ACMT Seminar in Forensic Toxicology | Complexities in Testing, Interpretation, Litigation and Expert Testimony

Register
- Non-member - Tier I - $700
- Non-member - Tier II - $450
- Non-member - Tier III - $400
- Non-member - Tier IV - $350
- Member - Tier I - $550
- Member - Tier II - $300
- Member - Tier III - $250
- Member - Tier IV - $200
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Complexities in Testing, Interpretation, Litigation, and Expert Testimony — On-Demand

Unlock the ultimate on-demand toxicology learning experience with the 2026 ACMT Seminar in Forensic Toxicology, developed in partnership with The Center for Forensic Science Research & Education (CFSRE). This comprehensive two-day virtual on-demand program is designed to prepare professionals for the unique challenges of applying toxicology in both courtrooms and laboratories, now available to complete on your own schedule.

Across both activities, participants explore the intersection of science, medicine, and law, gaining insights from leading experts in forensic and clinical toxicology. From navigating Frye and Daubert standards to evaluating emerging substances such as kratom and xylazine, this program reflects the realities of modern forensic toxicology practice.

Through in-depth lectures, case-based discussions, and expert panel recordings, participants gain practical strategies for interpreting evidence, preparing expert testimony, and building professional consulting practices. On-demand access allows you to understand key concepts and complete the program at your own pace for 90 days!

Target Audience

This seminar is designed for forensic toxicologists, clinical toxicologists, physicians, pharmacists, laboratorians, medical examiners, coroners, attorneys, and trainees who want to enhance their skills in toxicology testimony and evidence interpretation.

Continuing Education

Live and Enduring continuing education credits for Physicians and Pharmacists is provided by AKH Inc., Advancing Knowledge in Healthcare. It is expected that learners will receive up to 13.0 credits for learning and change.

Learning Objectives

After completing these two seminars, learners should be able to:

Examine core principles of toxicology to both courtroom and laboratory settings.
Communicate toxicology findings clearly and effectively in medical-legal contexts.
Develop effective strategies for expert testimony and consultation by integrating scientific principles, case analysis, and best practices in forensic toxicology.

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.

Registration Rates

Registration includes:

Access to the on demand lectures
Access to the Speaker slides
13.00 Continuing Education Certificate. Available credits: Continuing Medical Education (CME) & Continuing Pharmacy Education (CPE).

Member Rates

Member Tier I: Full, Affiliate, International, Emeritus	$550
Member Tier II: Fellows	$300
Member Tier III: Residents, International - Developing Country	$250
Member IV: Medical Students	$200

Non-Member Rates

Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"	$700
Non-member Tier II: Fellows, SPIs, Nurses, etc.	$450
Non-member Tier III: Educators & Emergency Responders	$400
Non-member IV: Residents & Students	$350

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

Group Discounts Available

Is your hospital or medical group interested in enrolling multiple employees in our course? We offer special discounts for organizations with multiple participants. Contact us at [email protected] for more details!

Refunds and Cancellations

Cancellations made 16 days or more in advance of the event date will receive a full refund less a 8% processing fee.
Cancellations made within 15 days of the event date will not receive a refund.

All cancellation requests must be made in writing and emailed to: [email protected]. 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 (family emergency, for example) and must be submitted in writing to [email protected]. For these instances, the full registration fee, minus a 6% processing fee, will be refunded. 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 [email protected].

Syllabus

Timely Principles of Analytical and Forensic Toxicology

Luke N. Rodda, PhD, Chief Forensic Toxicologist and Director, Forensic Laboratory Division, Office of the Chief Medical Examiner, City and County of San Francisco

Timely Principles of Medicolegal Death Investigations
James Caruso, MD, Retired Chief Medical Examiner and Forensic Pathologist, Retired Medical Officer, US Navy, Castle Rock, CO

Current state of Illicit Opioids & Stimulants
Alex Krotulski, PhD, Associate Director of Toxicology & Chemistry, The Center for Forensic Science Research and Education, Willow Grove, PA

Case Panel on Opioids and Stimulants

Panel
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
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA
Luke Rodda, PhD, Chief Forensic Toxicologist and Director, Forensic Laboratory Division, Asst. Adj. Professor, Laboratory Medicine, University of California, San Francisco

Moderator
Rachel Culbreth, PhD, MPH, ToxIC Research Director, American College of Medical Toxicology

Using Quantitative Blood Concentrations to Determine cause of non-fatal overdoses in polydrug world

Paul Wax, MD, FACMT, Executive Director, American College of Medical Toxicology, Phoenix, AZ
Alex Krotulski, PhD, Director of Toxicology & Chemistry, The Center for Forensic Science Research and Education, Willow Grove, PA
Rachel Culbreth, PhD, MPH, ToxIC Research Director, American College of Medical Toxicology

Supratherapeutic Dosing of Therapeutic Drugs and Adverse Effects
Karen S. Scott, PhD, F-ABFT, Director, Forensic Toxicology Laboratory; Medical Director, Hospital Toxicology Laboratory; Associate Professor, Laboratory Medicine

