Physician Peer Education · Armenia

Clinical Case & Learning Program

A peer-to-peer medical learning program for Armenian physicians — bridging US clinical guidelines, obesity medicine, and complex internal medicine with frontline Armenian practice.

About the Educator

Lilit Margaryan, MD

Double board-certified in Internal Medicine and Obesity Medicine

Yerevan State Medical University, MD

Clinical Research Fellowship — Cleveland Clinic

Internal Medicine Residency — The Christ Hospital, Cincinnati, OH

Founder, Li Health (US telehealth clinic)

Purpose

To support Armenian physicians with current US-based clinical reasoning, guideline updates, and case-based learning — particularly in areas where the Armenian medical system has limited access to newer therapies or specialty expertise (obesity medicine, GLP-1 therapy, preventive medicine, complex internal medicine).

The goal is not to direct care. The goal is to share the knowledge, discuss, and strengthen clinical thinking — physician to physician, peer to peer.

What This Program Is — and Is Not

This Program IS

Peer-to-peer clinical learning
Case discussion
Review of current US guidelines
A space to think through hard cases together
FREE

This Program IS NOT

A consultation service for patients
A prescription or treatment directive
A substitute for the treating physician’s judgment
A second medical opinion for patients directly
A referral or telemedicine service

Areas of Focus

Obesity Medicine & GLP-1 therapy — Wegovy, Zepbound, orforglipron, dosing, side effects, long-term protocols
Preventive Medicine — screening, risk stratification, lifestyle medicine, chronic disease prevention
Complex Internal Medicine — diagnostic reasoning, multi-system cases
Ambulatory & Cross-Coverage Medicine — managing uncertainty, triage thinking

How It Works

Individual Case Discussion

Physicians submit a de-identified case using the form on the following page. Cases are reviewed ahead of time. A 30–45 minute video meeting follows, structured as a teaching discussion — not a directive.

Monthly Group Case Conference

One physician presents a de-identified case. Others attend, discuss, and learn together. One hour on Zoom, monthly. Recordings available to participants with consent.

How to Participate

Click Sign Up Now below to open the case submission form
Submit de-identified — no patient names, ID numbers, or identifying photos
Send completed form and any relevant labs/imaging to: giveback@lihealthclinic.com
A meeting time will be scheduled within 1–2 weeks of receipt
Can use Armenian, Russian, English language , English preferred

Important. This program provides medical education and peer discussion only. It is not a substitute for the treating physician’s clinical judgment. All treatment decisions remain the responsibility of the treating physician, who has the full clinical picture. Lilit Margaryan, MD is not licensed to practice medicine in Armenia and does not provide direct patient care through this program.

Case Submission Form

Clinical Case for Peer Discussion

Please complete all fields. De-identify the patient completely — no names, addresses, ID numbers, or identifying photos. Incomplete submissions will be returned.

Presenting Physician

Full Name

Specialty

Institution / Practice

Years in Practice

Phone / WhatsApp

Case Information

Patient Age

Sex

BMI (if relevant)

Chief Complaint / Reason for Presentation (one sentence)

Relevant History (past medical, surgical, family, social — as relevant)

Current Medications & Allergies

Physical Exam / Key Findings

Relevant Labs, Imaging, Diagnostics (attach separately — de-identified)

What Has Been Tried So Far

Your Questions

Top 3 Specific Questions You Want Discussed

Topics You'd Like to Explore More Broadly (optional — e.g. GLP-1 dosing strategy, HRT initiation, etc.)

Format & Acknowledgment

I prefer an individual 1:1 case discussionI am open to presenting at the monthly group case conferenceI consent to the discussion being recorded for educational purposes (optional)

Acknowledgment. I understand that this discussion is peer-to-peer medical education, not a clinical consultation or directive. I remain the treating physician and retain full responsibility for all clinical decisions regarding this patient. The patient has been de-identified in this submission.

Physician Signature

Date