the rapidly expanding field of toxicosurveillance and its potential role in the management of substance use disorders (SUD). As the illicit drug supply continues to evolve—with new synthetic compounds, adulterants, and contaminants emerging at unprecedented speed—timely drug supply surveillance has become essential for clinicians, toxicologists, and public health professionals.

This symposium brings together national experts leading drug checking and surveillance initiatives to discuss the evolution of drug supply testing, approaches for comprehensive toxicology testing in patients (biosurveillance), and real-world findings from community-based and national programs.


Learner Objectives

After attending the event, participants should be able to:

  • Describe the principles and evolution of drug supply testing and toxicosurveillance.
  • Interpret data from drug checking and biosurveillance programs.
  • Assess the benefits and limitations of toxicosurveillance.
  • Describe how toxicosurveillance could be used to inform clinical decision-making and public health messaging. 

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Continuing Education

Continuing Education credit for this activity is included in the registration fee. Accreditation is provided by AKH Inc., Advancing Knowledge in Healthcare, and registrants will be able to claim up to 5.00 credits.


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Questions?

Please write to ACMT at [email protected]

Registration Rates

Registration includes:

  • 90-day access to all course content
  • Access to the speaker slides
  • 5.00 Continuing Education Certificate. Available credits: Continuing Medical Education (CME) and Continuing Pharmacy Education (CPE).

Member Rates


     Member Tier I: Full, Affiliate, International, Emeritus


     $400   


     Member Tier II: Fellows


     $300


     Member Tier III: Residents, International - Developing Country


     $200


     Member IV: Medical Students


     $175

Non-Member Rates


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


     $475


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


     $350


     Non-member Tier III: Educators & Emergency Responders


     $250


     Non-member IV: Residents & Students


     $225


ACMT Membership

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


Refunds and Cancellations

For information on ACMT's Cancellation and refund policy, click here.


Questions?

For any questions, please email us at [email protected].

Syllabus

Total Activity Length: approximately 4.5 hours (275 minutes)


Donovan Lecture | The Changing Landscape of American Street Drugs | 61 minutes

Nabarun Dasgupta, PhD, MPH, Senior Scientist, The University of North Carolina at Chapel Hill

This lectureship is supported by the Medical Toxicology Foundation through the Ward and Ryan Donovan Memorial Fund. For more info, please visit: www.acmt.net/donovan-lectureship.

Dr. Dasgupta, winner of the Mc will present his laboratory findings on the synthetic soup that constitutes the US drug supply. He will share insights into emerging trends, fentanyl replacements, and regional variations. He will also discuss how biased measures of fentanyl purity could lead to spurious statistical findings and position the current decline in overdose deaths in a national and historical context. This fast-paced talk will be heavy on data and stories, with analogies to help the audience understand the bigger picture of the constantly changing drug supply.


Implementation of Drug-Checking Programs in Different Settings | 45 minutes

Rachel Wightman, MD, FACMT, Associate Professor of Emergency Medicine and Epidemiology, Brown University
Yarelix Estrada, MPH, Drug Checking Manager, NYC Department of Health and Mental Hygiene

Drug checking programs can be a powerful harm reduction tool for communities; however, initiating a drug checking program in various settings can be a challenge. This presentation will include discussions of how to set up and maintain drug checking programs.


The Promise and Perils of Drug Checking: A Debate on Toxico-Surveillance | 38 minutes

Moderator
Leslie R. Dye
, MD FACMT FASAM, Medical Director, OneFifteen, Clinical Professor, Department of Emergency Medicine, Boonshoft School of Medicine, Wright State University

Panel
Lewis S Nelson, MD, MBA, FACMT, FASAM, Dean and Chief of Health Affairs, Professor of Emergency Medicine / Medical Toxicology, Schmidt College of Medicine at Florida Atlantic University
Jennifer Love, MD, Assistant Professor of Emergency Medicine, The Mount Sinai Hospital

An audience-interactive conversation discussing the benefits and harms of toxicosurveillance programs.  Is it information overload? How do patients use the data? How can we watch for new meaningful substances in the supply and engage a proactive clinical response?


