Waco Family Medicine - Institute Program

Waco, TX

Specialty:Hospice and palliative medicine (multidisciplinary)

ACGME Code:5404812125

NRMP Code:-

Status:Continued Accreditation

Overview

The Waco Family Medicine – Institute Program in Hospice and Palliative Medicine is dedicated to training exceptional physicians who provide empathetic care to patients across various age groups and backgrounds. The fellowship encompasses a holistic approach to care, emphasizing the physical, emotional, and spiritual well-being of patients. Training occurs in a multitude of environments, including inpatient hospitals, outpatient clinics, nursing homes, and patients' homes, thus reflecting the comprehensive nature of hospice and palliative medicine.

Fellowship Structure

The fellowship lasts one year and is ACGME-approved, specifically designed for graduates from primary care residencies, including family medicine, internal medicine, and pediatrics. The program offers a competitive PGY-4 salary along with comprehensive benefits, making it an appealing choice for candidates. Each fellow will engage in a variety of experiences to hone their skills in different aspects of hospice and palliative medicine.

Curriculum and Clinical Experience

The fellowship curriculum is robust, featuring a combination of didactic learning and clinical experiences. Major components include:

Didactics
Inpatient Palliative Consult Service
Inpatient Hospice
Home Hospice
Pediatric and Perinatal Experiences
Long-Term Care
Outpatient Palliative Care Clinic
Ethics
Electives
Scholarly Project

The collaborative nature of the program involves interdisciplinary teams, which include social workers, advanced practice providers, nursing staff, chaplains, and pharmacists, facilitating a well-rounded educational experience for fellows.

Clinical Collaborations

The program collaborates with several respected institutions, enhancing the training experience through varied clinical exposure. Key partnerships include:

Waco Family Medicine – Serving nearly 62,000 patients in McLennan County as a federally qualified health center.
Baylor Scott & White – Hillcrest Hospital – A 236-bed community-based hospital with a level 2 trauma center.
Community Health Care of Texas – The largest nonprofit, Medicare-certified hospice in Texas, offering an eight-bed inpatient hospice unit.
Baylor University – Incorporating a renowned Medical Humanities program into the fellowship training.

Faculty and Educators

The fellowship is guided by a distinguished faculty with varied backgrounds, including specialties in family medicine, geriatric medicine, and hospice and palliative medicine. The faculty members include:

Fellowship Director board certified in family medicine, geriatric medicine, and hospice and palliative medicine.
Associate Fellowship Director who is board certified in family medicine.
Faculty members with diverse qualifications, contributing to a rich learning environment.

Visa Support and Sponsorship

The Waco Family Medicine Program in Hospice and Palliative Medicine is welcoming to international medical graduates (IMGs) and provides visa support. The program is able to sponsor J-1 and H-1B visas, making it accessible for qualified candidates from around the world to apply.

Competitiveness and Application Requirements

This fellowship is considered highly competitive, especially for candidates from primary care backgrounds. It emphasizes graduates from family medicine, internal medicine, and pediatrics. Applicants are generally expected to have completed their residency no more than a few years prior, ensuring that they have recent clinical training. Additionally, the program may have specific stipulations regarding the maximum number of failed STEP exams, aligning with common standards across ACGME fellowships.

Unique Aspects of the Program

One of the unique aspects of the Waco Family Medicine – HPM Fellowship is its integrated approach, blending bedside clinical education with a strong emphasis on the ethical dilemmas often faced in hospice and palliative care. The interdisciplinary team dynamics foster collaboration across various healthcare specialties, which enriches the educational context for the fellows.

Overall, the program is designed to cultivate the next generation of leaders in hospice and palliative medicine, with a strong focus on compassionate patient care.