Western Use of Kratom Products and Associated Challenges
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA

Interpretative Value of Alpha-2 Agonists in Forensic Toxicology: Xylazine and Medetomidine
Kari Midthun, PhD, F-ABFT, Forensic Toxicologist, NMS Labs

Alternative Matrices: Applications and Pitfalls
Gwendolyn A. McMillin, PhD, DABCC-CC, DABCC-TC, FADLM, Vice President of Clinical Scientific Engagement, NMS Labs, Horsham, PA
Jessica Kent, MD, Medical Toxicologist, Ontario Poison Centre, Investigating Coroner - Office of the Chief Coroner (Central West Region) Adjunct Assistant Professor - Clinician-Investigator, University of Toronto

Case Panels on Unexpected Tests

Panel
Gwendolyn A. McMillin, PhD, DABCC-CC, DABCC-TC, FADLM, Vice President of Clinical Scientific Engagement, NMS Labs, Horsham, PA
Luke Rodda, PhD, Chief Forensic Toxicologist and Director, Forensic Laboratory Division, Asst. Adj. Professor, Laboratory Medicine, University of California, San Francisco

Moderator
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA

Expert Consulting: What is your Approach?
Charles McKay, MD, FACMT, Associate Clinical Professor, University of Connecticut School of Medicine, Farmington, CT

The Business of being a Consulting Expert Witness
Teri Stockham, PhD, Forensic Toxicologist, Teri Stockham, Ph.D., Inc., Parkland, FL

Understanding Frye v. Daubert & the Federal Rules of Evidence (FRE)

MJ Menendez, JD, Senior Fellow and General Counsel, Center for Forensic Science Research and Education, Willow Grove, PA

Looking for an Expert & Navigating an Expert through the Courtroom
E. Thomas McCarthy, Jr., JD, Attorney, Smith Haughey Rice & Roegge, Grand Rapids, MI
Matthew L. Wikander, JD, Attorney, Smith Haughey Rice & Roegge, Grand Rapids, MI"

Evaluating Opposing Expert Opinions in Testimony
Madeleine J. Swortwood, PhD, Toxicology Practice Group Leader & Toxicology Expert, Robson Forensic, Dublin, OH

Beyond Excited Delirium: Hyperactive Delirium with Agitation
James Gill, MD, Chief Medical Examiner, Office of the Chief Medical Examiner CT

Case Panel on Challenging Interpretations involving Hyperactive Delirium with Agitation

Panel
Stacey Hail, MD, Associate Professor of Emergency Medicine, UT Southwestern Medical Center, Dallas, TX
James Gill, MD, Chief Medical Examiner, Office of the Chief Medical Examiner CT

Moderator
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA

Building and Managing Expert Consulting Practice

Panel
Teri Stockham, PhD, Forensic Toxicologist, Teri Stockham, Ph.D., Inc., Parkland, FL
Charles McKay, MD, FACMT, Associate Clinical Professor, University of Connecticut School of Medicine, Farmington, CT

Moderator
Bryan S. Judge, MD, FACMT, Professor of Emergency Medicine; Medical Toxicologist, Michigan State University College of Medicine; Spectrum Health - Grand Rapids, Grand Rapids, MI

Continuing Education

2026 ACMT Seminar in Forensic Toxicology, On demand Event

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

Criteria for Success
To obtain a certificate of completion, a score of 70% or better on the post-test is required. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your certificate. You must participate in the entire activity to receive credit. There is no fee to participate in this activity. If you have questions about this activity, please contact AKH Inc. at [email protected]. If you have questions about this CE activity, please contact AKH Inc at [email protected]

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), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive 13.0 Interprofessional Continuing Education (IPCE) credit for learning and change.

Physicians: AKH Inc., Advancing Knowledge in Healthcare designates this live activity for a maximum of 13.00 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 13.0 contact hours.

Instructions

Once you have completed your registration:

Click the View Button to view each course.
Click on the Contents tab. This is where you will be able view the links for the course as well as our event survey and downloadable Certificate of Attendance.
Watch all event sessions. You can use the links in the Learning Center to access the lectures at your leisure
Complete the Survey. If you are completing CE or would like your Certificate of Attendance, completion of this survey is required.
Download the Certificate of Attendance. This is only a record that you have attended the course.

In order to receive and download your CE certificate, please go to your CE product to complete the required steps and claim your CE certificate.

Hardware/Software Requirements

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

Materials

None.

Prerequisites

None.

Format

This event is a on demand Webinar.

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.

In the Courtroom | Complexities in Litigation and Expert Testimony - Seminar in Forensic Toxicology

Contains 10 Component(s), Includes Credits

Component	Credit Type	State/Medical Type	Available Credits
Continuing Education & Attendance Certificate	Medical	Physician (CME)	6.50
Continuing Education & Attendance Certificate	Medical	Pharmacist (CPE)	6.50
Continuing Education & Attendance Certificate	Medical	Attendance Certificate	6.50

On Demand Virtual Event - Recorded Live on Tuesday January 20, 2026

In partnership with:

Overview

In the Courtroom | Complexities in Litigation and Expert Testimony will take you into the courtroom, where the science of toxicology meets the complexities of litigation and expert testimony. This activity is designed to help participants develop the confidence and skills needed to serve as credible, effective expert witnesses.