Toxico-Surveillance via EMS-based data collection (RENDOR) | 26 minutes

Alyssa Falise, PhD, MSPH, Research Associate, American College of Medical Toxicology
Kim Aldy, DO, MBA, MS, ToxIC Program Director, American College of Medical Toxicology
Rachel Culbreth, PhD, MPH, ToxIC Research Director, American College of Medical Toxicology

The symposium speakers at the talk entitled "Toxico-Surveillance via EMS-based data collection" will highlight the Toxicology Investigators Consortium (ToxIC) Real-World Examination of Naloxone for Drug Overdose Reversal (RENDOR) study, which focuses on pre-hospital naloxone administration and enhanced data collection by EMS providers. Select cases that were in both the pre-hospital RENDOR study and hospital-based Drug Overdose Toxico-Surveillance (DOTS) study will be presented, integrating pre-hospital naloxone data with in-hospital clinical findings, patient interviews with details on intended drug use leading to the overdose, and comprehensive blood toxicology results. Clinical implications for findings will be discussed, including how toxico-surveillance may impact naloxone administered in the EMS setting.


Operationalizing Toxicosurveillance Medetomidine Data for Clinical Care: A Case Study Panel | 43 minutes

Moderator Jeanmarie Perrone, MD, FACMT, Professor of Emergency Medicine, Hospital of the University of Pennsylvania

Panel Michael Lynch, MD, FACMT, Medical Director, Pittsburgh Poison Center, University of Pittsburgh
Simon Ostrowski, MD, Fellow, University of Pittsburgh Medical Center
Axel Adams, MD, Emergency Medicine Physician, Madison Emergency Physicians
Alex Krotulski, PhD, Associate Director of Toxicology & Chemistry, The Center for Forensic Science Research and Education, Willow Grove, PA

This discussion will highlight the experiences of toxicologists in evaluating and treating a new overdose and withdrawal syndrome and the process of confirming medetomidine as the etiologic agent from regional drug checking data. The discussants will also focus on their critical care protocols for the treatment of medetomidine withdrawal from their frontline and ICU experiences as emergency physicians and as medical toxicology/addiction medicine consultants.


New Research Methods in Toxicosurveillance | 29 minutes

Stephanie Weiss, MD, PhD, Staff Clinician, Translational Addiction Medicine Branch, National Institute on Drug Abuse
David H. Epstein, PhD, Senior Investigator, NIDA

Novel research methods help drive innovation in toxicosurveillance research -- join us to learn about new translational research in opioid use disorder from NIH experts. 


A Rise in Stimulant-Only Deaths? | 33 minutes

James Gill, MD, Chief Medical Examiner, Office of the Chief Medical Examiner CT
Robert Hendrickson, MD, FACMT, Professor of Emergency Medicine, Medical Director, Program Director, Oregon Health and Science University, Oregon Poison Center, OHSU Fellowship in Medical Toxicology

Stimulants have been increasingly implicated in fatal overdoses; however, are they driving fatalities? Learn from a medical examiner and medical toxicologist about stimulant-related deaths and toxicity in the "fourth wave" of the opioid epidemic. 



Axel Adams, MD

Axel Adams, MD

Emergency Medicine Physician

Madison Emergency Physicians

Dr. Axel Adams grew up in rural Wisconsin and attended the University of Wisconsin where he studied potato genetics and molecular biology. He then attended the University of California - San Francisco for medical school while doing a masters at the University of California-Berkeley School of Public Health with a focus in clinical toxicology. During this time, his research was primarily regarding new psychoactive substance surveillance and biomonitoring and mass spectrometry method development. He completed emergency medicine residency at the University of Washington and completed fellowship at the Toxikon Consortium in Chicago. He is currently involved in the development of a regional toxicosurveillance laboratory in Chicago. His interests include drug discovery from natural products, mass spectrometry, occupational toxicology, bioremediation, botany, and lichenology.

