2023 ACMT Seminar in Forensic Toxicology: Living in a Polydrug World - Lab and Medical Complexities

2023 ACMT Seminar in Forensic Toxicology: Living in a Polydrug World - Lab and Medical Complexities

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Overview

2023 ACMT Seminar in Forensic Toxicology Day 2 - Living in a PolyDrug World - Lab and Medical Complexities: Bridging Medicine and Law for a Safer Tomorrow!

Join us for an enlightening one-day virtual event on Polydrug Exposures, where the worlds of medicine and law intersect to shed light on this complex topic!

The American College of Medical Toxicology (ACMT) and the Center for Forensic Science Research and Education (CFSRE) proudly present a groundbreaking seminar that delves into the medical-legal aspects surrounding polydrug exposures. This exclusive virtual on December 15, 2023 will bring together leading experts, researchers, and professionals to explore the latest advancements and critical insights in this rapidly evolving field.

Lecture Highlights:

During the lecture, the speakers will:

  • Demonstrate a comprehensive understanding of the complexities and challenges in forensic toxicology related to polydrug use, including community drug checking, toxicology testing, and drug overdose surveillance.
  • Evaluate the strengths and limitations of different toxicology testing methods and their applications in forensic investigations, considering the evolving drug landscape and the need for accurate and reliable results.
  • Analyze the impact of limited resources on addressing the upsurge in opioid and polydrug deaths, and propose effective strategies to confront these challenges while prioritizing public health and safety.
  • Assess the role of medical examiners and coroners in drug overdose surveillance and information sharing, emphasizing the importance of accurate data collection in reports to inform public health interventions and policies.
  • Apply critical thinking and analytical skills to interpret complex cases involving multiple drugs, integrating perspectives from forensic toxicologists, medical examiners, and clinical toxicologists to ensure comprehensive understanding and effective collaboration in forensic investigations.

Secure your place now and unlock a wealth of knowledge in this rapidly evolving field. Register today and be part of this game-changing event!

Polydrug Exposures Virtual Event: Bridging Medicine and Law for a Safer Tomorrow!

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Target Audience

The course will be tailored to the interests of physicians and professionals of numerous specialties, including medical toxicology, forensics and laboratory medicine, addiction medicine, and the legal community.


Learner Objectives

After attending the event, participants should be able to:

  1. Describe the complexities and challenges of forensic and medical toxicology in cases involving polydrugs.

Preliminary Agenda | December 15, 2023

9:45 - 10:00 AM ET | Opening Remarks

10:00 - 10:30 AM ET
Community Drug Checking in a Polydrug World: Perspective from Field Harm Reduction Specialists 
Karen McDonald, MPPAL, PMP, Lead, Toronto’s Drug Checking Service, Research Program Manager, Centre on Drug Policy Evaluation, St. Michael’s Hospital, Toronto, Canada

10:30 - 11:00 AM ET
Understanding the Strengths and Limitations of Toxicology Testing 
James Gill, MD, Chief Medical Examiner, Office of the Chief Medical Examiner, Farmington, CT

11:00 - 11:30 AM ET
Confronting an Upsurge in Opioid and Poly-Drug Deaths With Limited Resources 
Jennie V. Duval, MD, Chief Medical Examiner, Office of the Chief Medical Examiner, Concord, NH

11:30 - 12:00 PM ET
Perspective of Clinical Toxicologist on Polydrug World and Treatment Strategies 
Joseph L. D’Orazio, MD, FAAEM, FACMT, FASAM, FCPP, Department of Emergency Medicine, Division of Toxicology and Addiction Medicine, Cooper Center for Healing, Camden, NJ


12:00 - 12:30 PM ET | Break - 30 min


12:30 - 1:00 PM ET
NPS - Landscape, Trends, and Current Polydrug Connections 
Alex Krotulski, PhD, Associate Director of Toxicology & Chemistry, The Center for Forensic Science Research and Education, Willow Grove, PA

1:00 - 1:30 PM ET
Drug Delivery Homicide - History, Survey of State Laws, and Discussion About Legal Process 
MJ Menendez, JD, Senior Fellow and General Counsel, Center for Forensic Science Research and Education, Willow Grove, PA

1:30 - 2:00 PM ET
Drug Delivery Homicide Case Reports (with Focus on Fentanyl Drug Combinations - Benzodiazepines, Xylazine, etc.) 
Barry Logan, PhD, F-ABFT, Executive Director, Center for Forensic Science Research and Education, Sr. VP and Chief Scientist, Forensic Sciences, NMS Labs, Willow Grove, PA

2:00 - 2:30 PM ET
Xylazine - Everything to Know About Fentanyl Adulteration 
Sherri Kacinko, Ph.D., F-ABFT, Forensic Toxicologist , NMS Labs, Horsham, PA


