This presentation will describe the adoption of a new Behavioral Health Consultant in an academic primary care clinic and as a member of a family medicine residency training team. We will describe what clinical concerns most often led residents to consult with the BHC and the educational need addressed during a resident-BHC encounter. This session will also discuss considerations for other programs and settings implementing a new integrated care model such as PCBH, including the importance of measuring utilization, managing organizational priorities, and communicating the role of a BHC. This presentation demonstrates the room for growth and need for more robust training about BHCs and the PCBH model in family medicine.