St. Anthony Foundation • 121 Golden Gate Avenue • San Francisco, CA 94102

ST. ANTHONY FREE MEDICAL CLINIC
Restoring Health, Hope and Human Dignity

Dr. Katy Broner, named one of the Bay Area’s top 500 doctors by San Francisco magazine, tries to make St. Anthony Free Medical Clinic the kind of welcoming place where she would send her own daughter.

About seven years ago, Dr. Katy Broner made a list of everything her dream job would include. “When I saw the ad for a pediatrician at St. Anthony Free Medical Clinic, my list was right there in the job description.”

Today, Dr. Broner provides drop-in appointments, routine physicals, and well baby checks to patients who might be living in shelters, Single Room Occupancy hotel rooms, or in cramped studios with up to 10 members of their extended family. Despite such challenges, Dr. Broner is glad to work at a free clinic.

“I wanted to work at a place where I wouldn’t have to turn away people without insurance,” says Dr. Broner. “I like the focus on caring for the patients. My goals are to make this the kind of clinic that I would want my own daughter to come to, to provide comprehensive care, and to find children a medical home who don’t have access to any other medical home.”

Combining Compassion with Excellence
Dr. Broner is one of 23 paid staff and eight volunteers who provide primary medical care to uninsured children and adults. Like most of the Clinic staff, Dr. Broner is bilingual; the Clinic provides services in Spanish, Cantonese, Mandarin, Mien, Laotian, Thai, Vietnamese, French, and American Sign Language. And like all her Clinic colleagues, Dr. Broner combines compassion and excellence in her work: in 2001, she was named as one of the Bay Area’s top 500 doctors by San Francisco magazine.

The Clinic provides 15,000 patient visits annually to adult and pediatric patients. In the 1950s, the Clinic began as a TB screening and first aid station in the Dining Room. It developed into a full-fledged clinic under the leadership of Dr. Francis Curry, a former head of the Department of Public Health in San Francisco who served as the Clinic’s medical director for many years. Today, the Clinic provides everything from smoking cessation classes and HIV screenings to podiatry and allergy services. Patients also receive many of their medications free of charge through the Clinic’s pharmacy.

About three-quarters of Dr. Broner’s patients are Mexican or Central American immigrants, with others from Southeast Asia, Yemen, as well as the United States. Many face hunger, malnutrition, and — paradoxically — obesity, because fast food and other inexpensive meals are high in fat but low in nutrition. Others display developmental or language delays.

Healing the Whole Family
Dr. Broner works with child literacy programs to distribute free books in Spanish and English to her patients. “Parents get very excited when I tell them that new research shows that children’s brains develop most in the first three years of life, and that it will really help to read with their child. I’ll read a page or two, so they can see how excited the child is about the interaction, and how it can be a very special time for both of them.”

Dr. Broner also enjoys working with teenagers. “If an adolescent is floundering, I try to find out what their dreams for the future are, and provide encouragement and resources to help them follow those dreams. For example, if somebody is really interested in art, but nobody in their family knows anything about art, I’ll try to connect them with a mentorship program.”

As a pediatrician, Dr. Broner looks not just at a child’s sore foot or ear, but at the whole child — and, ideally, the whole family. “Very often, it’s not until the end of the visit that you hear their biggest concern — the ‘Oh, by the way…’” This could include emotional trauma, domestic violence, or alcoholism. Dr. Broner can now refer families to an onsite psychologist who can help them with such problems. Clinic staff often connect patients with other programs both within and outside of St. Anthony Foundation which can help with food, housing, clothing, counseling, and rehabilitation.

Dr. Broner says her work encompasses both difficulty and joy. “Witnessing the depth of human suffering is hard. We want to wave our magic wands and make it all better. Sometimes we can do that, and then I feel great. When I can’t, it’s really hard.

“One of the little joys of my day is when a child comes in for the first time afraid, but leaves feeling happy — and knowing I’ve changed that child’s experience of visiting a clinic. We make it a warm, welcoming place, so the next time they come they don’t mind seeing the doctor.”

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