Kim Aldy, DO, MS, MBA

Kim Aldy, DO, MS, MBA

ToxIC Program Director

American College of Medical Toxicology

Dr. Aldy initially joined the Toxicology Investigators Consortium with the American College of Medical Toxicology as the first ToxIC intern, where she led a vaping initiative around the country. In her new position with ToxIC, Dr. Aldy is responsible for the day to day management of the ToxIC program, staff and site coordination, helping with research projects and publications, and acquiring support for ToxIC through grants and related activities.

Dr. Aldy earned her medical degree at the University of North Texas Health Science Center in Fort Worth, Texas. During her medical school training, she concurrently applied and enrolled in an MBA program with concentration in Health Management at the University of North Texas which she attained shortly after starting residency. She completed an emergency medicine residency at Western Michigan University in Kalamazoo, Michigan. She attended her Medical Toxicology Fellowship at University of Texas at Southwestern Medical Center in Dallas, Texas. 

Dr. Aldy has an academic and clinical affiliation within the departments of Emergency Medicine and Medical Toxicology at the Baylor University Medical Center in Dallas, Texas.

Rachel Culbreth, PhD, MPH

Rachel Culbreth, PhD, MPH

ToxIC Research Director

American College of Medical Toxicology

Dr. Culbreth joined the Toxicology Investigators Consortium/ACMT in May 2022. She received her PhD and MPH in epidemiology and biostatistics from Georgia State University. Her dissertation focused on the development of novel statistical methods to measure current and amount of substance use in a hybrid structural equation mixture model framework. She was an Assistant Professor in the College of Nursing and Health Professions at Georgia State University from 2019-2022, where she taught undergraduate and graduate-level research methods, healthcare leadership, and advanced statistical topics for pre-doctoral students. As ToxIC's Research Director, she leads new grant development and scientific dissemination through manuscripts and presentations, and enjoys working closely with clinical colleagues to advance medical toxicology research and practice.

Nabarun Dasgupta, PhD, MPH

Nabarun Dasgupta, PhD, MPH

Senior Scientist

The University of North Carolina at Chapel Hill

Nabarun Dasgupta, PhD, MPH, is a street drug scientist, whose passion is telling true stories about health with numbers. Centered in pharmaco-epidemiology, his work amplifies community and patient voices in public health. Since 2002 he has done pioneering work in overdose prevention and addiction treatment. He is a recipient of the 2025 MacArthur ""genius"" Fellowship. In 2023 he was placed on the TIME100 Next list of rising global leaders.

As an applied epidemiologist, Dasgupta has served as an advisor to the US Food and Drug Administration (FDA) and World Health Organization (WHO). Operating with an appreciation for the social determinants and of health, the UNC Street Drug Analysis Lab has used GCMS to test nearly 20,000 drug samples provided voluntarily by community organizations and medical providers from around the country. 

Dasgupta co-founded two pioneering non-profit organizations: Project Lazarus and Remedy Alliance For The People, a groundbreaking national non-profit bulk distributor of free and low-cost naloxone to harm reduction programs.

Previously he was the Chief Science Officer of Epidemico, a health informatics startup he co-founded using technology developed at Harvard Medical School. He is also an associate editor at the American Journal of Public Health. Dasgupta earned degrees from Princeton, Yale, and UNC.

Follow the free Opioid Data Lab newsletter at OpioidData.org.

Leslie R. Dye, MD, FACMT, FASAM

Leslie R. Dye, MD, FACMT, FASAM (Moderator)

Medical Director, Next Life Recovery

Clinical Professor, Department of Emergency Medicine, Boonshoft School of Medicine, Wright State University

Leslie R. Dye, MD is triple board certified in emergency medicine, medical toxicology, and addiction medicine. She has worked in the fields of medical toxicology and addiction medicine for 30 years. In addition to her clinical expertise, she has academic and business content expertise from experiences as an editor-in-chief (EIC) of a peer-reviewed medical journal (Journal of Medical Toxicology) and EIC of physician and pharmacist content production for a leading international medical digital content provider. Her deep subject matter expertise is demonstrated in her role as senior editor of the textbook, Case Studies in Medical Toxicology, author of 18 peer reviewed publications and 16 textbook chapters, 66 national and 11 international presentations, 10 various commentaries, interviews, and podcasts. Her leadership skills have been proven in both corporate and academic environments, as professor at a medical school, long-term board member and past president of the American College of Medical Toxicology, Chair of the Addiction Medicine Committee, former co-chair, and co-moderator of the AACT Acute and Intensive Care Symposium, and as the manager of as many as 30 team members at an international corporation. She received a funded grant that enabled her to start the first poison control center in mainland China and trained 6 Chinese physicians in the field of medical toxicology over 3 years in the US. Dr. Dye is experienced in and continues to provide medical care in remote polar regions with no access to advanced medical facilities.

