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OpenAccess Core Curriculum by Mind Map: OpenAccess Core Curriculum
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OpenAccess Core Curriculum


Proposal for developing and disseminating a clinical toxicology curriculum

In most countries clinical toxicology is not a recognized specialty. One consequence of this is that curriculum development in the specialty is either ignored or supplied by a number of providers. These providers may provide content from a number of sources of various levels of authority and relevance. As a consequence the standard of clinical toxicology may vary considerably. The provision of a curriculum outline that is supported by standard or approved resources could equip trainers to deliver local content that is consistent with best practice. These materials would need to be delivered with maximum freedom of access.

400,000 deaths per year

There are an estimated 400,000 deaths per year from deliberate poisoning in Asia alone. Most of the global deaths from poisoning occur in the developing world. In the developed world deliberate poisoning may account for up to 5% of hospital admissions. While mortality is low there is significant direct and opportunity costs involved in the treatment Despite the clinical need training in Clinical Toxicology at various levels is relatively scant. This is particularly true of many undergraduate courses. Such training is generally not provided by people with any training in clinical toxicology. This coupled with a relatively poor evidence base means that the standard of what is delivered is variable and often has to compete with other teaching priorities. The same could be inferred about delivery in other environments. The actual needs for delivery of different types of content could vary due to the type of institution, geographic position which ultimately produces different audiences An issue for the Discipline of Clinical Toxicology is that it is relatively small and at this time does not have a clear presence in all these environments. We are largely dependent upon others to deliver clinical toxicology training. this in part is one of the factors that contribute to the various clinical responses for certain poisoning. At present we do not have a vehicle to deliver content in an easily accessible manner. Essentially something that meets an acceptable standard, is free and has open access, with a low learning curve for delivery. Arguably much of the gains in reduction in mortality related to poisoning would accrue from getting the basic information right for example the first 10% of information may result in 50% of the gain. Hopefully at this level of information there is a higher level of agreement than there is for more esoteric areas



An outline of a core curriculum for clinical toxicology

The identification of which elements of this curriculum would be suitable for specific audiences

The support of this curriculum with “open source” teaching materials

A mechanism for gathering, assessing and distributing such material

This proposal is not specifically looking at accreditation of clinical toxicology training

Delivery Structures





more notes


Target Audience

Primarily a health related audience.





See also Conflict resolution. The more contributors there are the faster the project will move towards completion However the less controlled with the input is the more likely that quality may diminish. Opensource models take this risk and balance this with the expectation that contributors act in good faith and will audit and edit each other. One way forward is to only allow contributors with a certain level of credentials to contribute for example board certified toxicologists. Initially it might be reasonable to identify groups who are likely to have large amounts of content to populate the curriculum and then extend the invitation to other groups. This would allow a period to troubleshoot the mechanism of contribution

Sources of material

Existing teaching material on peoples hard disks etc would be the fastest way forward. This may require some subsequent editing but much of this could be done at the time of cutting and pasting. An FTP site would need to be setup for resource materials such as powerpoint presentation Some formating may need to be done at a secreterial level

Acknowledging contributions

In a Wiki model there is a database that looks at contribution however most opensource arrangements would just list contributors to the overall project rather than just specific sections

Conflict Resolution


Content Description

Should we stratify curriculum outline?

Should we stratify content?

This becomes more complicated and could be a bit restrictive. Essentially this would mean identifying certain parts of monographs or talks as being directed at certain groups e.g. nurses or medical undergraduates. Alternatively having multiple parallel streams of information. The alternative is just to allow users to select the bits that are relevant

Curriculum topic



A very low cost solution, also these meetings would be an appropriate venue for promotion of the project and recruitment of material (e.g. Keynotes Lectures etc) and authors

Specific Meeting

These are expensive to organise and can be inconvenient to the individuals

Web Based

Some of the Web based solutions such as Blogs would allow a dialog that would not require a realtime presence

Example from American Board Emergency Medicine

The list is long..perhaps we should prioritise e.g. High mortality/morbidity Developing country needs Early learners fundamentals

1.0 Principles of Toxicology

2.0 Toxins and Toxicants

2.3 Natural Products

2.4 Warfare, Terrorism, and Riot Control Agents

3.0 Therapeutics

4.0 Assessment and Population Health

5.0 Analytical and Forensic Toxicology