Introduction: The Pan American Health Organization (PAHO) promotes medical education with emphasis on the social component, through teaching care integration (TCI) defined as the process of articulation between health service and education institutions to contribute to improving the living conditions of the community by provision of adequate services to the real needs of the population. Objective: To determine whether if the teaching care integration influences in improving the quality of health services in the community and in the integral training of physicians. Design: Observational, descriptive study. Setting: Faculty of Medicine of San Antonio Abad del Cusco National University and first level of health attention establishments in extreme poverty communities of Cusco, Peru. Participants: Users of health facilities, community families, health facility workers, local authorities, and ...