Special Circumstances
Learning Objectives
- Understanding how social determinants of health, diversity and multiculturalism affect patient care
- Approaching sexual assault and care in the emergency department
- Understanding integration of emergency medical services into emergency care
This course provides healthcare professionals with a comprehensive understanding of how social determinants of health, diversity, and multiculturalism impact patient outcomes in the emergency setting. Participants will learn to recognize and address barriers to care, ensuring equitable and culturally competent treatment for all patients. The course also explores the sensitive and multidisciplinary approach to managing sexual assault cases in the emergency department, focusing on trauma-informed care and forensic considerations. Additionally, learners will gain insight into the integration of emergency medical services (EMS) into hospital-based emergency care, enhancing coordination and continuity of care from prehospital to definitive treatment. Through case-based discussions and practical applications, this course prepares clinicians to provide inclusive, patient-centered, and efficient emergency care.
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. Karen Jubanyik
Karen Jubanyik, MD is Associate Professor, Clinician-Educator Track, in the Department of Emergency Medicine. She received her medical degree from Yale University School of Medicine and completed residency training in Internal Medicine and Emergency Medicine as well as a fellowship in Women's Health, at Yale-New Haven Hospital.
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.
Dr. Dave Leonard
Dave Leonard, PA is a physician assistant in the emergency department at Yale University. He focuses on quality improvement initiatives.
Dr. Tom Lardaro
Thomas Lardaro, MD, MPH serves as the Emergency Medical Services (EMS) Section Chief for the Department of Emergency Medicine and system medical director for the Office of Emergency Preparedness in the Yale New Haven Health System. He was appointed chair of the national EMS Committee at the American College of Emergency Physicians (ACEP) in 2024.
