Toxicology Fellowship
Northwell Health offers a Fellowship in Medical Toxicology at North Shore University Hospital & Long Island Jewish Medical Center (NS/LIJ). This comprehensive two-year program in the Department of Emergency Medicine is geared toward training fellows in the academic and clinical aspects of toxicology and pharmacology and is accredited by the Accreditation Council for Graduate Medical Education (ACGME). The Fellowship in Medical Toxicology at NS/LIJ provides fellows with the opportunity to learn from some of the world’s leading toxicology experts in a robust learning environment at one of the top teaching hospitals in the Northeast. We also encourage the fellows to pursue their specific interests within the field and to avail themselves of training, teaching, and research opportunities at the regional, national, and international levels.To optimize and diversify the clinical experience, our medical toxicology fellowships are affiliated with the New York City Poison Control Center, the Long Island Jewish Medical Center, Cohen Children’s Medical Center and Staten Island University Hospital.
Medical toxicology fellows are also extremely involved in a faculty practice toxicology clinic where patients exposed to sub-acute or occupational/environmental poisonings are evaluated.
Medical Toxicology Fellowship Research
Our two-year medical Fellowship in Medical Toxicology at NS/LIJ offers research opportunities in clinical medicine and basic science, with access to state-of-the-art laboratories on campus. North Shore University Hospital is in the top 10 percent of all institutions nationwide receiving funding from the National Institutes of Health (NIH). Additionally, the fellow is assisted by a full-time research director and research assistants.
Program Goals
During our two-year program, the medical toxicology fellow will:
- Learn about industrial toxicology, safety standards, and hygiene procedures for environmental monitoring
- Improve skills of managing the medical complications resulting from hazardous material incidents
- Participate in both animal and human research that can lead to improved treatment of poisoned patients
- Communicate research findings by publishing in medical journals and by presenting at medical conferences
- Help educate medical personnel, such as paramedics and physicians, through toxicology training
- Understand the functions and activities of poison control centers
- Become familiar with analytical methodologies in the toxicology laboratory
- Become competent in the prevention of poisoning in the home and work place through public education programs and through direct involvement with industry
- Understand the utility and indications for hyperbaric medicine in toxicology
- Prepare for certification by the American Board of Emergency Medicine, and the certifying primary boards of emergency medicine, pediatrics, and preventative medicine
––– Meet Our People –––
Dr. Joshua Nogar, Toxicology Fellowship Director:
Residency: University of New Mexico, Emergency Medicine: 2006-2009
Fellowship: University of California San Diego, 2009-2011
Dr. Nogar grew up in the High Desert of New Mexico, but has been a New Yorker for 16 years. He has been faculty in the departments of Emergency Medicine & Medical Toxicology at North Shore University Hospital & Long Island Jewish Medical Center since 2011 (splitting his time equally between both academic sites). He has been the Medical Toxicology Fellowship director at Northwell Health since 2016. His areas of specific interest include fellow education, metabolic uncouplers, overdose trends, and addiction medicine. He is dedicated to helping trainees achieve their individual career goals, as well as adapting the fellowship program to the changing scope of practice for Medical Toxicologists.
Outside of work, Dr. Nogar enjoys spending time with his family, & is an avid outdoorsman/fly-fisherman.
(For inquiries about the Northwell Medical Toxicology Fellowship, please email jnogar@northwell.edu & CC: sluciano@northwell.edu)
Dr. Clifford Masom, Assistant Fellowship Director – Medical Toxicology
Residency: Lehigh Valley
Fellowship: University of California – San Diego
Clifford Masom MD is a graduate from Stony Brook University where he graduated cum laude with a Bachelor of Sciences. He attended medical school at St. George’s University School of Medicine in Grenada, & completed his EM residency at Lehigh Valley Health Network in Pennsylvania. Afterwards, he completed a Medical Toxicology fellowship at the University of California in San Diego, with a specific interest in critical care toxicology, ethanol withdrawal, and plant toxicity. Dr. Masom is triple(!)-boarded in Emergency Medicine and Medical Toxicology with an additional certificate in Addiction Medicine as well.
