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PAULA K. SHIREMAN, MD, MS, MBA

Paula K Shireman
Paula K Shireman, MD, MS, MBA

Professor

Contact

Medical Physiology and Primary Care & Rural Medicine
8447 John Sharp Parkway
Bryan, 77807
Shireman@tamu.edu
Phone: 979.436.9259

Biography

Paula K. Shireman, MD, MS, MBA

Dr. Shireman is a Professor and Executive Associate Dean in the Texas A&M College of Medicine in 2022. She is the PI of an NIH multicenter U01 grant developing predictive models for surgical outcomes including frailty and social risk factors. The goal is to use data to transform health care, influence federal policy and design financially sustainable care pathways improving outcomes for frail and low socioeconomic status patients. Her interests include predictive modeling, machine learning and simulation. Dr. Shireman serves on the Advisory Council for the National Center for Advancing Translational Sciences (NCATS) and Cures Acceleration Network (CAN) Review Board at the National Institutes of Health (NIH). She was a member of the MACRA Episode-Based Cost Measure Clinical Subcommittee to develop measures for Peripheral Vascular Disease Management and Chair of the Clinical Subcommittee Workgroup for Hemodialysis Access Creation.

D. Shireman was a Multi-Principal Investigator of the Institutional Clinical Translational Science Award (CTSA) at UT Health San Antonio (UTHSA) and South Texas Veterans Health Care System. She received multiple external awards from the NIH and the Veterans Administration for basic, translational and clinical research.

Dr. Shireman earned a MD from Indiana University, a MS in Clinical investigation from UTHSA and MBA from the McCombs School of Business at the University of Texas at Austin. She is board-certified in General Surgery, Vascular Surgery, Clinical Informatics and Wound Care.

Education and Training

  • Purdue University, BS, highest distinction, Nutrition Science, 1986
  • Indiana University, School of Medicine, MD, 1990
  • Northwestern University, School of Medicine, General Surgery Residency and Postdoctoral Fellowship, 1997
  • Loyola University, School of Medicine, Vascular Surgery Fellowship, 1999
  • University of Texas, Health San Antonio, MS, Clinical Investigation, 2004
  • University of Texas at Austin, MBA, 2018

Professional Certifications

  • Board Certified in Vascular Surgery, General Surgery, Clinical Informatics and Wound Care

Research Interests

  • Social risk factors association with health care outcomes
  • Frailty, remote monitoring of activities of daily living for aging in place
  • Health care costs
  • Health Digital Twins for providing clinical decision support
  • Healthcare applications using Artificial Intelligence (AI

Awards, Recognition and Service

  • U01TR002393 NIH/NCATS Harnessing the power of CTSA-CDRN data networks: Using social determinants of health, frailty, and functional status to identify at-risk patients & improve risk adjustment 07/2018 - 06/2024 Total Award $3,065,858 ·
  • Texas A&M Health Science Center Seedling Grant Smart monitoring of elderly people 06/2023-05/2024 Total Award: $200,000

Representative Publications

NCBI Bibliography 

· Hadlandsmyth K, Lund BC, Gao Y, Strayer AL, Davila H, Hausmann LRM, Schmidt S, Shireman PK, Jacobs MA, Mader MJ, Tessler RA, Duncan CA, Hall DE, Sarrazin MV. Social Determinants of Long-Term Opioid Use Following Total Knee Arthroplasty. J Knee Surg. 2024 Apr 10;. doi: 10.1055/s-0044-1786021. [Epub ahead of print] PubMed PMID: 38599604.

· Schmidt S, Jacobs MA, Kim J, Hall DE, Stitzenberg KB, Kao LS, Brimhall BB, Wang CP, Manuel LS, Su HD, Silverstein JC, Shireman PK. Presentation Acuity and Surgical Outcomes for Patients With Health Insurance Living in Highly Deprived Neighborhoods. JAMA Surg. 2024 Apr 1;159(4):411-419. doi: 10.1001/jamasurg.2023.7468. PubMed PMID: 38324306; PubMed Central PMCID: PMC10851138.