Highlights include:

Expert Consulting: What’s Your Approach? – Build a structured methodology for forming expert opinions and deciding which cases to accept.
The Business of Being a Consulting Expert Witness – Learn how to manage the professional, ethical, and business aspects of expert consulting.
Understanding Frye v. Daubert & the Federal Rules of Evidence – Prepare your methodology and testimony to meet admissibility standards.
When Experts Disagree – Strategies for analyzing and responding to opposing opinions with professionalism and scientific rigor.
Case Panel on Challenging Interpretations – Apply your expertise in scenarios ranging from family court to law enforcement-related fatalities.
Beyond Excited Delirium – Explore drug-induced hyperactive delirium in complex forensic cases.

Through recorded expert panels, case-based learning, and practical examples, this course equips participants with tools to navigate the legal landscape of forensic toxicology testimony.

Continuing Education

Live and Enduring continuing education credits for Physicians and Pharmacists is provided by AKH Inc., Advancing Knowledge in Healthcare. Learners will receive up to 6.50 credits for learning and change.

Target Audience

Learner Objectives

By the end of Day 1, participants will be able to:

Describe approaches to expert consulting and testimony in toxicology cases.
Recognize key legal standards that guide admissibility of toxicology evidence.

Registration Rates

Registration includes:

Access to all lecture recordings for 90 days
Access to the speaker slides and Handouts
6.50 Continuing Education Certificate. Available credits: Continuing Medical Education (CME) & Continuing Pharmacy Education (CPE).

Member Rates

Member Tier I: Full, Affiliate, International, Emeritus	$300
Member Tier II: Fellows	$175
Member Tier III: Residents, International - Developing Country	$150
Member IV: Medical Students	$125

Non-Member Rates

Non-member Tier I: Physicians, Pharmacists, Lawyers, "Other"	$375
Non-member Tier II: Fellows, SPIs, Nurses, etc.	$250
Non-member Tier III: Educators & Emergency Responders	$225
Non-member IV: Residents & Students	$200

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

Package Rates

Purchase the package here!

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

Expert Consulting: What is your Approach? | 77min
Charles McKay, MD, FACMT, Associate Clinical Professor, University of Connecticut School of Medicine, Farmington, CT

Dr. Charles McKay describes how a medical toxicologist provides expertise and testimony in legal proceedings. He also teaches a methodical approach to case review, explores differences in language used in daily practice and use in court, and helps define an “expert witness.”

The Business of being a Consulting Expert Witness | 42min
Teri Stockham, PhD, Forensic Toxicologist, Teri Stockham, Ph.D., Inc., Parkland, FL

Dr. Teri Stockham uses her background to outline the steps needed to establish and manage a consulting business, including navigating limitations of your expertise and case selection. She also reviews guidelines for opinions and testimony in Forensic Toxicology.

Understanding Frye v. Daubert & the Federal Rules of Evidence (FRE) | 58min
MJ Menendez, JD, Senior Fellow and General Counsel, Center for Forensic Science Research and Education, Willow Grove, PA

Dr. MJ Menendez demystifies Daubert, Frye, and progeny! Dr. Menendez also discusses medical expert witness contributions and the requirements of the Federal Rules of Evidence and Civil / Criminal Procedure that predicate testimony.

Looking for an Expert & Navigating an Expert through the Courtroom | 46min
E. Thomas McCarthy, Jr., JD, Attorney, Smith Haughey Rice & Roegge, Grand Rapids, MI
Matthew L. Wikander, JD, Attorney, Smith Haughey Rice & Roegge, Grand Rapids, MI

Dr. McCarthy and Dr. Wikander explain the unique and often misunderstood role an expert plays in the courtroom.

Evaluating Opposing Expert Opinions in Testimony | 33min
Madeleine J. Swortwood, PhD, Toxicology Practice Group Leader & Toxicology Expert, Robson Forensic, Dublin, OH

Dr. Swortwood explains the importance of reviewing and evaluating opposing expert opinions and how to have your own scientific conclusions while acknowledging alternative interpretations. Strategize by developing practical strategies for responding to counter-arguments and addressing weaknesses in your analysis.

Beyond Excited Delirium: Hyperactive Delirium with Agitation | 33min
James Gill, MD, Chief Medical Examiner, Office of the Chief Medical Examiner CT

Dr. James Gill differentiates terminology variations and causes for delirium, while identifying deaths involving hyperactive delirium.

Case Panel on Challenging Interpretations involving Hyperactive Delirium with Agitation | 29min

Panel
Stacey Hail, MD, Associate Professor of Emergency Medicine, UT Southwestern Medical Center, Dallas, TX
James Gill, MD, Chief Medical Examiner, Office of the Chief Medical Examiner CT

Moderator
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA

Dr. Stacey Hail and Dr. James Gill teach the integration of toxicology, autopsy, scene and timeline evidence to assess contributions from different stressors in complex investigations.