Web sources

1. Curriculum & Clinical Experience 2. Applied Clinical Informatics Fellowship 3. Global Health / Expanded Practice Fellowships 4. Hospice & Palliative Medicine • Curriculum & Clinical Experience 5. Sports Medicine Fellowship

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Program data

ACGME History ^[2]

Accreditation Last updated: Jul 16, 2026

Initial accreditation3

Full accreditation0

Continued5

Warning0

Probationary Accreditation0

Withdrawal0

#	Academic Year	Status	Effective Date
01	2019 - 2020	Initial Accreditation	Jul 1, 2019
02	2020 - 2021	Initial Accreditation	Jul 1, 2019
03	2021 - 2022	Initial Accreditation	Jul 1, 2019
04	2022 - 2023	Continued	Oct 27, 2022
05	2023 - 2024	Continued	Jan 24, 2024
06	2024 - 2025	Continued	Jan 22, 2025
07	2025 - 2026	Continued	Jan 28, 2026
08	2026 - 2027	Continued	Jan 28, 2026

Program

Program Size

-- (1 years)^[1]

Accreditation Status

Continued Accreditation

(Effective: January 28, 2026)

Composition

Training

Fellowship Rate:--

Faculty-to-Residents Ratio:2.5X^[1]

Residents Career Path

Quality of Life

First Year Paid Sick Leave: --

First Year Paid Vacation: --

First Year Salary: $74,433^[1]

First Year Maximum Consecutive Hours on Duty: 12 hours ^[1]

First Year Average Weekly Hours: 45 hours^[1]

Admission

USMLE Step 2 Score: --

Visa Sponsorship:--

YOG Cutoff:--

Race / Ethnicity

No race data available.

Gender

No gender data available.

Incoming Schools

No incoming school data available.

Rotation Duration by Site

Rotation Duration Chart Data

Benchmarks

Roster

Location

Waco, TX ^[4]

Population

138,486

Median income

$52,770Below

Education

28.8%On par

Employment

60.3%Below

Health

14.7%Above

Age

29Below

Above the national average
Below the national average
Similar to the national average

Housing — Rental prices ^[5]

