DSc, 2008, Boston University School of Public Health (Epidemiology)

MD, 1997, Dartmouth Medical School (Medicine)

BA, 1992, Colby College (Biology & Spanish)

Robert Gramling, MD, DSc

Assistant Professor of Family Medicine and Community & Preventive Medicine

Contact Information:
University of Rochester Medical Center
Department of Family Medicine
Family Medicine Research Programs
1381 South Avenue
Rochester, NY 14620

Email:
robert_gramling@urmc.rochester.edu

Additional Education:
Family Practice Residency, Maine-Dartmouth, 1997-2000

Chief Resident , Maine-Dartmouth, 1999-2000

Academic Medicine Fellowship, Boston University Department of Family Medicine, 2000-2002

Overview

Bob Gramling came to Rochester in 2008 to join the Department of Family Medicine. He completed his clinical training in northern New England (Dartmouth Medical School-1997, Maine-Dartmouth Family Practice Residency- 2000) and public health training a little bit to the south (Boston University Family Medicine Research Fellowship-2002, Boston University School of Public Health Doctorate in Epidemiology-2008). He is a consultant on the Palliative Care service at the University of Rochester Medical Center and is conducting NIH-funded research related to the ethics, processes, and effects of shaping patients’ perceptions of disease risk and prognosis in clinical practice.  He is Co-Director of the required first-year medical school epidemiology/biostatistics course, “Mastery of Medical Information.” Bob and his family love the outdoors, everything Lego, dancing, and friends.

Recent Publications

Original Research Articles

Brown RL, Gramling R, Bert RJ, Karpen JW.  Identification of photoaffinity labeling of peptide regions within retinal rod cGMP-activated channel subunits involved in cGMP binding.  Invest  Opthalmol Vis SciSuppl1994;35:1473.

Karpen JW, Gramling R, Bert RJ, Brown RL.  Cyclic-GMP binding sites within two different subunits of the retinal rod cGMP-gated channel.Biophys J 1995; 68:A253.

Brown RL, Gramling R, Bert RJ, Karpen JW.  Cyclic-GMP binding sites within the 63-kDa subunit and a 240 k-Da associated protein of retinal rod cGMP activated channels.  Biochemistry.  1995; 34:8365-8370.

Westfall J, Gramling R, O'Brian-Gonzales A, Barley G. Health-Related Knowledge And Preparedness Of High-Altitude Wilderness Hikers In Colorado. International Journal of Wilderness. 1999; 5(3): 27-33.

Gramling R, Nash J, Siren K, Culpepper L.  Predictive genetics in primary care:  Expectations for the motivational impact of genetic testing affects the importance family physicians place on screening for familial cancer risk. Genetics in Medicine. 2003; 5(3):172-175.

Wiecha JM, Gramling R, Joachim P, Vanderschmidt H.  Collaborative e-learning using streaming video and synchronous discussion boards to teach the cognitive foundation of medical interviewing:  a case study.  Journal of Medical Internet Research.  2003; 5(2):e13.

Gramling R, Nash J, Siren K, Eaton C, Culpepper L.  Family physician self-efficacy with screening for inherited cancer risk.  Annals of Behavioral Medicine.2003; 25(suppl).

Gramling R, Nash J, Siren K, Eaton C, Culpepper L.  Family physician self-efficacy with genetic cancer screening.Annals of Family Medicine.  2004; 2(2):130-133.

Sciamanna C, Novak SP, Marcus BH, Gramling R, Goldstein M. Satisfaction with tailored health communications in primary care. American Journal of Preventive Medicine.2004; 26(5):426-30.

Fine L, Philogene GS, Gramling R, Coups E, Sinha S. Prevalence of multiple behavioral chronic disease risk factors in the United States: results from the 2001 National Health Interview Survey. American Journal of Preventive Medicine. 2004; 27(2 suppl): 18-24.

Gramling R, David SP, Duffy C.  Does providing hereditary breast cancer risk assessment support to practicing physicians decrease the likelihood that they will discuss such risk with their patients? Genetics in Medicine.2004; 6(6):542.

Gramling R, Irvin J, Sciamanna C, Nash J, Culpepper L. Numeracy and medicine: key family physician attitudes about communicating probability with their patients.  Journal of the American Board of Family Medicine.2004; 17(6):473.

Gramling R, Trask P, Nash J, Culpepper L. Family physicians' beliefs about genetic testing.Family Medicine. 2004; 36(10):691-2.