Building and Managing Expert Consulting Practice | 51min

Moderator
Bryan S. Judge, MD, FACMT, Professor of Emergency Medicine; Medical Toxicologist, Michigan State University College of Medicine; Spectrum Health - Grand Rapids, Grand Rapids, MI

Dr. Teri Stockham and Dr. Charles McKay describe establishing an expert consulting practice and discuss objectivity as it relates to being hired by one side of a legal dispute.

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.

Stacey Hail, MD

Associate Professor

UT Southwestern Medical Center

Stacey L. Hail, MD is an Associate Professor of Emergency Medicine and Medical Toxicology at the University of Texas Southwestern Medical Center. She currently serves as attending physician in the Parkland Hospital Emergency Department and the North Texas Poison Center. Dr. Hail received a Bachelor of Science in Chemistry at Southern Methodist University in 1995. After receiving her Medical Degree at the Medical College of Georgia in 1999, she completed both her emergency medicine residency and medical toxicology fellowship at Parkland Hospital in Dallas, Texas.

Dr. Hail has a prolific forensic toxicology practice serving as an expert witness for attorneys throughout the United States. She has testified multiple times as a witness for the Department of Justice involving federal drug crimes. Her toxicology interests include methodology for cause of death determinations, sudden death in custody and the excited delirium syndrome, and the national opioid epidemic. Dr. Hail also has provided toxicology commentary for local and national news venues and for documentaries on the National Geographic channel, the BBC, and the Oxygen channel.

Bryan S. Judge, MD, FACMT

Professor of Emergency Medicine; Medical Toxicologist

Michigan State University College of Medicine; Spectrum Health - Grand Rapids

Bryan practices emergency medicine and medical toxicology at Spectrum Health in Grand Rapids, MI and emergency medicine at Aspirus Keweenaw Hospital in Laurium, MI. He is a Professor in the Department of Emergency Medicine | Division of Medical Toxicology at Michigan State University College of Human Medicine. An avid outdoorsman, his first love is hunting in the mountains across the globe.

E. Thomas McCarthy, Jr., JD

Attorney

Smith Haughey Rice & Roegge

E. Thomas McCarthy, Jr. is a trial lawyer with more than 45 years of courtroom experience and a Fellow of both the American College of Trial Lawyers and the International Academy of Trial Lawyers. Recognized by Best Lawyers in America in multiple practice areas, he has extensive expertise in cases where expert testimony is central. Tom earned his B.A. in Psychology with High Distinction from the University of Michigan and his J.D. from the University of Tennessee, and he has completed advanced training in mediation and negotiation at Harvard Law School. He is admitted to practice before the State Bar of Michigan and multiple U.S. District Courts, and he frequently teaches trial advocacy with a focus on the effective use and interpretation of expert witnesses.

Charles McKay, MD, FACMT

Associate Clinical Professor

University of Connecticut School of Medicine

Dr. McKay was trained in Anatomic and Surgical Pathology, Internal Medicine, Emergency Medicine, Medical Toxicology and was a Medical Director of Occupational Health and Medical Review Officer for a hospital system during more than 30 years of clinical practice, during which he provided toxicology consultation at 3 hospitals, directed a medical toxicology fellowship training program, and provided medical oversight of a regional poison control center. He provides medical legal consultation across the country on toxicology-related issues, and has testified in nearly 100 cases, many related to questions of alcohol- and drug-induced impairment.

MJ Menendez, JD

Senior Fellow and General Counsel

Center for Forensic Science Research and Education

M.J. Menendez, J.D. is Senior Fellow and General Counsel for the Center for Forensic Science Research and Education in Willow Grove, Pennsylvania. M.J. served on detail as the Department of Justice’s Organized Crime Drug Enforcement Task Forces Heroin, Opioid and Fentanyl Special Projects Coordinator from 2015 to 2019. M.J. served 13 years as an Assistant U.S. Attorney in Colorado, 10 years as a state prosecutor in Jefferson County, Colorado, and 3 years as a state court judge in Jefferson County, Colorado. M.J. is passionate about achieving well-resourced excellence in medicolegal death investigations, and she proudly works with the National Association of Medical Examiners as Chair of Strategic Planning and Chair of the Forensic Pathology Shortage / Workforce Remediation Subcommittee.

Donna Papsun, MS, D-ABFT-FT

Forensic Toxicologist & Business Scientist

NMS Labs

Donna Papsun is a forensic toxicologist and business scientist with NMS Labs in Horsham, PA. She has dual Bachelor of Science degrees in Chemistry and Forensic & Investigative Science and a Master of Science degree in Pharmacology. She is also certified as a Diplomate in Forensic Toxicology through the American Board of Forensic Toxicology and is a member of both the Society of Forensic Toxicologists (SOFT) and the American Academy of Forensic Sciences (AAFS).

