Professor Emeritus of Pediatrics
Vice Chair for Professional Development, Department of Pediatrics
Associate Director, Division of Adolescent Medicine
Director of Fellows' College
3333 California Street, Suite 245
University of California, San Francisco
San Francisco, CA 94118
Voice: (415) 476-4384
Fax: (415) 476-6106
- College of Notre Dame, Belmont, CA, Biology, 1965-67
- University of California, School of Medicine, Davis, CA, BS, Bio-Science, 1967-69
- University of California, School of Medicine, Davis, CA,Year 1 Medicine, 1969-70
- Yale School of Medicine, New Haven CT, MD, 1970-73
- University of California, San Diego, Department of Pediatrics, PL I-II, 1973-75
- University of California, San Francisco, Department of Pediatrics, PL III, 1975-76
- University of California, San Francisco, School of Medicine, adolescent medicine fellowship,1976-78
- Robert Wood Johnson Foundation Clinical Scholars Program, 1976-78
- Adolescent Medicine
- General adolescent medicine
- Sexually transmitted diseases
- Adolescent gynecology
- Eating disorders
- Chronic pain syndromes
- Complex medical and psychosocial adolescent problems
- STDs with emphasis on chlamydia, epidemiology, diagnosis, prevention
- Quality improvement research: improving chlamydia screening in adolescents
- Understanding parental attitudes towards delivery of reproductive health services to adolescents and developing interventions to increase parental skills
- Health services research
UCSF Program Affiliations
- Office of Career and Professional Development
- UCSF Office of Postdoctoral Education (faculty for the annual scientific leadership and management skills course)
- Accreditation Countil for Graduate Medical Education (ACGME)
- UCSF Clinical & Translational Science Institute (CTSI)
- Welcome Week (Early Faculty Development, UCSF School of Medicine)
- Division of Adolescent Medicine: http://pediatrics.medschool.ucsf.edu/youth/
- Fellows’ College: http://pediatrics.medschool.ucsf.edu/fellowscollege/
Dr. Mary-Ann Shafer is a national leader in adolescent health. She is a professor of pediatrics, vice chair of professional development, and associate director of the Division of Adolescent Medicine within the UCSF School of Medicine, Department of Pediatrics. Dr. Shafer is a former president of the Society for Adolescent Health and Medicine and the winner of a number of awards, including the American Academy of Pediatrics national adolescent health award (Adele Hoffman Award). She is a nationally recognized clinician, teacher and researcher and has a special interest in international adolescent health program development. Her clinical practice includes general care of adolescents and their families, and her specific areas of interest include eating disorders, fatigue and pain syndromes, medical gynecology, and complex chronic illness among both adolescent males and females.
Dr. Shafer is a productive researcher with a specific focus on three areas: (1) the diagnosis of chlamydial infections and other STDs in teens, (2) health services research in the area of translating preventive health guidelines into everyday practice, and (3) developing and evaluating cognitive-behavioral-skills building prevention interventions to prevent STDs and HIV among adolescents and young adult populations. In addition, she continues her work in advocacy for youth and actively participates in local programs developed to give parenting skills to parents of adolescents.
But Dr. Shafer’s passion is teaching in all its formats. At UCSF, her teaching responsibilities include directing the three-year Maternal and Child Health Leadership in Adolescent Health (LEAH) interdisciplinary fellowship program (medicine, nursing, nutrition, psychology and social work) as well as directing the residency and medical student elective rotations in adolescent medicine. Dr. Shafer is also a well-known speaker for continuing medical education for physicians in the U.S. and abroad. Most recently she has focused her energies on developing a model program for professional development activities for academic fellows in the Department of Pediatrics. This program, Fellows' College, has become a national model for training. Dr. Shafer has been a visiting professor in Japan, China and India and has been instrumental in assisting these countries in beginning to develop adolescent medicine training and research programs.
Dr. Shafer’s research activities focus on epidemiology, testing methodologies, screening algorithms, and prevention strategies related to STDs/HIV in adolescents and young adults, with the long-range goal of developing effective STD prevention strategies at the individual and systems’ levels. Since STD and reproductive health risks are the result of complex interactions between biologic, behavioral and environmental factors, this research has included both biological, behavioral and health services research components.
Recent research has been directed towards defining the evolving epidemic of STDs in adolescents and in young adult males and females in the military, with special emphasis on chlamydia. A research goal is to develop and employ effective non-invasive urine-based STD screening tests to replace the current invasive and often painful urethral swabs in males and the pelvic exam in females. Dr. Shafer has employed health services research techniques to increase urine-based testing for chlamydia to assist large HMO’s to reach the quality goal and national guidelines of universal chlamydial screening for adolescent girls. An article published on this work in (Shafer et al., JAMA 2003) is widely considered to be a sentinel piece of work as it demonstrated that using rapid cycle change models could impact health systems. This intervention work with a large HMO produced a change in rates of screening for chlamydia among adolescent females from a baseline rate of ~10% to a rate of ~60% over a 9-month period.
The behavioral components of Dr. Shafer's STD research prevention work include studying the behavioral and psychosocial correlations that increase or decrease the risk of acquiring STDs such as HIV in adolescents and young adult military personnel. Recently, Dr. Shafer's research has also focused on developing interventions that incorporate parents of teenagers as partners with health care providers to encourage teenagers to have access to and to take appropriate advantage of needed “sensitive” confidential reproductive health care services. Dr. Shafer's research team was awarded an NICHD grant to establish the formative research needed to create and evaluate an effective clinical intervention for parents and providers. An additional area of new creative activity, which is in the early research development phase, is the actual development, evaluation and Web-based dissemination of our Fellows' College program model.