That "ham" can be sliced into some nice steaks. About 1/2 inch thick is just about right for pan-frying. Fry in butter with onions, or make Chicken Fried Steak, mmmmn!
I like to grind the shoulders with a very coarse blade for chili, but if you have the time, and a sharp knife, dicing it up 1/2 inch or smaller cubes will work very well. 1 inch cubes will make some good venison stew, too. Use in any beef stew recipie you like. I like to brown the meat in bacon fat first.