David H. Epstein, PhD

David H. Epstein, PhD

Senior Investigator

National Institute on Drug Abuse (NIDA)

David H. Epstein, Ph.D., is an Senior Investigator at the NIDA Intramural Research Program in Baltimore. He earned his doctorate in 1998 in the Biopsychology & Behavioral Neuroscience program at Rutgers University, studying both behavioral pharmacology in rats and neuropsychological assessment in humans, and teaching courses on drug use and addiction. Since then, he has overseen clinical trials and natural-history studies in people who use opioids, cocaine, and kratom. His research interests include multilevel modeling of repeated-measures data, using ambulatory technology for assessment and treatment, and integrating social-structural with person-level explanations of behavior.

Yarelix Estrada, MSPH

Yarelix Estrada, MSPH

Drug Checking Co-Lead

Remedy Alliance for the People

Yarelix Estrada, MSPH, is a first-generation Central American, harm reduction researcher, advocate, and psychedelic community organizer. Yarelix works as a technical assistance advisor and trainer for Drug Checking for the People, a project of Remedy Alliance for the People, standing up drug checking programs across the Americas that are centered in drug user rights and autonomy. Yarelix previously worked as a City Research Scientist with the New York City Department of Health and Mental Hygiene conducting community-based substance use harm reduction outreach and research where she was largely focused on implementation of the first higher-technology drug checking project in NYC with local syringe service programs and an overdose prevention center. Yarelix is passionate about supporting people throughout the full continuum of drug use, from use for pleasure and healing to overdose prevention. She is also the director of the New York City Psychedelic Society, is on the Board of Directors for the Source Research Foundation and is an organizer with the Alliance for Collaborative Drug Checking and the National Survivors Union. She received her Master of Science in Public Health in Health Policy at the Johns Hopkins Bloomberg School of Public Health.

Alyssa Falise, PhD, MSPH

Alyssa Falise, PhD, MSPH

Research Associate, Toxicology Investigators Consortium

American College of Medical Toxicology

Alyssa joined the Toxicology Investigators Consortium/ACMT in November 2023. Alyssa earned her PhD in epidemiology from the University of Florida and her MSPH from the University of Miami. While at the University of Florida, Alyssa was trained in psychiatric epidemiology as a National Institute on Drug Abuse T32 Pre-Doctoral Fellow in the UF Substance Abuse Training Center in Public Health. In 2023, Alyssa was awarded the College on Problems of Drug Dependence’s Female Opioid-addiction Research and Clinical Experts (FORCE) Junior Investigator Award for her research addressing opioid use and non-medical use among middle and older adults.

James Gill, MD

James Gill, MD

Chief Medical Examiner

Office of the Chief Medical Examiner

James R. Gill MD is the Chief Medical Examiner of Connecticut, past Chair of the Forensic Pathology Committee of the College of American Pathologists (CAP), and a past President of the National Association of Medical Examiners (NAME).  He has faculty medical appointments at Yale, University of Connecticut, and Quinnipiac University.  He did his pathology training at Yale and Memorial Sloan-Kettering Cancer Center and his forensic pathology fellowship at the New York City Office of Chief Medical Examiner.  Prior to Connecticut, he was the Deputy Chief Medical Examiner for Bronx County.  He has testified over 450 times in criminal and civil matters in State and Federal courts and has published over 100 scientific articles and book chapters, and two books on a variety of forensic pathology topics.  He has particular interests in public health including drug intoxication deaths, infectious disease, fatal complications of therapy, and proper death certification.

