Substance Use, Toxicology Pitfalls & Alcohols | 2026 Total Tox

Substance Use, Toxicology Pitfalls & Alcohols | 2026 Total Tox

Includes a Live Web Event on 12/11/2026 at 8:40 AM (EST)

  • Register
    • Non-member - Tier I - $300
    • Non-member - Tier II - $150
    • Non-member - Tier III - $125
    • Non-member - Tier IV - $100
    • Member - Tier I - $275
    • Member - Tier II - $125
    • Member - Tier III - $100
    • Member - Tier IV - $75

#TotalTox2026

Join us for the next live, virtual session of the Total Tox Course, Substance Use, Toxicology Pitfalls & Alcohols.

Our fourth and final session will examine Substance Use Disorders, Toxic Alcohols, and Diagnostics, exploring current trends in opioid, cannabis, and recreational nitrous oxide misuse. Speakers will outline medication-assisted treatment initiation strategies and deliver a definitive rationale for managing toxic methanol and ethylene glycol exposures with antidotes and hemodialysis. By learning how to strategically order and interpret targeted toxicology tests during interactive case discussions, attendees will maximize your ability to positively impact patient outcomes.

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Learner Objectives

After attending the event, participants should be able to:

  • Synthesize diagnostic and treatment strategies for substance use disorders, toxic alcohols, and novel recreational drug toxicities.
  • Optimize toxicology testing to directly guide and alter clinical management outcomes.
  • Collaborate on expert-led case analyses to debate management strategies and refine real-world clinical decision-making.

Questions?

Please write to ACMT at [email protected]

Agenda | Total Tox Day 4 - December 11, 2026


8:50 - 9:00 AM ET | Opening Remarks


9:00 - 10:00 AM ET
Death by Design: The Pharmacology and Management of Modern Opioid Dangers
R. Cole Pueringer, MD, Medical Toxicologist, Addiction Medicine Specialist, Hospitalist, Essentia Health in Duluth

Dr. Pueringer will review misuse, abuse, & criteria for diagnosing opioid use disorder and identifies psychosocial treatments for opioid use disorder. He will also describe the medication-assisted treatments for Buprenorphine, Methadone, and Naltrexone.


10:00 - 10:30 AM ET
Cannabis & Cannabinoid Toxicity
Mark Neavyn, MD, FACMT, Medical Director & Emergency Medicine Physician, Northern New England Poison Center & Maine Medical Center, Portland, ME

Dr. Neavyn will examine the symptoms of cannabis toxicity and describe the treatment approach to cannabis toxicity.


10:30 - 11:00 AM ET
What's New In Your Neighborhood?

Oliver Grundmann, PhD, MS, FCP, FAACT, Director Online Graduate Programs in Clinical Toxicology and Pharmaceutical Chemistry, University of Florida

Dr. Grundmann will discuss the epidemiology of new and emerging opioids, including fentalogues, nitazenes, mitragynoids, and orphines. He also will explain how to initiate treatment for high potency opioid overdoses.


11:00 - 11:30 AM ET | Break (30 min)


11:30 - 12:00 PM ET
Drug Screen Pitfalls
Paul M. Wax, MD, DFACMT Executive Director, American College of Medical Toxicology (ACMT), Phoenix, AZ

Dr. Wax will Identify toxicology tests available in the ED. He will discuss which tests should be requested in specific situations and describe how test ordering changes treatment outcomes.


12:00 - 12:30 PM ET
Case Panel: Adulterants & their Consequences

Featuring:

R. Cole Pueringer, MD, Medical Toxicologist, Addiction Medicine Specialist, Hospitalist, Essentia Health in Duluth

Alek Q. Adkins, MD, FACEP, Director of Education, Division of Medical Toxicology, Staff Medical Toxicologist, Nationwide Children's Hospital, Central Ohio Poison Center

Anthony Pizon, MD, FACMT, Chief of Medical Toxicology Division, Professor of Emergency Medicine, University of Pittsburgh


12:30 - 1:00 PM ET
No Laughing Matter: The Clinical Reality of N₂O
Courtney Temple, MD, Assistant Professor of Emergency Medicine, Oregon Health & Science University

Dr. Temple will review the most current data identifying emerging trends in recreational nitrous oxide use and recognize its relevance in general medical practice and outlines a practical diagnostic and treatment approach to suspected nitrous oxide toxicity.


1:00 - 1:30 PM ET
The Pursuit of Wakefulness: Stimulants

James Chenoweth, MD, Associate Professor, University of California, Davis

Dr. Chenoweth will explain how to recognize and differentiate the classic toxidrome associated with acute stimulant toxicity, including physical symptoms and will develop an evidence-based clinical management plan for patients presenting stimulant overdose.


