Applied Clinical Informatics

Our newly approved Applied Clinical Informatics (ACI) Fellowship represents a national first—the only ambulatory-based ACI fellowship in a community health center, with a specific emphasis on impacting social determinants of health and care delivery to the underserved.

Our Passion is to leverage medical knowledge to optimize clinical care, use technology as a tool to improve clinician presence with patients, enhance care for the vulnerable, and improve the overall health and well-being of communities.


  • Two-year, ACGME-approved fellowship
  • Emphasis on graduates of primary care residencies—family medicine, internal medicine, and pediatrics
  • Competitive PGY-4–5 salary and benefits


  • Didactics—Certificate in Informatics from UT Houston (online; option to obtain MS)
  • CI research, national meeting attendance
  • CI projects
  • Organizational leadership
  • Assist with clinical system maintenance
  • Assist with clinical research development
  • EPIC certifications
Team Collaboration and Fellowships


  • Baylor University: Computer Science Dept. (basic science experience, lectures)
  • UT School of Clinical Informatics, Houston, TX (didactic sessions, certification)
  • Ascension Providence Health System (inpatient informatics rotation – proposed)
  • Kearny County Hospital, Lakin, KS (away rotation, hospital rotation)

Faculty & Educators

John Gill, MD

CMIO, Board Certified CI

Waco Faculty: Matt Rafalski

Matt Rafalski, MD

ACMIO, Board Certified CI

WFM Faculty: Don Koester, MD

Don Koester, MD

Board Eligible CI

Tim Barker, MD

Board Eligible CI

Erich Baker, PhD

Baylor University, Dept. of Computer Science

Kelly Ylitalo, PhD

Baylor University, Dept. of Epidemiology

2021–23 Fellow

Waco Family Medicine Residency Fellow: Kelly Nieves, MD

Kelly Nieves, MD

Family Medicine Residency, Tripler Army Med. Center, Honolulu, HI, Class of 2014
New York Medical College, Class of 2011
Swarthmore College, Class of 2007

@ 2023 Waco Family Medicine Residency