Ms. Papsun has been with NMS Labs since 2008, first as a bench analyst before promotion to toxicologist in 2012. Ms. Papsun’s main area of interest is novel psychoactive substances or NPS. As one of the two leaders of NMS’s NPS strategy team, she continuously works to help maintain NMS’s leadership in identifying the newest trends in the changing landscape of the designer drug market and developing tests for their detection in forensic toxicology casework. Ms. Papsun also serves in a secondary role as a business scientist, working to align the technical and scientific expertise of NMS Labs with commercial efforts.

Teri Stockham, PhD

Forensic Toxicologist

Teri Stockham, Ph.D., Inc.,

Dr. Teri Stockham is a respected consultant, author and lecturer in the field of forensic toxicology. Over the past three decades, she has gained extensive education, training and experience both in the laboratory and the courtroom. The three degrees Dr. Stockham earned have all been focused in the specialty of forensic toxicology. She holds a Ph.D. from the Medical College of Virginia, and a Master’s degree from The George Washington University. She graduated Magna Cum Laude from Indiana State University. Her laboratory training, including the role as Chief Toxicologist for Broward County, Florida, complements her education and expertise. Dr. Stockham is experienced on the witness stand and has testified hundreds of times.

Dr. Stockham serves as a consultant to a number of law firms, providing her expertise for various court cases involving personal injury, insurance defense, probation/parole, court martial, DUI, workers compensation, child custody and drug-facilitated sexual assault. Her forensic toxicology services have encompassed a large number of clients who represent insurance companies, individuals, government agencies and healthcare providers.

Madeleine J. Swortwood, PhD

Toxicology Practice Group Leader & Toxicology Expert

Robson Forensic

Dr. Madeleine J. Swortwood is a nationally recognized toxicology expert affiliated with Robson Forensic, Inc. Her practice spans alcohol & drugs of abuse, pharmaceuticals, metals, carcinogens, inhalants, and novel psychoactive substances, among others, with extensive experience in casework, laboratory testing & research, and testimony. Dr. Swortwood holds a PhD in Chemistry from Florida International University and a B.A. in Biochemistry (Magna Cum Laude) from Duquesne University. She has served in academia, industry, and government roles, including as a forensic toxicologist for a medical examiner’s office and with the U.S. Food and Drug Administration, publishing over 40 peer-reviewed articles and contributing expert testimony in civil and criminal matters. She is an active member of SOFT, AAFS, NSC-ADID, serves on the editorial board of Journal of Forensic Science, and holds leadership roles in various professional toxicology committees.

Matthew L. Wikander, JD

Attorney

Smith Haughey Rice & Roegge

Matthew Wikander is a shareholder and the chief executive officer of his firm, where he focuses his trial practice on commercial, product liability, and wrongful death/personal injury litigation. He has extensive experience handling complex, high-exposure matters in both federal and state courts across Michigan, including catastrophic injury, products liability, and aviation, construction, and premises cases. Matt also represents businesses and individuals in commercial disputes involving ADA accessibility, employment discrimination, trade secrets, and unfair trade practices, with additional experience in class action litigation. He earned his B.A. from the University of Michigan and his J.D. from Wayne State University, where he served as Vice Chancellor of the Moot Court Program. He is admitted to practice before the State Bar of Michigan, the U.S. District Courts for the Eastern and Western Districts of Michigan, and the U.S. Court of Appeals for the Sixth Circuit.

Instructions

Once you have completed your registration:

Click on the Contents tab. This is where you will be able to see all lectures and required content for this course.
Watch all lectures and case panels. Learners will be required to watch at least 3/4 of the video before it will be marked as complete.
Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension. It requires a 80% to pass.
Complete the CE Survey. These questions are required to claim your CE certificate.
Claim your CE certificate Once you have claimed your CE credit, you will not be able to change your CE certificate.

Full credit can only be claimed after completion of all required components.

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.

Continuing Education

2026 ACMT Seminar in Forensic Toxicology: Day 1: In the Courtroom | Complexities in Litigation and Expert Testimony Live Virtual Event

Activity Overview

A live-in-person format fosters interactive learning, expert-led discussions, and hands-on application of toxicological principles, enhancing comprehension, engagement, and practical skills to achieve desired outcomes.

Target Audience

This activity is designed for an audience of physicians and pharmacists,

Learning Objectives

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

Examine core principles of toxicology to both courtroom and laboratory settings.
Communicate toxicology findings clearly and effectively in medical-legal contexts.
Develop effective strategies for expert testimony and consultation by integrating scientific principles, case analysis, and best practices in forensic toxicology.

Criteria for Success

To obtain a certificate of completion, a score of 70% or better on the post-test is required. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your certificate. You must participate in the entire activity to receive credit. There is no fee to participate in this activity. If you have questions about this activity,

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

This activity was planned by and for the healthcare team, and learners will receive 6.50 Interprofessional Continuing Education (IPCE) credit for learning and change.

Physicians: AKH Inc., Advancing Knowledge in Healthcare designates this live activity for a maximum of 6.50 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 6.50 contact hours.

