She served as the Guam Comprehensive Cancer Control Coalition Chairperson in 2012-2013. Dr. Paulino is dedicated to eliminating health disparities through research. She has received funding from the United States Department of Agriculture to study childhood obesity, as well as the NIH-NCI to study the epidemiology and public health of betel nut chewing, including oral pre-cancer screening, the effects of betel nut chewing on the mircrobiome, and most recently a betel nut intervention trial. Her work has been recognized nationally and internationally through awards, publications, and keynote invitations.