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Medical Toxicology is a medical subspecialty focusing on the diagnosis, management, and prevention of poisoning/toxicity and other adverse health effects due to medications, chemicals, occupational and environmental toxins, and biological hazards. Medical Toxicology is officially recognized as a medical subspecialty by the American Board of Medical Specialties (ABMS).

North Carolina Poison Control is affiliated with Atrium Health’s Carolinas Medical Center Medical Toxicology Fellowship training program.


Fellowship Overview:

The Atrium Health Carolinas Medical Center Department of Emergency Medicine in Charlotte, NC offers a two-year ACGME-certified Medical Toxicology training program. Graduates of ACGME, RCPSC, or CFPC-accredited emergency medicine, pediatrics, preventive medicine, internal medicine, or family medicine residency training programs are eligible. The training experience encompasses all facets of Medical Toxicology including:

  • Acute care adult and pediatric consultation
  • Occupational and environmental exposures    
  • Poison center direction
  • Basic and/or clinical research
  • Grant writing
  • Didactics, including regular journal club, case conference, text review, and special topic review
  • Preparation of lectures for departments within Carolinas Medical Center
  • Manuscript preparation (case reports, text chapters, research)
  • Instruction of rotating residents, medical students, and PharmD residents and students
  • Presentation of research at national meetings

The development of the fellowship occurs in two phases. In the first year, emphasis is placed on clinical experience through patient encounters at Carolinas Medical Center and with cases handled by North Carolina Poison Control. Research (either clinical or basic science) is the primary focus during the second year. Didactic teaching is integral throughout both years of training.

To learn more about our fellowship program, including how to apply, click here.


Meet Our Current Fellow:



Dr. Carolyn Fox


 Recent Graduates:

Dr. Kartik Shah

Dr. Matt Stripp

Dr. Dalia Alwasiyah



Meet Our Faculty:  

Michael C. Beuhler, MD, FACMT
Medical Director, North Carolina Poison Control

Dr. Beuhler completed his Emergency Medicine Residency at North Shore University Hospital in 2000 and Medical Toxicology training at Good Samaritan Regional Medical Center in Phoenix, AZ in 2002. Michael joined the CMC faculty in 2002 as the Medical Director of North Carolina Poison Control where his major clinical duties include medical operations of the poison center, quality assurance, and toxicology consultation at Carolinas Medical Center. He is actively involved with resident and specialist education. He has written and lectured on several topics in medical toxicology with a special focus on molecular mechanisms of action. His current research interests include toxicosurveillance and crotaline envenomation.


Anna Dulaney, PharmD, DABAT
Associate Program Director, Medical Toxicology Fellowship

Dr. Dulaney received her BS Pharmacy degree from the University of South Carolina and Doctor of Pharmacy from the University of North Carolina. She became a Diplomat of the American Board of Applied Toxicology in 2001. Responsible for staff education at the North Carolina Poison Control, Dr. Dulaney also participates in clinical teaching for fellows, medical residents and medical students, pharmacy residents and students. She directs the Pharmacy Practice Residency in Toxicology at North Carolina Poison Control and is the Associate Program Director for the Medical Toxicology fellowship. Dr. Dulaney is an Adjunct Associate Professor of Pharmacy at the University of North Carolina Eshelman College of Pharmacy and a Clinical Associate Professor of Pharmacy at Wingate University School of Pharmacy. Her areas of interest include psychiatric medications, newer substances of abuse, and adolescent substance use.

National endeavors include fatality review and poison center benchmarking for the American Association of Poison Control Centers and peer review for Emergency Medicine and Toxicology journals.

Ann-Jeannette Geib, MD, FACEP, FACMT

Dr. Geib was born and raised in Edison, NJ and earned her undergraduate degree in Biology at Villanova University. She obtained her medical degree at UMDNG-Robert Wood Johnson Medical School and did a medicine internship at UMDNG-University Hospital in Newark, NJ. She completed an Emergency Medicine residency at Morristown Memorial Hospital. She completed a Medical Toxicology fellowship at Children’s Hospital in Boston. After three years in private toxicology/EM practice in Harrisburg, PA, she joined the faculty at UMDNJ-Robert Wood Johnson Medical School (now Rutgers-RWJMS). There she expanded a small Medical Toxicology service and established a resident rotation. Dr. Geib joined Carolinas Medical Center’s Department of Emergency Medicine and the Division of Medical Toxicology in 2018. Dr. Geib’s interests include medical student and resident education and acute care toxicology.


William (Russ) Kerns, II MD, FACEP, FACMT

Dr. Kerns trained in Emergency Medicine at Penn State University in Hershey, Pennsylvania and at CMC. He completed additional fellowship training in Medical Toxicology at CMC. He serves as a Professor of Emergency Medicine, and his research endeavors include laboratory and clinical studies of antidotes, cardiovascular toxins, toxic alcohols, envenomations, and decontamination. Clinical duties include medical supervision for North Carolina Poison Control and the Toxicology consult service.

National endeavors include textbook contributions in Toxicology, peer review for Emergency Medicine and Toxicology journals, national lecturer, and service to the American College of Medical Toxicology.


Kathy Kopec, DO

Director, Division of Medical Toxicology

Dr. Kopec completed her medical training at Michigan State University College of Osteopathic Medicine, East Lansing, MI in 2007 and Emergency Medicine Residency at Einstein Medical Center, Philadelphia, PA in 2011. She remained at Einstein Medical Center for an additional 2 years of Medical Toxicology Fellowship. Following fellowship, she served as Emergency Medicine and Medical Toxicology Faculty at Duke University, Durham, NC from 2013-2015. She joined the CMC Faculty May 2015. Dr. Kopec currently serves as the Director of the Toxicology Division and directs the resident and visiting fellow experience on the Medical Toxicology clinical service. She has interest and experience with the international practice of toxicology.




Christine Murphy, MD, FACEP, FAAEM, FACMT, FASAM

Program Director, Medical Toxicology Fellowship


Dr. Murphy received her BS and MA degrees in Chemistry from the College of William and Mary in Williamsburg, Virginia. She completed both medical school and Emergency Medicine residency at Virginia Commonwealth University, Richmond, Virginia. She completed a Medical Toxicology fellowship at Carolinas Medical Center in Charlotte, North Carolina in 2012. She joined the Carolinas Medical Center faculty in 2013 and is an Associate Professor in Emergency Medicine. Dr. Murphy is board certified in Emergency Medicine, Medical Toxicology, and Addiction Medicine. She currently serves as the Director of the Medical Toxicology Fellowship Program at Carolinas Medical Center. She is passionate about the care of pediatric patients, and her primary research interest is in identifying alternative uses for existing antidotes.

National endeavors include peer review for national journals, past editorial board member for the Journal of Medical Toxicology, peer review for AAPCC NPDS, and national lecturer.

Contact Information:


Program Director:

Christine Murphy, MD
Division of Medical Toxicology
Department of Emergency Medicine
1000 Blythe Blvd.
Charlotte, NC  28203
Phone:  704-446-0446



Program Coordinator:


Tammy Moore
Department of Emergency Medicine
1000 Blythe Blvd.
Charlotte, NC 28203
Phone: 704-355-0506