Hospice & Palliative Medicine

Our Passion is to train phenomenal physicians to provide compassionate, whole-person hospice and palliative medicine care.

The Waco Family Medicine – HPM Fellowship delivers care to pediatric, adult, and geriatric patients from a variety of medical, cultural, religious, and socioeconomic backgrounds. We train in multiple settings, including inpatient, outpatient, nursing home, and patients’ homes. And we provide comprehensive assessment and management of patients’ suffering and quality of life, with particular attention to their physical, functional, social, psychological, spiritual, and cognitive domains.

Structure

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

Curriculum and Clinical Experience

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

Collaborations

Waco Family Medicine

A federally qualified health center caring for nearly 62,000 patients in McLennan County.

Baylor Scott & White – Hillcrest Hospital

A 236-bed community-based hospital and level 2 trauma center with 24 adult intensive care unit beds and 20 neonatal intensive care unit beds.

Community Health Care of Texas

The largest nonprofit, Medicare-certified hospice in Texas with an eight-bed inpatient hospice unit.

Baylor University

A private Christian university and nationally ranked research institution with a premiere Medical Humanities program.

Faculty & Educators

Interdisciplinary teams including social workers, advanced practice providers, nursing staff, chaplains, and pharmacists

Paul Smith, DO

Paul Smith, DO

Fellowship Director

Board Certified in Family Medicine, Geriatric Medicine, and Hospice and Palliative Medicine

Joshua Wesley, MD

Joshua Wesley, MD HDMC

Associate Fellowship Director

Board Certified in Family Medicine
Certified Hospice Medical Director

Waco Family Medicine Residency Fellow: Katie Altahif

Katie Altahif, MD

Faculty

Board Certified in Family Medicine
Board Eligible in Hospice and Palliative Medicine

Kindra Dursteler, MD

Faculty

Board Certified in Internal Medicine
Board Eligible in Hospice and Palliative Medicine

Devan Stahl, PhD, MDiv

Devyn Stahl, PhD, MDiv

Faculty

Clinical Bioethicist, Baylor University

Zach Sartor, MD

Faculty

Board Certified in Family Medicine
Research and Quality Improvement

WFM Faculty: Lance Kelley, PhD

Lance Kelley, PhD

Faculty

Primary Care Psychologist, Waco Family Medicine

Interdisciplinary Teams

Including social workers, advanced practice providers, nursing staff, chaplains, and pharmacists

Current Fellows

Milagros Florian Germán

University of Puerto Rico Medical Sciences Geriatrics Fellowship, Class of 2022
University of Puerto Rico Medical Sciences Family Medicine Residency, Class of 2021
University of Puerto Rico School of Medicine, Class of 2017
University of Puerto Rico, Class of 2012

@ 2022 Waco Family Medicine Residency