2:30 - 3:00 PM ET | Break - 30 min


3:00 - 3:30 PM ET
Clinical Toxicology Testing - Methodology, Advancements, and Understanding 
Andrew Holt, PharmD, Clinical Pharmacist & Fellowship Director, Aegis Sciences Corporation, Nashville, TN

3:30 - 4:00 PM ET
When Clinical Samples and Results Become of Forensic & Legal Interest 
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA
Charles McKay, MD, FACMT, Associate Medical Director, CT Poison Control Center, University of Connecticut School of Medicine, Farmington, CT

4:00 - 5:00 PM ET
Roundtable - Interpretation of Cases Involving Multiple Drugs

Panel
James Gill, MD, Chief Medical Examiner, Office of the Chief Medical Examiner, Farmington, CT
Donna Papsun, MS, D-ABFT-FT, Forensic Toxicologist & Business Scientist, NMS Labs, Horsham, PA
Paul Wax, MD, FACMT, Executive Director, American College of Medical Toxicology, Phoenix, AZ

Moderator
Alex Krotulski, PhD, Associate Director of Toxicology & Chemistry, The Center for Forensic Science Research and Education, Willow Grove, PA

Registration Rates

Registration includes:

  • Access to the live virtual event on December 15, 2023
  • Access to the on-demand recording for one year after event
  • Access to the Speaker slides
  • Downloadable Certificate of Attendance

Member Rates


     Member Tier I: Full, Affiliate, International, Emeritus


     $200


     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"


     $250


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


     $225


     Non-member Tier III: Educators & Emergency Responders


     $200


     Non-member IV: Residents & Students


     $175

Interested in becoming an ACMT Member? Contact our Membership Manager, Lauren Turner, at membership@acmt.net. Learn more at: www.acmt.net/membership

A member


Interested in Continuing Education?

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Continuing Education credit for this activity is provided by Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for the healthcare team.

Purchase Continuing Education here!


Package Rates

Sign up for the both days of the 2023 ACMT Seminar in Forensic Toxicology and save $50!

Purchase the package here!


Refunds and Cancellations

  • Cancellations made 15 days or more in advance of the event date will receive a full refund less a 6% processing fee.
  • Cancellations made within 14 days of the event date will not receive a refund.

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 (family emergency, for example) and must be submitted in writing to events@acmt.net. 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 events@acmt.net.

Instructions

Once you have completed your registration:

  1. Click on the Contents tab on the day of live event. This is where you will be able view the Zoom link for the course as well as the event survey and downloadable Certificate of Attendance.
  2. Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
  3. Complete the Survey. If you are completing CE or would like your Certificate of Attendance, completion of this survey is required.
  4. 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 live 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 events@acmt.net or visit our FAQ page.

If you are in need of accessible learning accommodations, please contact events@acmt.net for additional assistance.

Joseph L. D’Orazio, MD, FAAEM, FACMT, FASAM, FCPP

Toxicology Consultant

Division of Toxicology and Addiction Medicine, Cooper Center for Healing

Dr. Joseph D'Orazio is board certified in Emergency Medicine, Medical Toxicology, and Addiction Medicine. He practices Medical Toxicology and Addiction Medicine for the Cooper Center for Healing at Cooper University Hospital in Camden, NJ. Dr. D’Orazio cares for patients who are admitted to Cooper University Hospital through the addiction medicine and toxicology inpatient consultative service and through the Cooper Center for Healing outpatient offices. Dr. D’Orazio is a medical toxicologist for the Poison Control Center at Children’s Hospital of Philadelphia and is regarded as a regional expert in substance use and substance use disorder treatment in the Philadelphia area.

Jennie V. Duval, MD

Chief Medical Examiner

Office of the Chief Medical Examiner

Jennie Duval was appointed Chief Medical Examiner for the State of New Hampshire on October 1, 2017 after serving as the Deputy Chief Medical Examiner for over 15 years. She earned her undergraduate degree from the University of New Hampshire and her medical degree from McGill University, Montreal, Quebec. She completed pathology residency training at the University of Massachusetts Medical Center and forensic pathology fellowship training at the Office of the Chief Medical Examiner in Boston. She teaches pathology and forensic pathology to medical students, physician assistant students and pathology residents at various institutions in New Hampshire. In addition, she has published several journal articles, presented numerous scientific papers at national professional society meetings and lectures frequently on various topics in forensic pathology including drug related deaths. During her career she has performed over 6,600 autopsies including over 1,700 drug related deaths.

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.

