This article is a reflection of the work of the physiotherapist in community settings, from a glance at the history of the practice community health at the University of Cauca. Initially, the text is a revision of the Colombian legislation on the commitments of universities with their environment (also embodied in the explicit mission of the University of Cauca and the program of physical therapy) and some at the international level on what should be the practice of physiotherapy. In light of this, the second part of the text a description of the historical development of community health practice in the physiotherapy program at the University of Cauca since 2003 until today. The final section presents conclusions and outlines the challenges ahead for this and other similar programs.