1:30 - 2:00 PM ET | Break (30 min)


2:00 - 3:00 PM ET
When the Party Ends: Managing Ethanol Intoxication and Withdrawal

Jerrold B. Leikin, MD, DFACMT, FACP, FACEP, FAACT, FACOEM, FASAM, Adjunct Clinical Professor Division of Environmental and Occupational Health Sciences & Professor of Medicine, University of Illinois Chicago and Rosalind Franklin University of Medicine & Science, North Chicago, IL

Dr. Leikin will identify the prevalence of ethanol AUD in patients presenting to the Emergency Department. He will also discuss the genetic vs. environmental factors for ethanol AUD and assess the most critical laboratory tests for symptomatic patients who have suspected ethanol intoxication.


3:00 - 3:45 PM ET
When It's Not Ethanol: Demystifying Toxic Alcohols
Bram Dolcourt, MD, Clinical Assistant Professor Department of Emergency Medicine, Wayne State University, Detroit, MI

Dr. Dolcourt will describe toxicity & time course of methanol (MeOH) and ethylene glycol (EthGly) exposures, identifies 2 stand-in tests for MeOH and EthGly, noting limitations, and presents a rationale for treatment with ethanol, fomepizole, and/or hemodialysis.


3:45 - 4:15 PM ET
Case Panel - Agma-tation!

Featuring:

James Chenoweth, MD, Associate Professor, University of California, Davis

Anthony Pizon, MD, FACMT, Chief of Medical Toxicology Division, Professor of Emergency Medicine, University of Pittsburgh

James Chenoweth, MD

James Chenoweth, MD

Associate Professor

University of California, Davis

Dr. Chenoweth is an Emergency Physician and Medical Toxicologist in the Department of Emergency Medicine at UC Davis Health in Sacramento, CA. He completed his Emergency Medicine residency at UC Davis in 2013 after which he completed a combined Toxicology and Research fellowship. He is board certified in Emergency Medicine, Medical Toxicology, and Addiction Medicine. He currently serves as the program director for the UC Davis Medical Toxicology fellowship as well as the UC Davis Department of Emergency Medicine CQI Director. His current research focuses on substance use disorders and impaired driving.

Bram Dolcourt, MD

Bram Dolcourt, MD

Clinical Assistant Professor Department of Emergency Medicine

Wayne State University

Bram Dolcourt is Assistant Professor of Emergency Medicine at Wayne State University and serves as Associate Residency Director for Emergency Medicine at Sinai Grace Hospital in Detroit. Dr. Dolcourt is a Clinical Consultant to the Michigan Poison and Drug Information Center. Dr Dolcourt complete Medical School at New York Medical College and residency at Henry Ford Hospital. Dr. Dolcourt then went on to complete fellowship in Medical Toxicology at the Children’s Hospital of Michigan. Dr. Dolcourt’s interests include inpatient addiction medicine and heavy metal exposures.

Oliver Grundmann, PhD, MS, FCP, FAACT

Oliver Grundmann, PhD, MS, FCP, FAACT

Director Online Graduate Programs in Clinical Toxicology and Pharmaceutical Chemistry

University of Florida

Oliver Grundmann, Ph.D., received a bachelor’s degree in pharmacy and European pharmacist license from the University of Münster, Germany, in 2004 before beginning his graduate studies at the University of Florida. While continuing his Ph.D. in Pharmaceutical Sciences, he worked for the Forensic Science program after graduating with a master’s degree in Forensic Toxicology and minor in Statistics.

His research interests include the search for new treatment options from natural products for Central Nervous System and Gastrointestinal diseases such as anxiety and depressive disorders as well as irritable bowel syndrome and cancers of the gastrointestinal tract. Since 2016 a major collaborative research focus has been on Kratom (Mitragyna speciosa), its pharmacology and therapeutic potential as well as patterns of use.

He also is interested in the implementation and impact of national and international collaborations for curricular development in the health sciences with an emphasis on distance and online education.

Dr. Grundmann serves as the Director and faculty advisor for the online Master of Science and graduate certificate programs in Pharmaceutical Chemistry and Clinical Toxicology at the College of Pharmacy. In September 2023, he assumed the role of assistant dean of lifelong learning in the UF College of Pharmacy.

Andrew King, MD

Andrew King, MD

Professor

Wayne State University School of Medicine & Michigan Poison and Drug Information Center

Dr. King is the Medical Director of the Michigan Poison and Drug Information Center, Wayne State University/Detroit Medical Center Medical Toxicology Fellowship Program Director, and the Medical Director of the Tolan Park research clinic. He is board certified in emergency medicine, Medical Toxicology, and Addiction Medicine.

