The Philippines' PBFCMRTP program in Sorsogon province allows rural doctors to complete residency training directly at their workplaces, ensuring continuity of primary care delivery during training. The program uses a hybrid curriculum combining digital classrooms, peer-to-peer learning, case discussions, regular site visits and assessments, as well as remote supervision with mentors. In four years, the program has achieved full accreditation and has successfully prepared physicians to lead primary care in resource-constrained, community-oriented settings. This model is based on the principles of the Philippine Universal Health Care Act and emphasizes health systems integration, primary care leadership, and patient- and family-centered care. Key success factors are strong local governance, policy support, use of digital platforms, participant engagement, experienced trainers and cross-sectoral collaboration. The Sorsogon experience shows that scaling up such distributed residency programs is possible in low- and middle-income countries and can help decentralize medical education and strengthen rural health care[1][2].