{"id":4244,"date":"2021-12-01T16:08:54","date_gmt":"2021-12-01T22:08:54","guid":{"rendered":"https:\/\/lsom.uthscsa.edu\/family-medicine\/?page_id=4244"},"modified":"2021-12-03T09:34:07","modified_gmt":"2021-12-03T15:34:07","slug":"promotores-chws-understanding-the-ethics-of-the-heart","status":"publish","type":"page","link":"https:\/\/lsom.uthscsa.edu\/family-medicine\/promotores-chws-understanding-the-ethics-of-the-heart\/","title":{"rendered":"Promotores\/CHWs, Understanding the Ethics of the Heart"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<\/p>\n<h3>Overview:<\/h3>\n<p>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.<\/p>\n<h3>Objectives:<\/h3>\n<ol>\n<li>\u00a0 Describe what is a promotor(a)\/CHW.<\/li>\n<li>\u00a0 Explain how promotores\/CHWs carry out their work of trust-building.<\/li>\n<li>\u00a0 Identify actionable steps to contribute to positive social change.<\/li>\n<\/ol>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4228\" src=\"https:\/\/lsom.uthscsa.edu\/family-medicine\/wp-content\/uploads\/sites\/75\/2021\/11\/SchlenkerCarolina-450x300.jpg\" alt=\"SchlenkerCarolina\" width=\"250\" height=\"350\" srcset=\"https:\/\/lsom.uthscsa.edu\/family-medicine\/wp-content\/uploads\/sites\/75\/2021\/11\/SchlenkerCarolina-286x400.jpg 286w, https:\/\/lsom.uthscsa.edu\/family-medicine\/wp-content\/uploads\/sites\/75\/2021\/11\/SchlenkerCarolina-393x550.jpg 393w, https:\/\/lsom.uthscsa.edu\/family-medicine\/wp-content\/uploads\/sites\/75\/2021\/11\/SchlenkerCarolina.jpg 750w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/>Carolina Gonzalez Schlenker, MD, MPH<br \/>\nAssistant Professor\/Clinical<br \/>\nFamily Medicine Residency Program<br \/>\nDepartment of Family &amp; Community Medicine<br \/>\nUT Health San Antonio<\/p>\n<h3>Financial Disclosures:<\/h3>\n<p>Carolina Gonzalez Schlenker, MD, MPH has no financial relationships with ineligible companies to disclose.<\/p>\n<p>The Family &amp; Community Medicine Professional Development and Grand Rounds Committee members (Mark Nadeau, MD, Marcy Wiemers, MD, Maria Del Pilar Monta\u00f1ez 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.<\/p>\n<p>The Family &amp; Community Medicine Professional Development and Grand Rounds Committee member Carlos Roberto Ja\u00e9n, MD has disclosed he receives royalties from General Practice and Family Medicine for being UpToDate Editor-in-Chief.<\/p>\n<h3>Credits:<\/h3>\n<p><em>AMA PRA Category 1 Credits<\/em>\u2122 (1.00 hours), Non-Physician Participation Credit (1.00 hours)<\/p>\n<h3>Target Audience:<\/h3>\n<p>Specialties \u2013 Primary Care; Family Medicine<br \/>\nFaculty, 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.<\/p>\n<h3>Accreditation:<\/h3>\n<p>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.<\/p>\n<h3>Credit Designation:<\/h3>\n<p>The Long School of Medicine designates this live activity up to a maximum of <em>1.00 AMA PRA Category 1 Credits<\/em>\u2122.<\/p>\n<p>Physicians should claim only the credit commensurate with the extent of their participation in the activity.<\/p>\n<p>Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;] \n        <a class=\"panel no-equilizer panel-mobile text-center colorized colorized-institutional\" href=\"https:\/\/cmetracker.net\/UTHSCSA\/Login?formname=regLoginLive&EventID=10089648\" title=\"\" target=\"\">\n            <span class=\"circle close2x mid-icon\"><span><i class=\"icon-checkbox-checked\"><\/i><\/span><\/span><br>\n            <h3 >View Recording (CME Credit) <\/h3>\n            <p><\/p>\n        <\/a> \n        <a class=\"panel no-equilizer panel-mobile text-center colorized colorized-academics\" href=\"https:\/\/youtu.be\/fWTYZt-M8i4\" title=\"\" target=\"\">\n            <span class=\"circle close2x mid-icon\"><span><i class=\"icon-uth-shield\"><\/i><\/span><\/span><br>\n            <h3 >View Recording (no CME Credit)<\/h3>\n            <p><\/p>\n        <\/a>[vc_column_text]For activity related questions, please contact:<br \/>\nName: Nichole Rubio- FCM Grand Rounds Coordinator<br \/>\nEmail:\u00a0<a