Robert Hendrickson, MD, FACMT

Robert Hendrickson, MD, FACMT

Professor of Emergency Medicine, Medical Director, Program Director

Oregon Health & Science University, Oregon Poison Center, OHSU Fellowship in Medical Toxicology

Dr. Rob Hendrickson graduated from the State University of New York, Downstate College of Medicine, and completed training in Emergency Medicine and Medical Toxicology at the Medical College of Pennsylvania. He is a Professor of Emergency Medicine at Oregon Health and Sciences University where he is Chief of the Section of Medical Toxicology, Program Director for the fellowship in medical toxicology, and the Medical Director of the Oregon Poison Center.

Alex Krotulski, PhD

Alex Krotulski, PhD

Associate Director of Toxicology & Chemistry

The Center for Forensic Science Research and Education

Dr. Alex J. Krotulski serves as a Director at the Center for Forensic Science Research and Education (CFSRE) working in the areas of forensic toxicology and forensic chemistry and is the Program Manager for NPS Discovery, the CFSRE’s drug early warning system and flagship program for the identification and characterization of new and emerging synthetic drugs. Dr. Krotulski is a chemist by training and practices as a forensic toxicologist. Dr. Krotulski holds faculty appointment and serves as the Program Director for the Thomas Jefferson University Master of Science in Forensic Toxicology (MSFT) program and is an Senior Associate Editor for the Journal of Analytical Toxicology.

Michael Lynch, MD

Michael Lynch, MD

Medical Director

Pittsburgh Poison Center

Dr. Michael Lynch is an associate professor of Emergency Medicine, Toxicology, and Addiction Medicine at the University of Pittsburgh where he works clinically in several UPMC hospitals. He is currently Senior Medical Director for Quality and Substance Use Disorder Services at UPMC Health Plan. He previously served as the first Medical Director of the PA Department of Drug and Alcohol Programs and was Medical Director of the Pittsburgh Poison Center for 10 years. He is the founder and director of the UPMC Medical Toxicology Telemedicine Bridge Clinic.

Lewis S. Nelson, MD, MBA

Lewis S. Nelson, MD, MBA

Dean and Chief of Health Affairs | Professor of Emergency Medicine / Medical Toxicology

Schmidt College of Medicine at Florida Atlantic University

Lewis S. Nelson, MD, MBA, is Dean and Chief of Health Affairs at Florida Atlantic University’s Charles E. Schmidt College of Medicine. A nationally recognized leader in emergency medicine, medical toxicology, and addiction medicine, Dr. Nelson brings over three decades of experience in clinical care, education, and academic leadership. Prior to joining FAU in 2025, he served as Professor and founding Chair of Emergency Medicine at Rutgers New Jersey Medical School, where he also led the Division of Medical Toxicology and Addiction Medicine and served as Chief of Service for the Emergency Department at University Hospital of Newark.

Dr. Nelson has held numerous national leadership positions, including President of the American College of Medical Toxicology and the Association of Academic Chairs in Emergency Medicine, and board roles with the American Board of Emergency Medicine, the Accreditation Council for Continuing Medical Education, and the Society for Academic Emergency Medicine. A prolific scholar, he has authored more than 300 peer-reviewed publications and serves as lead editor of Goldfrank’s Toxicologic Emergencies, the definitive reference in medical toxicology. His work focuses on emergency medicine, toxicology, addiction medicine, and health policy, with an emphasis on improving patient safety and advancing evidence-based care.

Simon Ostrowski, MD

Simon Ostrowski, MD

Assistant Professor of Emergency Medicine and faculty in the division of medical toxicology

University of Massachusetts Chan Medical School

Simon Ostrowski graduated from Boston University for his undergraduate degree and University of Massachusetts Medical School. He went on to complete his emergency medicine residency and medical toxicology fellowship at University of Pittsburgh Medical Center. Following fellowship, Dr. Ostrowski accepted a faculty position in emergency medicine and medical toxicology at UMass Chan Medical School. His academic interests include alcohol withdrawal, addiction medicine, and the intersection of toxicology and public health particularly the emergence of novel psychoactive substances.