Gramling R, Goldman R, Parker D, Ahern D, McMurray J, Vancura J, Borkan J, Eaton C. HeartAge: a meaningful method for communicating cardiovascular risk.  Annals of Behavioral Medicine.2004; 27(suppl).

Gramling R, Anthony D, Lowery J, Leighton N, Ballinger L, Ma D, Habbal R, Bowen D. Association between screening family medical history in general medical care and lower burden of cancer worry among women with a close family history of breast cancer.  Genetics in Medicine.2005; 7(9):640-5.

Goldman RE, Parker DR, Eaton CB, Borkan JM, Gramling R, Cover RT, Ahern DK.Patients’perceptions of cholesterol, cardiovascular disease risk, and risk communication strategiesAnn Fam Med. 2006; 4:205-212.

Gramling R, Anthony D, Simmons E, Bowen D. Self-rated breast cancer risk among women reporting a 1st degree family history of breast cancer on office screening questionnaires in routine medical care: the role of physician-delivered risk feedback. Genetics in Medicine.2006;8(10):658-64.

Gramling R, Anthony D, Frierson G, Bowen D. The Cancer Worry Chart: a single-item screening measure for worry about developing breast cancer. Psycho-Oncology. 2007; 16(6): 593-7.

Parker DR, Gramling R, Goldman RE, Eaton CB, Ahern DA, Cover R, Borkan J. Physicians’ perceptions of barriers and facilitators regardingadoption of the National Cholesterol Education Program guidelines. Preventive Cardiology. 2008; 11:29-35.

Burke M, Gramling R, Lavallee L, Chandran R. Family medicine resident confidence with screening for, and communicating about, genomic susceptibility to breast cancer. Family Medicine. 2008;40(3):161.

Eaton CB, Gramling R, Parker DR, Roberts M, Lu B, Ridker P. Prospective association of Vascular Endothelial Growth Factor (VEGF) with CHD mortality in southeastern New England. Atherosclerosis. 2008;Sep;200(1):221-7.

Farrell T, Chandran C, Gramling R. Shame and the process of screening for low health literacy in primary care. Family Medicine.2008; Apr;40(4):235.

Gramling R. Risk factors for breast cancer in the Women’s Health Initiative. Doctoral dissertation, Boston University, 2008.

Gramling R, Klein W, Roberts M,Waring M, Gramling D, Eaton CB. Self-rated cardiovascular risk and 15-year cardiovascular mortality. Annals of Family Medicine. 2008; Jul-Aug;6(4):302-6.

Gramling R, Clarke J, Simmons E. Racial distribution of patient population and family physician endorsed importance of screening patients for inherited predisposition to cancer Journal of Health Care for the Poor and Underserved. 2008; in press

Books, Monographs, Book Chapters, Review Articles

Crouch M, Gramling R. Family history of coronary heart disease: evidence-based applications.
Prim Care. 2005;32(4):995-1010.

Gramling R, Irvin-Vidrine J. State of the art review: risk communication during screening for genomic breast cancer susceptibility. Journal of Lifestyle Medicine.2007; 1: 57-58.

Letters, Editorials, Short Articles and Other Contributions

Gramling R.  Book review of Society’s Choices: Social and Ethical Decision-Making in Biomedicineby Bulger RE et al. 1995.Dartmouth Ethics Institute Newsletter.1998.

Gramling, R.  Book reviewof Case Studies in Public Health Ethics by Coughlin SS et al. 1999.Dartmouth Ethics Institute Newsletter.1999.

Gramling R.  Patient-Oriented Evidence that Matters (POEM): Many abnormal screening PSA tests spontaneously normalize over time. Journal of Family Practice.2003; 52(9):667-71. 

David SM and Gramling R.  Teaching genetics in primary care through a Transatlantic videoconference. Nature Reviews Genetics. 2003; 4:e2.

Gramling R, David S.  Genetic susceptibility to breast cancer: teaching points. Family Medicine. 2003; 35(7):466-8.

David SM, Eaton C, Taylor J, Stamp M, Cyr M, Siegel B, Gramling R, Walton R.  Envisaging and applying a unifying three-dimensional theoretical framework for generalist researchers.  Medicine and Health in Rhode Island. 2004;87(11):336-40.

Gramling R. Beyond math: risk and perceptions in doctor-patient communication.  Annals of Family Medicine. e:2004; 2(6).

Gramling R. Self-rated risk, clinical communication and the self-fulfilling prophecy. Annals of Family Medicine. e2008; 6(4).

Clickto see publications by Dr. Gramling indexed in the National Library of Medicine's PubMed database.