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Robert Gramling

TitleAssociate Professor
InstitutionSchool of Medicine and Dentistry
DepartmentFamily Medicine
AddressDepartment of Family Medicine
Research & Fellowship Programs
1381 South Avenue
Rochester NY 14620
Other Positions
TitleAssociate Professor
InstitutionSchool of Nursing
DepartmentSON Primary Faculty

TitleAssociate Professor
InstitutionSchool of Medicine and Dentistry
DepartmentPublic Health Sciences

 
 Awards And Honors
1998     Resident Research Award  | Society of Teachers of Family Medicine
2000     Resident Teacher Award  | Society of Teachers of Family Medicine
2004     Robert Wood Johnson Generalist Scholar Finalist
2009 - 2011American Academy of Hospice & Palliative Medicine Leadership Program
2010     National Palliative Care Research Center Career Development Award
 
 Overview
Dr. Gramling is an Associate Professor of Family Medicine, Community & Preventive Medicine (Epidemiology), and Nursing at the University of Rochester. His research focuses on understanding prognoisis communication between patients, families and clinicians in the context of advanced illness, how approaches to communicating prognosis affect quality of life and treatment choices, and whether these patterns differ by the patient's cultural background.

 
 Selected Publications
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  1. Horowitz R, Gramling R, Quill T. Palliative care education in US medical schools. Med Educ. 2014 Jan; 48(1):59-66.
    View in: PubMed
  2. Norton SA, Metzger M, Deluca J, Alexander SC, Quill TE, Gramling R. Palliative care communication: linking patients' prognoses, values, and goals of care. Res Nurs Health. 2013 Dec; 36(6):582-90.
    View in: PubMed
  3. Gramling R, Norton S, Ladwig S, Winters P, Metzger M, Quill T, Alexander S. Latent classes of prognosis conversations in palliative care: a mixed-methods study. J Palliat Med. 2013 Jun; 16(6):653-60.
    View in: PubMed
  4. Hoerger M, Epstein RM, Winters PC, Fiscella K, Duberstein PR, Gramling R, Butow PN, Mohile SG, Kaesberg PR, Tang W, Plumb S, Walczak A, Back AL, Tancredi D, Venuti A, Cipri C, Escalera G, Ferro C, Gaudion D, Hoh B, Leatherwood B, Lewis L, Robinson M, Sullivan P, Kravitz RL. Values and options in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers. BMC Cancer. 2013; 13(1):188.
    View in: PubMed
  5. Holloway RG, Gramling R, Kelly AG. Estimating and communicating prognosis in advanced neurologic disease. Neurology. 2013 Feb 19; 80(8):764-72.
    View in: PubMed
  6. Metzger M, Norton SA, Quinn JR, Gramling R. Patient and family members' perceptions of palliative care in heart failure. Heart Lung. 2013 Mar; 42(2):112-9.
    View in: PubMed
  7. Gramling D, Gramling R. Laughing at the dark: tactical humor for autonomous decision making in serious illness. J Palliat Med. 2012 Nov; 15(11):1170-2.
    View in: PubMed
  8. Epstein RM, Gramling RE. What is shared in shared decision making? Complex decisions when the evidence is unclear. Med Care Res Rev. 2013 Feb; 70(1 Suppl):94S-112S.
    View in: PubMed
  9. Wang C, Sen A, Ruffin MT, Nease DE, Gramling R, Acheson LS, O'Neill SM, Rubinstein WS. Family history assessment: impact on disease risk perceptions. Am J Prev Med. 2012 Oct; 43(4):392-8.
    View in: PubMed
  10. Gramling R, Norton SA, Ladwig S, Metzger M, Deluca J, Gramling D, Schatz D, Epstein R, Quill T, Alexander S. Direct observation of prognosis communication in palliative care: a descriptive study. J Pain Symptom Manage. 2013 Feb; 45(2):202-12.
    View in: PubMed
  11. Rubinstein WS, Acheson LS, O'Neill SM, Ruffin MT, Wang C, Beaumont JL, Rothrock N. Clinical utility of family history for cancer screening and referral in primary care: a report from the Family Healthware Impact Trial. Genet Med. 2011 Nov; 13(11):956-65.
    View in: PubMed
  12. Heffner KL, Waring ME, Roberts MB, Eaton CB, Gramling R. Social isolation, C-reactive protein, and coronary heart disease mortality among community-dwelling adults. Soc Sci Med. 2011 May; 72(9):1482-8.
    View in: PubMed
  13. Gramling R, Epstein R. Optimism amid serious disease: clinical panacea or ethical conundrum?: comment on "Recovery expectations and long-term prognosis of patients with coronary heart disease". Arch Intern Med. 2011 May 23; 171(10):935-6.
    View in: PubMed
