Background and objective:
Primary care provides the first contact , comprehensive, coordinated and continuity of care in the context of a patient centered, family focused, community oriented (PFC) lens. There is a need to capacitate health care providers on the roles of a competent health care provider, researcher, leader, educator, navigator and coordinator for a successful delivery of primary care. To present an innovation in training to capacitate residents on the roles of a primary care provider .

Method:
The integrated case management is an innovation from the usual clinical case management. The resident trainee are required to present one actual patient encounter in the integrated case management session. The integrated case management is an interactive case discussion that is divided into four parts. Part I is the PFC matrix table which highlights the patient centered management using biopsychosocial approach, wellness and prevention. Family focused management are based on the analysis of family assessment tools. Community oriented care is based on the analysis of community resource awareness, access and utilization. Part II is the identification of the six roles applied to the patient, family and community management. Part III is the critical appraisal of an article that best answers the clinical dilemma encountered by the resident during the actual patient encounter or course of management. Part IV is the overall insight of the experience using the DSAQ (discoveries, surprises, affirmations and questions) format.

Results:
There is acceptability and positive feedback from the resident trainees on the utilization of the integrated case management. The competencies on the six roles of a primary care provider vis a vis in the context of a patient centered, family focused and community oriented lens is further enhanced.

Conclusion:
Integrated case management is one innovation that include experiential and reflective learning via facilitated case discussion.