He is the Associate Director of Medical Toxicology for Northwell Health, and was awarded North Shore University Hospital EM Teaching Attending of the Year in 2020-2021. When not pursuing interests of his academic career he enjoys an active life style involving surfing, hiking, mountain biking and running.
Dr. Adam Berman, Core Faculty, Assoc. Chair:
Residency: NYP Brooklyn Methodist Hospital
Fellowship: North Shore University Hospital (now Northwell Health)
Dr. Berman grew up outside of Chicago and completed his BS and MS in neuroscience at Tulane University in New Orleans, Louisiana. He then moved to New York and graduated with his MD from New York Medical College. Following this, Dr. Berman completed a residency in emergency medicine at New York Presbyterian—Brooklyn Methodist Hospital, followed by a toxicology fellowship at Northwell Health. Since finishing training, Dr. Berman has focused on patient care, resident/fellow education, emergency department administration and hospital quality. He is the current Associate Chair of Emergency Medicine at Long Island Jewish Medical Center, and he also serves as the Chair of the hospital’s Performance Improvement Collaboration Group. Recently Dr. Berman became interested in addiction medicine, an area with significant overlap with toxicology. His work has helped to set up a buprenorphine-naloxone initiation program within the emergency department, which has opened up new areas for education of residents and fellows.
Dr. Nima Majlesi, Core Faculty
Residency: Morristown
Toxicology Fellowship: North Shore University Hospital (now Northwell Health)
Dr. Majlesi graduated from the North Shore medical toxicology program in 2009 and then was hired as the Director of Medical Toxicology at Staten Island university Hospital that year. He has been working there since with a goal of developing medical toxicology within the system and improving bedside care of poisoned patients, and expanding the role of Telehealth in the management of poisoned patients throughout the Northwell Health system.
Dr. Payal Sud, Core Faculty
Dr. Sud has been Emergency Medicine & Medical Toxicology faculty at Northwell since 2013. She has served as the Associate Program Director for the Emergency Medicine residency program from 2014-2017, the Associate Program Director for the Medical Toxicology fellowship from 2017-2018 and is currently the Associate Chair of Emergency Medicine at Glen Cove Hospital, Northwell Health. Besides her involvement in the Medical Toxicology fellowship, she maintains her interests in quality improvement as the Chair of the hospital’s Performance Improvement Coordinating Group. She is also involved in various interdepartmental and interfacility quality initiatives to improve the care of elderly patients, patients with strokes, sepsis, and COVID-19.
Dr. Wells Brambl, Core Faculty
Wells Brambl graduated from Medical School at Loyola University Chicago: Stritch School of Medicine. He then completed residency in Emergency Medicine at Maimonides Medical Center. He finished training with a fellowship in Medical Toxicology at Northwell Health, where he currently practices Emergency Medicine and Medical Toxicology. Professional and academic interests involve the overlap of technology and toxicology, medical education, and partnering with pharmacy to improve patient care.
Dr. Ken Spaeth, Core Faculty
Ken Spaeth, MD, MPH received his medical degree from the University of Connecticut School of Medicine and completed a residency in Internal Medicine at St. Vincent’s Medical Center in New York City. He went on to complete a fellowship in Occupational and Environmental Medicine at Harvard School of Public Health. Dr. Spaeth serves as Division Chief of and Medical Director for Occupational and Environmental Medicine at Northwell Health. Dr. Spaeth is a faculty member in Hofstra University’s Masters in Public Health program and is clinical faculty member of the Northwell Medical Toxicology program. He has co-written textbooks, published papers and presented at national conferences regarding exposure hazards.
Sanjay Mohan, MD
Sanjay was born and raised on Long Island, New York. After venturing to upstate New York for college, he returned to the city and attended New York University and Bellevue Hospital for medical school and emergency medicine residency, where he served as chief resident during his final year. He subsequently completed a medical toxicology fellowship at the New York City Poison Control Center.