Rental prices

Typical Observed Market Rent Index - ZORI Over Time

Date

Region - Waco, TX

State - Texas

United States

1/31/2015

N/A

$1,111

$1,193

2/28/2015

N/A

$1,115

$1,199

3/31/2015

N/A

$1,115

$1,206

4/30/2015

N/A

$1,118

$1,213

5/31/2015

N/A

$1,116

$1,228

6/30/2015

N/A

$1,118

$1,233

7/31/2015

N/A

$1,122

$1,235

8/31/2015

N/A

$1,126

$1,241

9/30/2015

N/A

$1,130

$1,245

10/31/2015

N/A

$1,133

$1,253

11/30/2015

$796

$1,131

$1,259

12/31/2015

$795

$1,139

$1,263

1/31/2016

$801

$1,142

$1,275

2/29/2016

$785

$1,144

$1,279

3/31/2016

$799

$1,140

$1,282

4/30/2016

$792

$1,141

$1,285

5/31/2016

$815

$1,132

$1,291

6/30/2016

$813

$1,133

$1,294

7/31/2016

$829

$1,136

$1,295

8/31/2016

$827

$1,140

$1,303

9/30/2016

$828

$1,142

$1,307

10/31/2016

$829

$1,141

$1,311

11/30/2016

$823

$1,143

$1,312

12/31/2016

$831

$1,142

$1,313

1/31/2017

$826

$1,138

$1,317

2/28/2017

$844

$1,144

$1,324

3/31/2017

$836

$1,149

$1,335

4/30/2017

$851

$1,153

$1,346

5/31/2017

$838

$1,157

$1,353

6/30/2017

$842

$1,160

$1,357

7/31/2017

$835

$1,159

$1,359

8/31/2017

$845

$1,160

$1,363

9/30/2017

$857

$1,164

$1,406

10/31/2017

$863

$1,168

$1,414

11/30/2017

$864

$1,174

$1,413

12/31/2017

$866

$1,178

$1,420

1/31/2018

$879

$1,178

$1,422

2/28/2018

$884

$1,181

$1,427

3/31/2018

$886

$1,183

$1,429

4/30/2018

$885

$1,186

$1,434

5/31/2018

$890

$1,189

$1,438

6/30/2018

$889

$1,193

$1,444

7/31/2018

$889

$1,195

$1,449

8/31/2018

$887

$1,200

$1,455

9/30/2018

$885

$1,203

$1,461

10/31/2018

$894

$1,206

$1,465

11/30/2018

$902

$1,211

$1,473

12/31/2018

$909

$1,215

$1,482

1/31/2019

$906

$1,219

$1,492

2/28/2019

$907

$1,217

$1,495

3/31/2019

$915

$1,225

$1,503

4/30/2019

$919

$1,228

$1,509

5/31/2019

$925

$1,229

$1,514

6/30/2019

$933

$1,234

$1,519

7/31/2019

$942

$1,239

$1,526

8/31/2019

$947

$1,241

$1,531

9/30/2019

$951

$1,244

$1,534

10/31/2019

$948

$1,247

$1,541

11/30/2019

$950

$1,251

$1,545

12/31/2019

$950

$1,254

$1,552

1/31/2020

$955

$1,256

$1,560

2/29/2020

$955

$1,260

$1,565

3/31/2020

$957

$1,264

$1,565

4/30/2020

$964

$1,262

$1,566

5/31/2020

$969

$1,258

$1,563

6/30/2020

$971

$1,256

$1,562

7/31/2020

$965

$1,259

$1,571

8/31/2020

$975

$1,263

$1,574

9/30/2020

$978

$1,267

$1,586

10/31/2020

$1,000

$1,275

$1,593

11/30/2020

$1,003

$1,283

$1,602

12/31/2020

$1,005

$1,291

$1,606

1/31/2021

$1,010

$1,301

$1,613

2/28/2021

$1,016

$1,310

$1,620

3/31/2021

$1,035

$1,316

$1,629

4/30/2021

$1,036

$1,334

$1,649

5/31/2021

$1,051

$1,355

$1,663

6/30/2021

$1,056

$1,386

$1,686

7/31/2021

$1,073

$1,395

$1,707

8/31/2021

$1,083

$1,412

$1,729

9/30/2021

$1,102

$1,446

$1,752

10/31/2021

$1,121

$1,466

$1,767

11/30/2021

$1,145

$1,481

$1,777

12/31/2021

$1,161

$1,496

$1,791

1/31/2022

$1,160

$1,527

$1,800

2/28/2022

$1,176

$1,537

$1,820

3/31/2022

$1,181

$1,543

$1,829

4/30/2022

$1,212

$1,549

$1,841

5/31/2022

$1,221

$1,561

$1,852

6/30/2022

$1,255

$1,575

$1,861

7/31/2022

$1,263

$1,585

$1,868

8/31/2022

$1,274

$1,583

$1,872

9/30/2022

$1,276

$1,595

$1,875

10/31/2022

$1,273

$1,592

$1,873

11/30/2022

$1,274

$1,585

$1,875

12/31/2022

$1,280

$1,582

$1,874

1/31/2023

$1,299

$1,582

$1,877

2/28/2023

$1,299

$1,590

$1,879

3/31/2023

$1,301

$1,595

$1,884

4/30/2023

$1,298

$1,596

$1,886

5/31/2023

$1,301

$1,599

$1,886

6/30/2023

$1,288

$1,596

$1,886

7/31/2023

$1,291

$1,597

$1,891

8/31/2023

$1,294

$1,597

$1,908

9/30/2023

$1,309

$1,602

$1,912

10/31/2023

$1,306

$1,603

$1,916

11/30/2023

$1,304

$1,604

$1,918

12/31/2023

$1,306

$1,619

$1,921

1/31/2024

$1,309

$1,631

$1,928

2/29/2024

$1,322

$1,620

$1,932

3/31/2024

$1,325

$1,632

$1,935

4/30/2024

$1,330

$1,636

$1,942