· Jacobs MA, Schmidt S, Hall DE, Stitzenberg KB, Kao LS, Brimhall BB, Wang CP, Manuel LS, Su HD, Silverstein JC, Shireman PK. A Surgical Desirability of Outcome Ranking (DOOR) Reveals Complex Relationships Between Race/Ethnicity, Insurance Type, and Neighborhood Deprivation. Ann Surg. 2024 Feb 1;279(2):246-257. doi: 10.1097/SLA.0000000000005994. Epub 2023 Jul 14. PubMed PMID: 37450703; PubMed Central PMCID: PMC10787813.

· Craven CK, Highfield L, Basit M, Bernstam EV, Choi BY, Ferrer RL, Gelfond JA, Pruitt SL, Kannan V, Shireman PK, Spratt H, Morales KJT, Wang CP, Wang Z, Zozus MN, Sankary EC, Schmidt S. Toward standardization, harmonization, and integration of social determinants of health data: A Texas Clinical and Translational Science Award institutions collaboration. J Clin Transl Sci. 2024;8(1):e17. doi: 10.1017/cts.2024.2. eCollection 2024. PubMed PMID: 38384919; PubMed Central PMCID: PMC10880009.

· Jacobs MA, Schmidt S, Hall DE, Stitzenberg KB, Kao LS, Wang CP, Manuel LS, Shireman PK. Differentiating Urgent from Elective Cases Matters in Minority Populations: Developing an Ordinal "Desirability of Outcome Ranking" to Increase Granularity and Sensitivity of Surgical Outcomes Assessment. J Am Coll Surg. 2023 Sep 1;237(3):545-555. doi: 10.1097/XCS.0000000000000776. Epub 2023 Jun 8. PubMed PMID: 37288840; PubMed Central PMCID: PMC10417256.

· Jacobs MA, Tetley JC, Kim J, Schmidt S, Brimhall BB, Mika V, Wang CP, Manuel LS, Damien P, Shireman PK. Association of Cumulative Colorectal Surgery Hospital Costs, Readmissions, and Emergency Department/Observation Stays with Insurance Type. J Gastrointest Surg. 2023 May;27(5):965-979. doi: 10.1007/s11605-022-05576-7. Epub 2023 Jan 23. PubMed PMID: 36690878; PubMed Central PMCID: PMC10133377.

· Jacobs MA, Kim J, Tetley JC, Schmidt S, Brimhall BB, Mika V, Wang CP, Manuel LS, Damien P, Shireman PK. Association of Insurance Type with Inpatient Surgical 30-day Readmissions, Emergency Department Visits/Observation Stays, and Costs. Ann Surg Open. 2023 Mar;4(1). doi: 10.1097/as9.0000000000000235. Epub 2023 Feb 14. PubMed PMID: 37588413; PubMed Central PMCID: PMC10427129.

· Schmidt S, Kim J, Jacobs MA, Hall DE, Stitzenberg KB, Kao LS, Brimhall BB, Wang CP, Manuel LS, Su HD, Silverstein JC, Shireman PK. Independent Associations of Neighborhood Deprivation and Patient-level Social Determinants of Health with Textbook Outcomes after Inpatient Surgery. Ann Surg Open. 2023 Mar;4(1). doi: 10.1097/as9.0000000000000237. Epub 2023 Feb 21. PubMed PMID: 37588414; PubMed Central PMCID: PMC10427124.

· Yan Q, Kim J, Hall DE, Shinall MC Jr, Reitz KM, Stitzenberg KB, Kao LS, George EL, Youk A, Wang CP, Silverstein JC, Bernstam EV, Shireman PK. Association of Frailty and the Expanded Operative Stress Score with Preoperative Acute Serious Conditions, Complications, and Mortality in Males Compared to Females: A Retrospective Observational Study. Ann Surg. 2023 Feb 1;277(2):e294-e304. doi: 10.1097/SLA.0000000000005027. Epub 2023 Jan 10. PubMed PMID: 34183515; PubMed Central PMCID: PMC8709872.