Andrew Holt, PharmD

Clinical Pharmacist & Fellowship Director

Aegis Sciences Corporation

Dr. Andrew Holt received his Doctor of Pharmacy degree from the University of Tennessee Health Science Center and is licensed to practice in multiple states. Prior to joining Aegis, Dr. Holt worked for the Tennessee Board of Pharmacy as Executive Director and was Director of Tennessee’s Prescription Drug Monitoring Program. He holds additional certifications in medical affairs, pharmacogenomics, and drugs in sport. Dr. Holt is an assistant professor for the Department of Clinical Pharmacy and Translational Science at the University of Tennessee College of Pharmacy, serves as a preceptor for six colleges of pharmacy and is a co-Director of the post-doctoral Fellowship Program, a collaboration with Belmont College of Pharmacy. One of his primary interests is the surveillance and detection of novel psychoactive substances and their role in overdoses.

Sherri Kacinko, PhD, F-ABFT

Forensic Toxicologist

NMS Labs

Dr. Sherri Kacinko is a senior toxicologist at NMS Labs in Horsham, PA. She earned her Ph.D. in toxicology from the University of Maryland – Baltimore. She is also adjunct faculty in the chemistry and forensic science departments at Arcadia University and serves as an Instructor at the Center for Forensic Science Research & Education.  In her teaching roles, Dr. Kacinko lectures in pharmacology, postmortem toxicology, and human performance toxicology courses. 

Dr. Kacinko is a fellow of the American Board of Forensic Toxicology (ABFT) and is a member of the Society of Forensic Toxicologists, the International Association of Forensic Toxicologists, and the American Academy of Forensic Sciences. She was presented with the American Academy of Forensic Sciences Toxicology Section Irving Sunshine Award in recognition of early career research and served as the program chair, secretary and chair of the AAFS toxicology section.

Current research interests include the identification and quantification of novel psychoactive substances and esoteric drugs including synthetic cannabinoids, stimulants, hallucinogens, opioids and benzodiazepines in biological fluids and their toxicological impact. Dr. Kacinko also uses data analytics to monitoring drug use trends on a local and national level.

Alex Krotulski, PhD (Moderator)

Associate Director of Toxicology & Chemistry

The Center for Forensic Science Research and Education

Dr. Alex Krotulski serves as an Associate Director at CFSRE working in the areas of forensic toxicology and forensic chemistry and is the Program Manager for NPS Discovery. Dr. Krotulski holds faculty appointment and serves as the Assistance Program Director for the Thomas Jefferson University Master of Science in Forensic Toxicology (MSFT) program and was recently appointed as an Associate Editor for the Journal of Analytical Toxicology. Dr. Krotulski received his Doctor of Philosophy degree in Analytical Chemistry from Temple University in 2019 following receipt of his Master of Science degree in Forensic Science from Arcadia University in 2015 and Bachelor of Science in Chemistry from Loyola University New Orleans in 2013.

Barry Logan, PhD, F-ABFT

Executive Director, Sr. VP & Chief Scientist Forensic Sciences

Center for Forensic Science Research and Education & NMS Labs

Dr. Barry Logan is Sr. vice president of Forensic Sciences, and Chief Scientist for NMS Labs. He is also Executive Director at the non-profit Center for Forensic Science Research and Education (CFSRE) at the Fredric Rieders Family Foundation in Willow Grove, Pennsylvania. 

Dr. Logan is a Fellow of the American Board of Forensic Toxicologists (ABFT), and has over 190 publications in forensic toxicology and chemistry, including work on the effects of illicit and prescription drugs on drivers, and drug caused and related death. His current research priorities are focused on new drug surveillance and trends, the polydrug crisis, and the analytical and interpretive toxicology and chemistry of novel psychoactive substances, founding www.NPSDiscovery.org in 2018.

Dr. Logan’s has academic appointments at Indiana University, Arcadia University and Thomas Jefferson University in Philadelphia. He serves on the Advisory Board for NIDA’s National Drug Early Warning System (NDEWS). In recognition of his work and contributions, Dr. Logan received TIAFT’s Alan Curry Award in 2022, and is a past President of the American Academy of Forensic Sciences (AAFS).

Karen McDonald, MPPAL, PMP

Lead

Toronto’s Drug Checking Service

 Karen has over fifteen years of public sector experience, where she has informed public policy and contributed to health systems change. She has spent the past five years leading the design and implementation of Toronto’s Drug Checking Service, and is now responsible for the program’s continuation and expansion across Ontario. Karen has received international recognition as a leader in drug checking service provision and unregulated drug market surveillance and education.

Charles McKay, MD, FACMT (Moderator)

Associate Medical Director

CT Poison Control Center, 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 (Moderator)

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.

Paul M. Wax, MD, FACMT

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.

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