CE information

More Information

In the Laboratory | Complexities in Testing and Interpretation - Seminar in Forensic Toxicology

Contains 12 Component(s), Includes Credits

Component	Credit Type	State/Medical Type	Available Credits
Continuing Education & Attendance Certificate	Medical	Physician (CME)	6.50
Continuing Education & Attendance Certificate	Medical	Pharmacist (CPE)	6.50
Continuing Education & Attendance Certificate	Medical	Attendance Certificate	6.50

On Demand Virtual Event - Recorded live on Wednesday January 21, 2026

In partnership with:

Overview

In the Laboratory | Complexities in Testing and Interpretation focuses on the laboratory, addressing the latest challenges in toxicology testing, interpretation, and application in forensic contexts.

Highlights include:

Timely Principles of Analytical and Forensic Toxicology – Review the foundations of toxicology testing, its limitations, and critical preanalytical factors.
Illicit Opioids & Stimulants – Understand current drug trends, specialized testing protocols, and the role of toxicology in determining cause of death.
Quantitative Blood Concentrations in Polydrug Overdoses – Explore interpretation challenges in today’s complex clinical and forensic cases.
Supratherapeutic Dosing of Therapeutic Drugs – Examine forensic cases involving substances such as benzonatate, tianeptine, and loperamide.
Western Use of Kratom & Associated Challenges – Gain insights into detection, analysis, and interpretation pitfalls.
Interpretative Value of Alpha-2 Agonists – Learn about the forensic significance of xylazine, medetomidine, and related substances.
Alternative Matrices – Discover the potential and pitfalls of testing non-traditional samples, from breast milk to beyond.
Case Panels on Unexpected Tests – Apply your knowledge to unique and challenging real-world scenarios.

With expert instruction, case-driven discussions, and updates on emerging substances, this activity will strengthen participants’ ability to interpret complex results and deliver clear, defensible forensic conclusions.

Continuing Education

Live and Enduring continuing education credits for Physicians and Pharmacists is provided by AKH Inc., Advancing Knowledge in Healthcare. Learners can earn up to 6.50 credits for learning and change.

Target Audience

Learner Objectives

By the end of Day 2, participants will be able to:

Examine core principles of toxicology as applied to both courtroom and laboratory settings

Communicate toxicology findings clearly and effectively in medical-legal contexts

Syllabus

Timely Principles of Analytical and Forensic Toxicology | 31min

Luke N. Rodda, PhD, Chief Forensic Toxicologist and Director, Forensic Laboratory Division, Office of the Chief Medical Examiner, City and County of San Francisco

Dr. Luke Rodda describe the key analytical, operational, and resource challenges facing modern forensic toxicology laboratories, including the impact of polysubstance use and novel psychoactive substances. He also valuate the benefits of combining qualitative screening and quantitative analysis within a single analytical workflow to improve efficiency, turnaround time, and interpretive value in forensic and clinical contexts.

Timely Principles of Medicolegal Death Investigations | 24min
James Caruso, MD, Retired Chief Medical Examiner and Forensic Pathologist, Retired Medical Officer, US Navy, Castle Rock, CO

Dr. James Caruso gives expert insight into the useful information that can be gleaned from a scene in a drug-related death. He also explains how forensic pathologists tie together the scene, the autopsy findings, and the results of toxicology testing.

Using Quantitative Blood Concentrations to Determine cause of non-fatal overdoses in polydrug world |45min

Paul Wax, MD, FACMT, Executive Director, American College of Medical Toxicology, Phoenix, AZ
Alex Krotulski, PhD, Director of Toxicology & Chemistry, The Center for Forensic Science Research and Education, Willow Grove, PA
Rachel Wightman, MD, FACMT, Associate Professor of Emergency Medicine and Epidemiology, The Warren Alpert Medical School of Brown University

Dr. Paul Wax, Dr. Alex Krotulski, and Dr. Wightman discuss using quantitative blood concentrations to determine cause of non-fatal overdoses in polydrug world.

Case Panel on Opioids and Stimulants |43min

Moderator
Rachel Wightman, MD, FACMT, Associate Professor of Emergency Medicine and Epidemiology, The Warren Alpert Medical School of Brown University

Dr. Lewis Nelson, Dr. Donna Papsun, Dr. Luke Rodda pharmacodynamic and pathophysiologic interactions between opioids and stimulants and teach how to apply case-based evidence to death investigation and public health practice

Current state of Illicit Opioids & Stimulants | 43min
Alex Krotulski, PhD, Associate Director of Toxicology & Chemistry, The Center for Forensic Science Research and Education, Willow Grove, PA

Dr. Krotulski analyzes the "Fourth Wave" trends, forensic implications of polydrug use, including the widespread use of adulterants, and the challenges in detection and identification for forensic laboratories dealing with rapidly evolving synthetic drug analogues and isomers.

Supratherapeutic Dosing of Therapeutic Drugs and Adverse Effects | 27min
Karen S. Scott, PhD, F-ABFT, Director, Forensic Toxicology Laboratory; Medical Director, Hospital Toxicology Laboratory; Associate Professor, Laboratory Medicine

Dr. Scott defines supratherapeutic dosing and reviews supradosed drugs, their uses, side effects and restrictions. She also discusses complications in interpretation of supradosed drugs in Forensic Toxicology.