Jerrold B. Leikin MD DFACMT, FACP, FACEP, FAACT, FACOEM, FASAM

Jerrold B. Leikin MD DFACMT, FACP, FACEP, FAACT, FACOEM, FASAM

Adjunct Clinical Professor Division of Environmental and Occupational Health Sciences & Professor of Medicine

University of Illinois Chicago and Rosalind Franklin University of Medicine & Science

I am a currently Adjunct Clinical Professor on the Division of Environmental and Occupational Health Sciences and the Occupational and Environmental Medicine Service of UI Health at the University of Illinois at Chicago and Professor of Medicine at Rosalind Franklin University of Medicine & Science in North Chicago, Ill.

In 1980, I received my medical degree from the Chicago Medical School.  I then completed a combined residency in Internal Medicine and Emergency Medicine at Northwestern University (1984) followed by a three-year preceptorship/fellowship training in Medical Toxicology at Cook County Hospital and University of Illinois Hospital in Chicago, Illinois. I am Board Certified in Internal Medicine, Emergency Medicine, Medical Toxicology and Addiction Medicine. 

I served as the Associate Director of the Emergency Department at Rush Presbyterian-St. Luke’s Medical Center in Chicago from 1998-2001.  During this time, I was also the Medical Director of the Rush Poison Control Center and served as Medical Director of the United States Drug Testing Laboratory (from 1991 -1996).  I was also the Medical Director of PROSAR (located in St. Paul, MN); a national call center devoted to industrial exposures and product safety issues, up until December 2013.

I have presented over 200 research abstracts at national meetings (primarily to the North American Congress of Clinical Toxicology) and have published over 200 articles in peer-reviewed medical journals.  I am the co-editor of the Poisoning and Toxicology Handbook (now in its fourth edition), published by CRC Press, and the American Medical Association Handbook of First Aid and Emergency Care, and published by Random House (New York).  I am also the co-editor with Dr. Robin McFee for the Toxico-terrorism book (McGraw Hill) and the Handbook of Nuclear, Biological and Chemical Agent Exposure (CRC Press) both published in 2007.  I was also the co-editor of the American Medical Association Complete Medical Encyclopedia, published by Random House in 2003.  I am presently the Editor-in-Chief of the primary care journal, Disease-a-Month, published by Elsevier.  I was on the Illinois State Board of Health from 2016 – 2019.

Mark Neavyn, MD, FACMT

Mark Neavyn, MD, FACMT

Medical Director & Emergency Medicine Physician

Northern New England Poison Center & Maine Medical Center

Mark Neavyn, M.D. joined Maine Medical Center as the Medical Director for the Northern New England Poison Center in 2020. After earning his Bachelor of Arts degree in biology from Augustana College, he went on to earn his medical degree at Jefferson Medical College.  He then completed his residency in emergency medicine at Drexel University, followed by a fellowship in Medical Toxicology at the University of Massachusetts.  

His clinical interests include treatment and stabilization of patients after poisoning, drug overdose, and environmental exposures. He is particularly interested in the public health implications of cannabis use and emerging trends in novel psychoactive substances.  

In his spare time Dr. Neavyn enjoys running on the beautiful trails in and around Portland, Maine.

Anthony Pizon, MD, FACMT

Anthony Pizon, MD, FACMT

Chief of Medical Toxicology Division, Professor of Emergency Medicine

University of Pittsburgh

Dr. Anthony (Tony) Pizon received his medical degree from the University of Toledo School of Medicine in 2001.  He then completed his Emergency Medicine Residency at the University of Pittsburgh Medical Center in 2004 and his Medical Toxicology Fellowship at Banner Good Samaritan Medical Center in Phoenix, Arizona in 2006. Dr. Pizon is currently a Professor in the Department of Emergency Medicine, Division of Medical Toxicology at the University of Pittsburgh, School of Medicine. He serves as Chief of the Division of Medical Toxicology and Director of the Medical Toxicology Fellowship at UPMC. He is also Assistant Medical Director of both the Pittsburgh and West Virginia Poison Centers. Yet, most importantly, he is blessed with amazing wife, Caryn, and four wonderful children (Benjamin, Elizabeth, Gabriela, and Seraphina).