5/31/2024

$1,332

$1,638

$1,946

6/30/2024

$1,342

$1,645

$1,973

7/31/2024

$1,351

$1,645

$1,958

8/31/2024

$1,347

$1,642

$1,992

9/30/2024

$1,339

$1,641

$1,993

10/31/2024

$1,335

$1,639

$1,995

11/30/2024

$1,346

$1,638

$1,999

12/31/2024

$1,341

$1,643

$2,003

1/31/2025

$1,346

$1,646

$2,006

2/28/2025

$1,340

$1,655

$2,007

3/31/2025

$1,343

$1,651

$2,016

4/30/2025

$1,342

$1,651

$2,019

5/31/2025

$1,343

$1,649

$2,022

6/30/2025

$1,342

$1,653

$2,026

7/31/2025

$1,339

$1,654

$2,029

8/31/2025

$1,345

$1,655

$2,027

9/30/2025

$1,350

$1,656

$2,030

10/31/2025

$1,360

$1,656

$2,052

11/30/2025

$1,359

$1,662

$2,095

12/31/2025

$1,366

$1,660

$2,086

1/31/2026

$1,363

$1,665

$2,160

2/28/2026

$1,367

$1,674

$2,178

Crime — All violent offences ^[6]

Rate per 100,000 residents

Rate per 100,000 people Over Time

Date

Region - Waco, TX

State - Texas

United States

4/1/2021

124

5/1/2021

142

100

6/1/2021

142

7/1/2021

141

101

8/1/2021

120

9/1/2021

133

10/1/2021

114

11/1/2021

104

12/1/2021

110

1/1/2022

111

2/1/2022

119

3/1/2022

123

4/1/2022

130

5/1/2022

128

104

6/1/2022

127

7/1/2022

136

102

8/1/2022

130

9/1/2022

119

10/1/2022

121

11/1/2022

106

12/1/2022

118

1/1/2023

123

2/1/2023

126

3/1/2023

128

4/1/2023

136

5/1/2023

152

6/1/2023

124

7/1/2023

122

8/1/2023

105

9/1/2023

136

10/1/2023

109

11/1/2023

105

12/1/2023

1/1/2024

112

2/1/2024

3/1/2024

105

4/1/2024

106

5/1/2024

121

6/1/2024

110

7/1/2024

104

8/1/2024

9/1/2024

112

10/1/2024

123

11/1/2024

12/1/2024

101

1/1/2025

2/1/2025

3/1/2025

4/1/2025

5/1/2025

115

6/1/2025

113

7/1/2025

110

8/1/2025

114

9/1/2025

10/1/2025

110

11/1/2025

12/1/2025

1/1/2026

2/1/2026

3/1/2026

Living in Waco, TX

Crime Rate and Safety

Waco has a slightly higher crime rate compared to the national average, especially in certain areas. However, the overall safety level is moderate, and like any city, taking basic precautions can help.

Fun Activities

Waco offers a variety of activities, including visiting the famous Magnolia Market at the Silos, exploring the Cameron Park Zoo, and enjoying outdoor recreational opportunities at Lake Waco. The city also hosts cultural events and festivals throughout the year.

Climate

Waco has a humid subtropical climate with hot summers and mild winters. Residents experience all four seasons, with occasional thunderstorms in the spring and hot temperatures in the summer.

Races and Population

Waco has a diverse population with a mix of races and cultures, contributing to a vibrant community atmosphere.

Education

Waco is home to Baylor University, a prestigious institution known for its academic programs and sports teams. The city also has public and private schools for K-12 education.

Cost of Living

The cost of living in Waco is relatively lower than in major cities, making it an attractive option for residents looking for affordable housing and everyday expenses.

Proximity to Bigger Cities

Waco is located approximately 90 minutes away from Austin and 3 hours from Dallas by car. Both Austin and Dallas offer more extensive entertainment, dining, and cultural amenities.

Pros

Affordable cost of living
diverse population
proximity to bigger cities.

Cons

Slightly higher crime rate in some areas
hot summers.

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Nearby programs

Hospice and palliative medicine (multidisciplinary) Programs Near Waco, TX

Other specialties near Waco, TX

References

1. Freida - https://freida.ama-assn.org/program/5404812125

2. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search

3. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/

4. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US4876000

5. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/

6. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr