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The American Academy of Clinical Toxicology
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  • Education & Groups
    • American Board of Applied Toxicology (ABAT)
      • ABAT Exceptional Service Award
      • ABAT Newsletter
      • Sitting for the American Board of Applied Toxicology Exam
        • ABAT Examination Study Guide
      • Certification Renewal Documents
      • Life Long Learning Articles (LLSA)
      • ABAT Member Directory
        • Diplomate Verification
      • ABAT Board of Directors Contact Information
    • E-Learning
      • Advanced Hazmat Life Support Training
      • MMTI Fundamentals for Front-Line Practitioners Training
      • TOXISMO Society for the Discussion of Scientific Literature
      • ToxNow
      • Webinars
        • ABAT Journal Club Webinars
        • COVID Webinar Series
    • Toxicology Residency & Fellowship Training Programs
    • Clinical Toxicology Guidelines Collaborative
      • Recommendations
    • Fellows of AACT
    • ToxCoach Mentorship Program
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      • Acute & Intensive Care
      • Addiction Toxicology Section
      • Clinical Toxicology In Sports
      • Diversity, Equity, and Inclusion Section
      • Herbs & Dietary Supplements
      • Geriatric Toxicology
      • Occupational / Environmental
      • Envenomations
      • Forensic
      • Pediatric
      • Weapons of Mass Destruction
      • Toxicology History
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Fellow of the AACT Application

Home > Education > Fellow of the American Academy of Clinical Toxicology > Fellow of the AACT Application

Fellow of the AACT Application

This is the application for Designation as a Fellow of the American Academy of Clinical Toxicology. Deadline to submit application is June 1.

Step 1 of 5

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  • Contact Information for Applicant

  • List all years of AACT membership (clearly indicating any gaps)
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  • Service to AACT Core Functions

  • List names of Committees and dates of service along with your contribution to each committee
  • List service to EAPCCT including position(s), date(s) of service, and description of your contributions to each committee
  • Describe any other service to AACT. Include date(s) of service and your role
  • Describe any participation in AACT sponsored activity or as an AACT representative of another groups activity (eg: Choosing Wisely; EXTRIP; Lipid Workgroup; etc). Be specific and include date(s) of service.
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  • Service to the Field of Clinical Toxicology

  • a. List names and dates of any participation in ACMT, AAPCC, EAPCCT or other symposia associated with NACCT b. List dates and titles of all platform and poster presentations c. List name of meeting (NACCT, EAPCCT or other toxicology meeting) and year attended
  • Describe your participation for teaching. Be sure to list all of your: a. academic appointments b. if you are a toxicology fellowship director or faculty for toxicology fellowship program c. Any toxicology education for residency and student training d. Any didactic toxicology lectures provided e. Any teaching awards received
  • Describe your participation for scholarly activity (describe toxicology-related activities only) Be sure to include: a. Publications in Clinical Toxicology (other than NACCT presentations listed above) b. Other peer reviewed publications c. Textbook chapters d. Meeting abstracts e. Grants related to toxicology f. Date and location of toxicology fellowship g. Board certification in medical or clinical toxicology (provide dates certified/recertified)
  • Describe your service as it relates to toxicology Be sure to include: a. If you are a poison center director or medical director b. Any poison center contributions c. AAPCC, ACMT, SOT or other toxicology organization participation d. Toxicology-related activities to other organizations (eg: ACEP; AAP; ACCP etc) e. Community based toxicology service f. Service to state or federal government g. Editorial board, reviewer or other service to journals other than Clinical Toxicology
  • Briefly describe your clinical practice
  • Describe any other activities or service to the field of clinical toxicology not previously listed
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  • Max. file size: 128 MB.
  • Max. file size: 128 MB.
  • Max. file size: 128 MB.
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  • Education & Groups
    • American Board of Applied Toxicology (ABAT)
      • ABAT Exceptional Service Award
      • ABAT Newsletter
      • Sitting for the American Board of Applied Toxicology Exam
        • ABAT Examination Study Guide
      • Certification Renewal Documents
      • Life Long Learning Articles (LLSA)
      • ABAT Member Directory
        • Diplomate Verification
      • ABAT Board of Directors Contact Information
    • E-Learning
      • Advanced Hazmat Life Support Training
      • MMTI Fundamentals for Front-Line Practitioners Training
      • TOXISMO Society for the Discussion of Scientific Literature
      • ToxNow
      • Webinars
        • ABAT Journal Club Webinars
        • COVID Webinar Series
    • Toxicology Residency & Fellowship Training Programs
    • Clinical Toxicology Guidelines Collaborative
      • Recommendations
    • Fellows of AACT
    • ToxCoach Mentorship Program
    • Committees
    • Sections
      • Acute & Intensive Care
      • Addiction Toxicology Section
      • Clinical Toxicology In Sports
      • Diversity, Equity, and Inclusion Section
      • Herbs & Dietary Supplements
      • Geriatric Toxicology
      • Occupational / Environmental
      • Envenomations
      • Forensic
      • Pediatric
      • Weapons of Mass Destruction
      • Toxicology History
      • Radiation
      • Trainee and Student
    • Student Chapters
  • NACCT Annual Meeting
    • Meeting Information
    • Abstract Submissions
    • After the Fact CE
  • Research Grants
    • AACT Research Award
    • AACT Knowledge Translation Grant Award
    • Junior Investigator Research Grant
    • Gary S. Wasserman, DO, FAACT Memorial Pediatric Abstract Award
    • Toxicology Trainee Research Grant
    • Student and Trainee Travel Award
    • Lampe-Kunkel Memorial Award
  • Resources
    • Event Calendar
    • AACT Mobile App
    • Publications
      • AACTion
      • Abstracts
      • Clinical Toxicology Journal
      • Question of the Day
      • News
      • Current Awareness in Clinical Toxicology
      • Toxicology Today
      • Out of Hospital Guidelines
    • Toxicology Information
    • Affiliated Organizations
    • Press Resources
    • Job Opportunities
    • Online Store
  • About Us
    • Mission & Strategic Plan
    • Board of Trustees
    • Our History
    • Membership
      • AACT Member Directory
    • Award Recipients
    • Contact Us
  • Contact Us

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