
National Grand Rounds - June 2023
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Sporadic ALS: Search for Environmental Etiology
Presenter: Peter Spencer, PhD, FANA, FRCPath, Professor, Oregon Institute of Occupational Health Sciences, OHSU; Tenured Professor of Neurology, School of Medicine, OHSU, Portland, OR
Learning Objectives
- The value of disease hotspots and community involvement in the search for etiology;
- The importance of recognizing the long latency between exposure and clinical onset;
- Research on the lifetime exposome is needed for sporadic neurodegenerative diseases.
About The Series: ACMT's Grand Rounds offer an in-depth and interactive platform for learning and discussion about issues that impact the research and practice of medical toxicology. Experts from within and outside medical toxicology will share their knowledge and experience and highlight areas for collaboration and mutual understanding.
This webinar is for ACMT members only.

Nicholas Nacca, MD (Moderator)
Assistant Professor of Emergency Medicine, Director of Medical Toxicology, Associate Fellowship Director of Medical Toxicology Fellowship Program
University of Rochester Medical Center
Dr. Nacca was born Rochester NY. He completed his undergraduate work at University of Rochester with a Bachelor of Science in Neuroscience. He completed medical school, Emergency Medicine residency training, and Medical Toxicology fellowship at SUNY Upstate Medical University and the Upstate Poison Control Center. He currently works as an Emergency Physician and Medical Toxicologist at University of Rochester Medical Center where he serves as the Director of Medical Toxicology. The Medical Toxicology consult service at URMC provides 24/7 call coverage for Strong Memorial Hospital and affiliates, fielding both inpatient and outpatient consultations for management of both intentional and unintentional ingestions, overdoses, and environmental exposures. Dr. Nacca’s focus is on Medical Toxicology and Emergency Medicine education, with interest in novel psychoactive substances and adulterated drugs of abuse.