Western Use of Kratom Products and Associated Challenges | 28min
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA

Dr. Papsun gives an overview on Kratom, its commercial evolution, and hazards posed by use.

Interpretative Value of Alpha-2 Agonists in Forensic Toxicology: Xylazine and Medetomidine |33min

Kari Midthun, PhD, F-ABFT, Forensic Toxicologist, NMS Labs

Dr. Kari Midthun revisits Alpha-2 agonist pharmacology. She compares and contrasts xylazine & medetomidine toxidromes, while evaluating xylazine & medetomidine positivity rates and other trends.

Alternative Matrices: Applications and Pitfalls | 44min
Gwendolyn A. McMillin, PhD, DABCC-CC, DABCC-TC, FADLM, Vice President of Clinical Scientific Engagement, NMS Labs, Horsham, PA
Jessica Kent, MD, Medical Toxicologist, Ontario Poison Centre, Investigating Coroner - Office of the Chief Coroner (Central West Region) Adjunct Assistant Professor - Clinician-Investigator, University of Toronto

Dr. McMillin and Dr. Kent define what constitutes an alternative matrix and why cautious interpretation is essential. Together they determine when, if ever, alternative matrices are appropriate in legal settings and identify matrix-specific pitfalls that commonly lead to misinterpretation.

Case Panels on Unexpected Tests |55min

Moderator
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA

Dr. McMillin and Dr. Rodda identify indications and limitations for esoteric toxicology testing. Together they evaluate analytical performance characteristics, including platform, sensitivity, specificity, and reporting limits.

Registration Rates

Registration includes:

Access to all lecture recordings for 90 days
Access to the speaker slides and Handouts
6.50 Continuing Education Certificate. Available credits: Continuing Medical Education (CME) & Continuing Pharmacy Education (CPE).

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James Caruso, MD

Retired Chief Medical Examiner and Forensic Pathologist

Retired Medical Officer, US Navy

James Caruso, MD is the recently retired Chief Medical Examiner and Forensic Pathologist for the City and County of Denver. He is also a retired United States Navy Medical Officer and former Armed Forces Medical Examiner. Captain Caruso served nearly 30 years in roles spanning shipboard medicine, diving and submarine medicine, aviation medicine, pathology, and forensic pathology. During his Navy career, he was a Diving Medical Officer with the Explosive Ordnance Disposal Unit, completed a residency in Anatomic and Clinical Pathology and a fellowship in Diving and Hyperbaric Medicine at Duke University Medical Center, and trained in forensic pathology at the Office of the Maryland Chief Medical Examiner.

Dr. Caruso has personally performed more than 5,000 autopsies and supervised countless others, working in environments ranging from military hospitals to combat zones. His notable cases include the investigation of the Space Shuttle Columbia disaster and the autopsy of Pat Tillman. Widely published in forensic pathology and diving medicine, Dr. Caruso has contributed numerous scientific papers and book chapters throughout his career. He now resides in Castle Rock, Colorado, and works as a Forensic Pathologist in Colorado and California.

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.

Jessica Kent, MD, MClSc

Medical Toxicologist; Emergency Medicine Physician; Investigating Coroner

Unity Health - St. Michael's Hospital, Ontario Poison Centre, Office of the Chief Coroner (North Peel), University of Toronto

Dr. Jessica Kent-Rice is an Emergency Physician and Medical Toxicologist at St. Michael’s Hospital and the Ontario Poison Centre in Toronto, an Investigating Coroner for North Peel and an Adjunct Assistant Professor – Clinician Investigator in the Department of Medicine at the University of Toronto. She completed her Emergency Medicine residency and Clinical Pharmacology & Toxicology fellowship at the University of Toronto.

Dr. Kent-Rice’s work lies at the intersection of acute care, toxicology, and forensic medicine. Her academic and clinical interests include preventable drug-related deaths, the forensic applications of clinical pharmacology, and the use of toxicovigilance to inform public health and policy.

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.

Gwendolyn A. McMillin, PhD, DABCC-CC, DABCC-TC, FADLM

Vice President of Clinical Scientific Engagement

NMS Labs

Dr. Gwendolyn A. McMillin is the Vice President of Clinical Scientific Engagement at NMS Labs in Horsham, Pennsylvania. She is board-certified by the American Board of Clinical Chemistry in both Clinical Chemistry and Toxicological Chemistry. Before joining NMS Labs, Dr. McMillin spent over two decades at ARUP Laboratories and the University of Utah School of Medicine, where she served as Medical Director of Clinical Toxicology and Pharmacogenomics, Scientific Director of Mass Spectrometry, and Professor (Clinical) of Pathology.

Dr. McMillin’s research focuses on pharmacogenomics, newborn drug exposure, and analytical method development. She has received multiple awards for her contributions to laboratory medicine, including the Ellis Benson Young Investigator Award from the Academy of Clinical Laboratory Physicians and Scientists and the Past Chair Award from the TDM and Toxicology Division of the American Association for Clinical Chemistry (now ADLM).

