Grand Rounds – ​ Promotores/CHWs, Understanding the Ethics of the Heart

Event Date & Time

December 1, 2021 at 12:30pm - 1:30pm


Video Conference

Event Details:


Promotores/CHWs serve as a bridge of trust between health services and those that face poverty and injustice. Their stories illuminate two incompatible trends in medicine: the growing evidence that health is socially determined, and the increasingly technical, depersonalized, and financially driven provision of services. We present our trust-building model as a tool for facing this ethical dilemma by decoupling health value from economic value using the story as the unit of analysis. We propose that the information promotores/CHWs bring into healthcare can offer opportunities for clinicians to resist structural injustice.


  1.   Describe what is a promotor(a)/CHW.
  2.   Explain how promotores/CHWs carry out their work of trust-building.
  3.   Identify actionable steps to contribute to positive social change.

Financial Disclosures:

Carolina Gonzalez Schlenker, MD, MPH has no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee members (Mark Nadeau, MD, Marcy Wiemers, MD, Maria Del Pilar Montañez Villacampa, MD, Christine Song, DO, Nehman Andry, MD, Gabriela Lopez, PsyD, Maureen Alvarado, DO, Yun Shi, MD, Stacy Ogbeide, PsyD, Inez I. Cruz, PhD, and Nichole Rubio) have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee member Carlos Roberto Jaén, MD has disclosed he receives royalties from General Practice and Family Medicine for being UpToDate Editor-in-Chief.

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience:

Specialties – Primary Care; Family Medicine  
Faculty, residents, other health care providers and staff from our department; physicians and health care providers from San Antonio and South Texas; and medical students in our third-year clerkship and fourth year rotations. 


The UT Health Long San Antonio School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation:

The Long School of Medicine designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board.

For activity related questions, please contact:

Name: Nichole Rubio- FCM Grand Rounds Coordinator


For CME general questions, please contact:

Ph: (210) 567-4445




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About the Speaker(s)


SchlenkerCarolinaCarolina Gonzalez Schlenker, MD, MPH
Assistant Professor/Clinical
Family Medicine Residency Program
Department of Family & Community Medicine
UT Health San Antonio