PRIVIA Health

My perspective

                Since beginning the practice of medicine 25 years ago I have striven to provide the highest quality and the most empathetic of care. My approach has been to explore and expand my ability to manage the most complex of patients, often when other clinicians have “given up.” I have consistently pushed the envelope, thinking “out of the box” in an attempt to provide a carefully balanced well conceived approach. Over this period of time I have developed a paradigm in managing chronic fatigue, fibromyalgia and what ultimately I have determined to be lyme disease related issues in a compassionate, structured format. I have been blessed by the generally good fortune that this approach has provided to many who seek my care.

                HOWEVER, I have also come to realize that in this ever ending quest for excellence, given the multitude of complex conditions being managed, I have simply exceeded my ability to reasonably maintain my present volume of patients. Recognizing also that in order to maintain the ability to provide expanding opportunities to other individuals in need, I am compelled to train other clinicians in the management style to which I am alluding. In so doing, more rather than fewer people in need will have access to this insight. In order to continue providing this highest of quality of care, I am thus compelled to limit those that I directly serve. In so doing, I am trying to strike a balance between service to community and self preservation.

                I see the PRIVIA model as an important vehicle with which to take this next step of providing the highest quality of care to my patients. In so doing, there will be care managers that will assist in coordination of care and sustaining a proactive, health oriented perspective. The smaller volume of patients for which I will be directly responsible, will allow me to oversee a far larger group indirectly as my special expertise can be accessed selectively by those clinicians I train. I will also hopefully have an opportunity to engage in clinical research to allow for even further community wide understanding of these often so misunderstood conditions.

I hope each and every one of you can appreciate the rationale by which I have made these heartfelt decisions. I thank you all for your understanding.

Samuel Shor, MD, FACP
Associate Clinical Professor
George Washington University Health Care Sciences

For my patients

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