Kari Midthun, PhD, F-ABFT

Forensic Toxicologist

NMS Labs

Kari Midthun, PhD is a Forensic Toxicologist at NMS Labs with experience spanning academia, government, and industry at the intersection of biology and chemistry. She previously served as Assistant Laboratory Director at United States Drug Testing Laboratories and as a Forensic Scientist with the New York State Police. Dr. Midthun earned her PhD and MS in Chemistry and Chemical Biology from Cornell University, where she was a National Science Foundation IGERT Fellow. Her professional background includes forensic science, chemistry, nanotechnology, chemical safety, and education, and she brings expertise in laboratory leadership, analytical methods, and applied forensic toxicology.

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.

Donna Papsun, MS, D-ABFT-FT

Forensic Toxicologist & Business Scientist

NMS Labs

Luke Rodda, PhD

Chief Forensic Toxicologist and Director

Office of the Chief Medical Examiner, City and County of San Francisco

Dr. Rodda is the Chief Forensic Toxicologist and Director of the Forensic Laboratory Division at the San Francisco Office of the Chief Medical Examiner with 20 years of experience in drug detection and interpretation. He also holds the position of Assistant Adjunct Professor position at the University of California, San Francisco. Dr. Rodda is an ANSI National Accreditation Board certified Forensic Technical Assessor and ABFT Accreditation Assessor. He is a member of, and holds positions, in numerous state, national and international professional societies, including President of the California Association of Crime Laboratory Directors, and Past-President of the California Association of Toxicologist, TIAFT Bulletin Co-Editor and SOFT Postmortem committee Vice Chair. As an invited California state Drug-Impaired Driving Taskforce member, member of Sexual Assault Response and Preventions groups, and national and regional drug death expert groups, he actively promotes drug harm reduction in impaired driver, sexual assault, and decedent casework within the community. Dr. Rodda has authored over 50 published articles and book chapters, over 100 scientific abstracts, whilst also having reviewer and editorial board commitments. He is also the host for the upcoming 2026 SOFT-TIAFT joint annual meeting.

Karen S. Scott, PhD, F-ABFT

Director; Medical Director

Forensic Toxicology Laboratory; Hospital Toxicology Laboratory; University of Alabama at Birmingham

Karen S. Scott, PhD is Associate Professor and Director of the Clinical and Forensic Toxicology Laboratories at the University of Alabama at Birmingham, with more than 30 years of experience in forensic toxicology. She earned her PhD from the University of Glasgow, where she trained in postmortem toxicology alongside forensic pathologists, and later completed a postdoctoral fellowship at Japan’s National Institute of Health Sciences focusing on drug detection in hair. Dr. Scott has held leadership roles in both academia and forensic laboratories, including directing the MSFS program at Arcadia University and the Master’s in Forensic Toxicology program at Glasgow. She currently serves on the executive board of the National Safety Council’s Alcohol, Drugs, and Impairment Division, the editorial board of Clarke’s Analysis of Drugs and Poisons, and the OSAC Forensic Toxicology Subcommittee. In 2025, she received the Outstanding Service to Council of Forensic Scientists (COFSE) Award in recognition of her contributions to the field.

Paul M. Wax, MD, DFACMT

Executive Director

American College of Medical Toxicology (ACMT)

Dr. Wax is the Executive Director of the American College of Medical Toxicology. He received his B.A from Dartmouth College, his M.D. from the Mount Sinai School of Medicine, his Emergency Medicine training at the UCLA Hospitals, and his Medical Toxicology training at Bellevue Medicine Center / New York University. He is Board-certified in both Medical Toxicology and Emergency Medicine, and is a Fellow of the American College of Medical Toxicology.

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

2026 ACMT Seminar in Forensic Toxicology | Day 2: In the Laboratory | Complexities in Testing and Interpretation

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

Activity Overview

Target Audience

This activity is designed for an audience of physicians and pharmacists,

Learning Objectives

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

Examine core principles of toxicology to both courtroom and laboratory settings.
Communicate toxicology findings clearly and effectively in medical-legal contexts.
Develop effective strategies for expert testimony and consultation by integrating scientific principles, case analysis, and best practices in forensic toxicology.

Criteria for Success

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

This activity was planned by and for the healthcare team, and learners will receive 6.50 Interprofessional Continuing Education (IPCE) credit for learning and change.

Pharmacists: AKH Inc., Advancing Knowledge in Healthcare designates this continuing education activity for 6.50 contact hours.

CE information

Instructions

Once you have completed your registration:

Click on the Contents tab. This is where you will be able to see all lectures and required content for this course.
Watch all lectures and case panels. Learners will be required to watch at least 3/4 of the video before it will be marked as complete.
Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension. It requires a 80% to pass.
Complete the CE Survey. These questions are required to claim your CE certificate.
Claim your CE certificate. Once you have claimed your CE credit, you will not be able to change your CE certificate.

Full credit can only be claimed after completion of all required components.

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.

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