Robert "Cole" Pueringer, MD

Robert "Cole" Pueringer, MD

Medical Toxicologist, Addiction Medicine Specialist, Hospitalist

Essentia Health in Duluth

Dr. Robert “Cole” Pueringer is a Medical Toxicologist, Addiction Medicine Specialist, and Hospitalist. He joined Essentia Health in September of 2022. He completed his medical training in the Twin Cities, including Medical School at the University of Minnesota, Internal Medicine Residency and Chief Resident year at Hennepin County Medical Center (HCMC). He received his CTropMed certification for Tropical Medicine & Travelers’ Health at the University of Minnesota. He then completed a Medical Toxicology fellowship at the Health Partners Institute/HCMC in 2021 and an Addiction Medicine fellowship at the University of Minnesota in 2022. His academic interests include medical education, Global Health, and the overlap of Medical Toxicology and Addiction Medicine. He is particularly passionate about substance use disorder - a disease that has affected many aspects of his own life – and hopes to contribute significantly to substance use treatment, education, de-stigmatization, and harm reduction in northern Minnesota.

Courtney Temple, MD

Courtney Temple, MD

Assistant Professor of Emergency Medicine

Oregon Health & Science University

Dr. Temple is an emergency medicine physician and medical toxicologist at Oregon Health & Science University and the Oregon Poison Center. She received her medical degree from the University of Massachusetts Medical School, completed her emergency medicine residency at the University of Massachusetts, and completed her Medical Toxicology Fellowship at Oregon Health & Science University. She is board-certified in emergency medicine and medical toxicology.

She serves as Assistant Program Director for the OHSU Medical Toxicology Fellowship and Assistant Medical Director of the Oregon Poison Center. She was the inaugural recipient of the ACMT Charles E. Becker Medal for outstanding achievement in medical toxicology. Her academic interests include emerging drugs of abuse, natural toxins, and innovative approaches to toxicology education.

Paul M. Wax, MD, DFACMT

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.

Stephen P. Wood, DMSc, ACNP

Stephen P. Wood, DMSc, ACNP

Associate Clinical Professor; Program Director, Adult-Gerontology Acute Care Program

Northeastern University, Bouvé College of Health Sciences

Stephen P. Wood is an acute care nurse practitioner. He is an Associate Clinical Professor and Program Director of the Adult-Gerontology Acute Care Program at Northeastern University, Bouvé College of Health Sciences. He received a Doctor of Medical Science (DMSc) in Public Health from Northeastern University. Prior to this, he spent over a decade practicing as a nurse practitioner in emergency medicine. His roots are in EMS, and he has over 30 years of field experience, including 10 as a flight paramedic. Currently, he works in the ICU at MGB Faulkner and the ED at St. Elizabeth's-BMC. He is an instructor in the School of Nursing at Northeastern University in the graduate nursing program and is a graduate scholar of the Harvard Macy Institute program for Healthcare Educators. He is a former fellow in Bioethics at the Center for Bioethics at Harvard Medical School and a current visiting researcher at the Petrie-Flom Center at the Harvard Law School Petrie-Flom Center for Health Policy. He holds a Master of Science in Nursing as well as a Master of Science in Toxicology.

Registration Rates

Registration includes:

  • Access to the live virtual event on December 11, 2026
  • Access to the on-demand recording for 90 days after the event
  • Access to the Speaker slides
  • 6.75 Continuing Education Certificate. Available credits: Continuing Medical Education (CME), Continuing Nursing Education (CNE), Continuing Pharmacy Education (CPE), Continuing Medical Education for Physician Associates (AAPA CME), and Continuing Education for Nurse Practitioners (AANP CE).

Member Rates


     Member Tier I: Full, Affiliate, International, Emeritus


     $275


     Member Tier II: Fellows


     $125


     Member Tier III: Residents, International - Developing Country


     $100


     Member IV: Medical Students


     $75

Non-Member Rates


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


     $300


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


     $150


     Non-member Tier III: Educators & Emergency Responders


     $125


     Non-member IV: Residents & Students


     $100


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


Package Rates

Sign up for the all four days of the 2026 ACMT Total Tox Course and save $150!

Interested in two days? Add two courses directly to your cart and receive an automatic $50 discount!

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 8% 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: [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 8% 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].

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 all required components.
  2. Complete the Pre-Test. For best the best learning experience, please complete this before the live event on December 11, 2026.
  3. Watch live event. You can use the Zoom link in the Learning Center to leave and enter the webinar during event.
  4. Complete the Post-Test. These questions are based on content from the lectures to gauge your comprehension of the lectures. It requires a 70% to pass.
  5. Complete the Event CE Survey. If you are completing CE, this survey is required.
  6. 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 event is a live Webinar with CME, CNE, CPE, AAPA CME, and AANP CE.


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

Continuing Education credit for this activity is provided by AKH Inc., Advancing Knowledge in Healthcare. The activity is pending approval, and registrants will be able to claim up 6.75 Continuing education credit per activity. 

Continuing Education available for
Pharmacists, Physicians, Physician Associates, Nurses, and Nurse Practitioners.

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This content will not be available until 12/07/2026 at 9:00 AM (EST)