Stephanie Weiss, MD, PhD

Stephanie Weiss, MD, PhD

Staff Clinician, Translational Addiction Medicine Branch

National Institute on Drug Abuse

Dr. Stephanie Weiss is the Staff Research Physician serving the National Institute on Drug Abuse’s Intramural Research Program. After earning a Ph.D. in pharmaceutical chemistry, Dr. Weiss received her medical degree in 2011. She is board certified in addiction medicine and medical toxicology and participated in the Boston University Research in Addiction Medicine Scholars Program prior to joining NIDA. Dr. Weiss is responsible for providing optimal, safe, and ethical care to study participants and clinical support toward the NIDA IRP mission of conducting inpatient and outpatient proof-of-concept human laboratory therapeutic and imaging studies for addictive disorders. Her research interests include GLP-1RAs, medication misuse, and improving interpretation of urine drug testing.

Rachel Wightman, MD, FACMT

Rachel Wightman, MD, FACMT

Associate Professor of Emergency Medicine and Epidemiology

The Warren Alpert Medical School of Brown University

Dr. Rachel Wightman is an Associate Professor of Emergency Medicine and Epidemiology at Alpert Medical School of Brown University. Trained in Emergency Medicine and Medical Toxicology at Bellevue Hospital, New York University, New York City Poison Control Center Dr. Wightman currently serves as the Director of Toxicology and Addiction Medicine for Brown Emergency Medicine and is a Consultant Medical Director at the Rhode Island Department of Health. She is a NIH-funded Principal Investigator focused on cannabis and opioid use.

Continuing Education

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Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. It is expected that learners will receive up to 5.00 for learning and change.

Available Continuing Educations Credits:

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

Activity Overview

The live-in-person format facilitates direct engagement with experts, enabling real-time discussion of evolving substance use trends, harm reduction strategies, and complex ethical considerations.

Target Audience

This activity is designed for an audience of:  Physicians, Pharmacists, Nurses

 

Learning Objectives

Upon completion of the educational activity, participants should be able to:

 

  • Describe the principles and evolution of drug supply testing and toxicosurveillance.
  • Interpret data from drug checking and biosurveillance programs.
  • Describe how toxicosurveillance could be used to inform clinical decision-making and public health messaging.

 

Criteria for Success

There is no fee to participate in this activity. Certificates of completion will be awarded based on the participant's attendance.  A certificate of completion will be available upon completion of an online evaluation/claim credit form available at:

 

 Please claim your credit by June 22, 2027

 

If you have questions about this CE activity, please contact AKH Inc at [email protected]

 CE credit provided by AKH Inc., Advancing Knowledge in Healthcare.


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In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and American College of Medical Toxicology (ACMT). AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), to provide continuing education for the healthcare team. If you are seeking continuing education credit for a specialty not listed above, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.

This activity was planned by and for the healthcare team, and learners will receive 5.00 Interprofessional Continuing Education (IPCE) credit for learning and change.

 Physicians

AKH Inc., Advancing Knowledge in Healthcare designates this enduring material for a maximum of 5.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 Pharmacists

AKH Inc., Advancing Knowledge in Healthcare, designates this continuing education activity for 5.00 contact hours.

 Commercial Support

This activity is supported from an independent medical education grant from BTG international lnc.,


Instructions

Once you have completed your registration:

  1. Click on the Contents tab. This is where you will be able to see all lectures and required content for this course.
  2. Watch all lectures. Learners will be required to watch at least 3/4 of the video before it will be marked as complete.
  3. Complete the Post-Test. These questions are based on content from the lectures and require a 70% to pass.
  4. Complete the CE Survey. These questions are required to claim your CE certificate.
  5. Once you have completed all other components, you will be able to claim your CE certificate.

Hardware/Software Requirements

Computer or Other Internet-Enabled Device; Internet Connection; Browser. 

Materials

None. 

Prerequisites

None.

Format

This is a self-guided course with CME and CPE.


Need Assistance or Have Questions?

For assistance logging in, accessing content, purchasing or completing Continuing Education credits, or for other questions, please contact us at [email protected] or visit our FAQ page.

