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October 10, 2019

Gathering Grains of Sand

By Joanne Fruth, MD


We know The Avance Way is making a difference in the lives of our patients.

We use a systematic centralized approach to collect all the Grains of Sand. Every immunization, every mammogram, every screening for depression, and so on represents a grain of sand. In our organization, every member of the team works to elevate and reveal every grain of sand – methodically, completely, and with joy for every tiny detail.

This systems approach allows our physicians, advanced practice providers, certified dietitians, clinical pharmacists, chronic care managers, and behavioral therapists to bring their individuality, creativity and passion to the patient encounter. They bring the cement to build the foundation of our patient’s good health.


Dr. Fruth is a family physician with a mission to promote the benefits of primary care and especially Family Medicine (#FMrevolution).  As Medical Director at Avance Care, Dr. Fruth uses her years of experience and passion for teaching to inspire other clinicians to make each primary care visit one which builds the foundation good health

Dr. Fruth loves hiking, trips to Broadway and seeking adventure (or a quiet evening) with her emergency physician husband. She has three adult children on their own missions to make the world a better place.

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