href=\"mailto:rubion@uthscsa.edu\">rubion@uthscsa.edu<\/a><\/p>\n<p>For CME general questions, please contact<br \/>\nPh: (210) 567-4445<br \/>\nEmail: <a href=\"mailto:cme@uthscsa.edu\">cme@uthscsa.edu<\/a>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text] Overview: 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 [&hellip;]<\/p>\n","protected":false},"author":245,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4244","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Promotores\/CHWs, Understanding the Ethics of the Heart - Family and Community Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lsom.uthscsa.edu\/family-medicine\/promotores-chws-understanding-the-ethics-of-the-heart\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Promotores\/CHWs, Understanding the Ethics of the Heart - Family and Community Medicine\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text] Overview: 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 [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lsom.uthscsa.edu\/family-medicine\/promotores-chws-understanding-the-ethics-of-the-heart\/\" \/>\n<meta property=\"og:site_name\" content=\"Family and Community Medicine\" \/>\n<meta property=\"article:modified_time\" content=\"2021-12-03T15:34:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lsom.uthscsa.edu\/family-medicine\/wp-content\/uploads\/sites\/75\/2021\/11\/SchlenkerCarolina-450x300.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/promotores-chws-understanding-the-ethics-of-the-heart\\\/\",\"url\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/promotores-chws-understanding-the-ethics-of-the-heart\\\/\",\"name\":\"Promotores\\\/CHWs, Understanding the Ethics of the Heart - Family and Community Medicine\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/promotores-chws-understanding-the-ethics-of-the-heart\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/promotores-chws-understanding-the-ethics-of-the-heart\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/wp-content\\\/uploads\\\/sites\\\/75\\\/2021\\\/11\\\/SchlenkerCarolina-450x300.jpg\",\"datePublished\":\"2021-12-01T22:08:54+00:00\",\"dateModified\":\"2021-12-03T15:34:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/promotores-chws-understanding-the-ethics-of-the-heart\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/promotores-chws-understanding-the-ethics-of-the-heart\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/promotores-chws-understanding-the-ethics-of-the-heart\\\/#primaryimage\",\"url\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/wp-content\\\/uploads\\\/sites\\\/75\\\/2021\\\/11\\\/SchlenkerCarolina.jpg\",\"contentUrl\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/wp-content\\\/uploads\\\/sites\\\/75\\\/2021\\\/11\\\/SchlenkerCarolina.jpg\",\"width\":750,\"height\":1050,\"caption\":\"Dr. Carolina Schlenker\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/promotores-chws-understanding-the-ethics-of-the-heart\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Promotores\\\/CHWs, Understanding the Ethics of the Heart\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/#website\",\"url\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/\",\"name\":\"Family and Community Medicine\",\"description\":\"Department of Family &amp; Community Medicine\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/lsom.uthscsa.edu\\\/family-medicine\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Promotores\/CHWs, Understanding the Ethics of the Heart - Family and Community Medicine","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lsom.uthscsa.edu\/family-medicine\/promotores-chws-understanding-the-ethics-of-the-heart\/","og_locale":"en_US","og_type":"article","og_title":"Promotores\/CHWs, Understanding the Ethics of the Heart - Family and Community Medicine","og_description":"[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text] Overview: Promotores\/CHWs serve as a bridge of trust between health services and those that face poverty and injustice. 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