If you are in need of accessible learning accommodations, please contact [email protected] for additional assistance.

Key:

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Available
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Recordings
Donovan Lecture | The Changing Landscape of American Street Drugs
Recorded 03/19/2026  |  61 minutes
Recorded 03/19/2026  |  61 minutes Dr. Dasgupta, winner of the Mc will present his laboratory findings on the synthetic soup that constitutes the US drug supply. He will share insights into emerging trends, fentanyl replacements, and regional variations. He will also discuss how biased measures of fentanyl purity could lead to spurious statistical findings and position the current decline in overdose deaths in a national and historical context. This fast-paced talk will be heavy on data and stories, with analogies to help the audience understand the bigger picture of the constantly changing drug supply.
Implementation of Drug-Checking Programs in Different Settings
Recorded 03/19/2026  |  45 minutes
Recorded 03/19/2026  |  45 minutes Drug checking programs can be a powerful harm reduction tool for communities; however, initiating a drug checking program in various settings can be a challenge. This presentation will include discussions of how to set up and maintain drug checking programs.
The Promise and Perils of Drug Checking: A Debate on Toxico-Surveillance
Recorded 03/19/2026  |  38 minutes
Recorded 03/19/2026  |  38 minutes An audience-interactive conversation discussing the benefits and harms of toxicosurveillance programs. Is it information overload? How do patients use the data? How can we watch for new meaningful substances in the supply and engage a proactive clinical response?
Toxico-Surveillance via EMS-based data collection (RENDOR)
Recorded 03/19/2026  |  26 minutes
Recorded 03/19/2026  |  26 minutes The symposium speakers at the talk entitled "Toxico-Surveillance via EMS-based data collection" will highlight the Toxicology Investigators Consortium (ToxIC) Real-World Examination of Naloxone for Drug Overdose Reversal (RENDOR) study, which focuses on pre-hospital naloxone administration and enhanced data collection by EMS providers. Select cases that were in both the pre-hospital RENDOR study and hospital-based Drug Overdose Toxico-Surveillance (DOTS) study will be presented, integrating pre-hospital naloxone data with in-hospital clinical findings, patient interviews with details on intended drug use leading to the overdose, and comprehensive blood toxicology results. Clinical implications for findings will be discussed, including how toxico-surveillance may impact naloxone administered in the EMS setting.
Operationalizing Toxicosurveillance Medetomidine Data for Clinical Care: A Case Study Panel
Recorded 03/19/2026  |  43 minutes
Recorded 03/19/2026  |  43 minutes This discussion will highlight the experiences of toxicologists in evaluating and treating a new overdose and withdrawal syndrome and the process of confirming medetomidine as the etiologic agent from regional drug checking data. The discussants will also focus on their critical care protocols for the treatment of medetomidine withdrawal from their frontline and ICU experiences as emergency physicians and as medical toxicology/addiction medicine consultants.
New Research Methods in Toxicosurveillance
Recorded 03/19/2026  |  29 minutes
Recorded 03/19/2026  |  29 minutes Novel research methods help drive innovation in toxicosurveillance research -- join us to learn about new translational research in opioid use disorder from NIH experts.
A Rise in Stimulant-Only Deaths?
Recorded 03/19/2026  |  33 minutes
Recorded 03/19/2026  |  33 minutes Stimulants have been increasingly implicated in fatal overdoses; however, are they driving fatalities? Learn from a medical examiner and medical toxicologist about stimulant-related deaths and toxicity in the "fourth wave" of the opioid epidemic.
Continuing Education
Post-Test
8 Questions  |  Unlimited attempts  |  6/8 points to pass
8 Questions  |  Unlimited attempts  |  6/8 points to pass This test requires a 70% to pass. You have unlimited attempts.
CE Survey
21 Questions
21 Questions Please complete this survey to access your Attendance Quiz.
Continuing Education Certificate
Up to 5.00 medical credits available  |  Certificate available
Up to 5.00 medical credits available  |  Certificate available Please select the credit type you wish to claim. Once submitted, you will be able to print your certificate as many times as you need. Available CE credit types: Physician (CME) & Pharmacist (CPE)