For mutli-mob tanking try to spam cleave, and use thunderclap/shockwave whenever they're off of cooldown. Tabbing through targets and throwing a couple sunders and/or shield slam will also help with off-target threat.
For gems you should replace your crit gems and put in def/stam(or just stam) and your expertise is still below soft cap(26) so you should drop your str gems for exp/stam gems. It also wouldn't hurt to upgrade your non-epic gems.
Personally I think +275 health to chest would be an upgrade from +10 stats and the PvP 30stam/15 resil enchant to shoulders wouldn't be a bad change either.
Your hit rating is a bit low but I wouldn't worry about that until you get your expertise soft capped.
Hope that helps!


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