Metabolism and Endocrinology
Learning Objectives
- Understanding and treatment fundamental endocrinologic diseases such as adrenal insufficiency, diabetes, and thyroid disorder
- Stabilizing patients with endocrinologic emergencies (DKA, HHS, thyroid storm and myxedema)
- Approach to understanding blood gases
This course provides healthcare professionals with essential knowledge and skills to recognize and manage critical endocrinologic conditions in the emergency setting. Participants will develop a comprehensive understanding of adrenal insufficiency, diabetes, and thyroid disorders, with a focus on stabilizing patients experiencing life-threatening emergencies such as diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic state (HHS), thyroid storm, and myxedema coma. Additionally, the course will cover the interpretation of blood gases to guide clinical decision-making in acutely ill patients. Through case-based discussions and hands-on practice, learners will enhance their ability to provide rapid, effective interventions for endocrine emergencies.

Dr. Armen Yerevanian
Dr. Armen Yerevanian is an Instructor of Medicine at Harvard Medical School and a National Institutes of Aging funded investigator. His research focus is studying hermetic mechanisms in aging and metabolic diseases, with an emphasis on functional genomics in C. elegans and the translational biology of conserved stress responses. His recent work demonstrates the lifespan extending impact of riboflavin depletion and micronutrient-based mimicry of caloric restriction pathways. His clinical interests include diabetes, obesity, metabolism and neuroendocrinology. He is also a member of the RADIANT atypical diabetes network to phenotype novel presentations of diabetes.

Oriane Longerstaey, MD
Dr. Longerstaey is currently a fellow in the division of Global Emergency Medicine at Brown University in Providence, RI. After obtaining her medical doctorate from the Keck School of Medicine of the University of Southern California, she graduated from her residency in emergency medicine at Carolinas Medical Center in Charlotte, NC. Her research interests lie in global emergency medicine and capacity building of emergency systems. She has particular expertise in graduate medical education with ongoing residency education projects in Tanzania and Armenia. She has also worked in Rwanda to build a curriculum for mass casualty incidents response for physicians, nurses and paramedics.

Dr. Naira Baregamian
Dr. Baregamian is a fellowship-trained Endocrine Surgeon who joined our surgical faculty in the Division of Surgical Oncology and Endocrine Surgery after serving as an Endocrine Surgery Fellow in the Department of Surgery at Yale University, New Haven, Connecticut.

Dr. Hasmik Arzumanyan
Hasmik Arzumanyan, MD is an endocrinologist at Oakland Medical Center in Oakland California. She studied medicine at Yerevan State Medical University and completed her internal medicine residency at Johns Hopkins University/Sinai Hospital. She completed her fellowship in endocrinology at Stanford University Hospital.

Dr. Tigran Aghabekyan
Tigran Aghabekyan, MD is a graduate of Yerevan State Medical University. He is currently an internal medicine resident at Downstate Health Sciences University.

Sharon Chekijian, MD, MPH
Dr. Chekijian joined the Yale School of Medicine faculty in 2007 where she works full-time as an Associate Professor in the Department of Emergency Medicine. She is faculty member in the Section of Global Health and International Emergency Medicine as well as in the Section of Administration. She has served as the inaugural Medical Director of patient experience since 2011. She is also the Medical Director of the Physician Assistant and Nurse Practitioner group in the Department of Emergency Medicine. Dr. Chekijian is a seasoned educator and is the founding Medical Director of the APP residency program which admitted its 1st cohort in 2015. She completed the Yale Medical Education Fellowship in 2014. Her research interests lie in global emergency medicine and include emergency care systems' development in low and middle-income countries, unintentional injury prevention in low and middle-income countries, as well as stroke and cardiac care in low and middle-income countries. Dr. Chekijian has led and participated in projects in the Republic of Armenia, Uganda, and Iraq. She has consulted for the World Bank and the US Department of State. She is an active member of the Stroke Initiative Advisory Task-Force for Armenia (SIATA). Dr. Chekijian was awarded a Fulbright in 2020 for her work to improve emergency care in Armenia by the establishment of a new emergency medicine residency program in cooperation with the National Institutes of Health of Armenia and supported from a research standpoint by the School of Public Health at the American University of Armenia. She is deeply committed to patient experience, communication and humanism in medicine. Dr. Chekijian co-produced a film that addresses human rights as it relates to the Armenian Genocide of 1915 under the working title “The Hidden Map” that premiered at the Toronto Pomegranate Film Festival in 2019.