  14. Rubinstein WS, O'neill SM, Rothrock N, Starzyk EJ, Beaumont JL, Acheson LS, Wang C, Gramling R, Galliher JM, Ruffin MT. Components of family history associated with women's disease perceptions for cancer: a report from the Family Healthware™ Impact Trial. Genet Med. 2011 Jan; 13(1):52-62.
    View in: PubMed
  15. Ruffin MT, Nease DE, Sen A, Pace WD, Wang C, Acheson LS, Rubinstein WS, O'Neill S, Gramling R. Effect of preventive messages tailored to family history on health behaviors: the Family Healthware Impact Trial. Ann Fam Med. 2011 Jan-Feb; 9(1):3-11.
    View in: PubMed
  16. Gramling R, Lash TL, Rothman KJ, Cabral HJ, Silliman R, Roberts M, Stefanick ML, Harrigan R, Bertoia ML, Eaton CB. Family history of later-onset breast cancer, breast healthy behavior and invasive breast cancer among postmenopausal women: a cohort study. Breast Cancer Res. 2010; 12(5):R82.
    View in: PubMed
  17. Gramling R, Heffner KL, Klein WM, Zajac LE, Roberts M, Eaton CB. Is the association between optimistic cardiovascular risk perceptions and lower rates of cardiovascular disease mortality explained by biomarkers of systemic inflammation or endothelial function? A case-cohort study. Biopsychosoc Med. 2010; 4(1):11.
    View in: PubMed
  18. Acheson LS, Wang C, Zyzanski SJ, Lynn A, Ruffin MT, Gramling R, Rubinstein WS, O'Neill SM, Nease DE. Family history and perceptions about risk and prevention for chronic diseases in primary care: a report from the family healthware impact trial. Genet Med. 2010 Apr; 12(4):212-8.
    View in: PubMed
  19. Gramling R, Eaton CB, Rothman KJ, Cabral H, Silliman RA, Lash TL. Hormone replacement therapy, family history, and breast cancer risk among postmenopausal women. Epidemiology. 2009 Sep; 20(5):752-6.
    View in: PubMed
  20. O'Neill SM, Rubinstein WS, Wang C, Yoon PW, Acheson LS, Rothrock N, Starzyk EJ, Beaumont JL, Galliher JM, Ruffin MT. Familial risk for common diseases in primary care: the Family Healthware Impact Trial. Am J Prev Med. 2009 Jun; 36(6):506-14.
    View in: PubMed
  21. Gramling R, Clarke J, Simmons E. Racial distribution of patient population and family physician endorsed importance of screening patients for inherited predisposition to cancer. J Health Care Poor Underserved. 2009 Feb; 20(1):50-4.
    View in: PubMed
  22. Wang C, O'Neill SM, Rothrock N, Gramling R, Sen A, Acheson LS, Rubinstein WS, Nease DE, Ruffin MT. Comparison of risk perceptions and beliefs across common chronic diseases. Prev Med. 2009 Feb; 48(2):197-202.
    View in: PubMed
  23. Gramling R, Klein W, Roberts M, Waring ME, Gramling D, Eaton CB. Self-rated cardiovascular risk and 15-year cardiovascular mortality. Ann Fam Med. 2008 Jul-Aug; 6(4):302-6.
    View in: PubMed
  24. Farrell TW, Chandran R, Gramling R. Understanding the role of shame in the clinical assessment of health literacy. Fam Med. 2008 Apr; 40(4):235-6.
    View in: PubMed
  25. Burke M, Gramling R, Lavallee L, Chandran R. Family medicine resident confidence with screening for, and communicating about, genomic susceptibility to breast cancer. Fam Med. 2008 Mar; 40(3):161.
    View in: PubMed
  26. Eaton CB, Gramling R, Parker DR, Roberts MB, Lu B, Ridker PM. Prospective association of vascular endothelial growth factor-A (VEGF-A) with coronary heart disease mortality in southeastern New England. Atherosclerosis. 2008 Sep; 200(1):221-7.
    View in: PubMed
  27. Parker DR, Gramling R, Goldman RE, Eaton CB, Ahern D, Cover RT, Borkan J. Physicians' perceptions of barriers and facilitators regarding adoption of the National Cholesterol Education Program guidelines. Prev Cardiol. 2008; 11(1):29-35.
    View in: PubMed
  28. Gramling R, Anthony D, Frierson G, Bowen D. The cancer worry chart: a single-item screening measure of worry about developing breast cancer. Psychooncology. 2007 Jun; 16(6):593-7.
    View in: PubMed
  29. Gramling R, Anthony D, Simmons E, Bowen D. Self-rated breast cancer risk among women reporting a first-degree family history of breast cancer on office screening questionnaires in routine medical care: the role of physician-delivered risk feedback. Genet Med. 2006 Oct; 8(10):658-64.
    View in: PubMed
  30. Goldman RE, Parker DR, Eaton CB, Borkan JM, Gramling R, Cover RT, Ahern DK. Patients' perceptions of cholesterol, cardiovascular disease risk, and risk communication strategies. Ann Fam Med. 2006 May-Jun; 4(3):205-12.
    View in: PubMed
  31. Crouch MA, Gramling R. Family history of coronary heart disease: evidence-based applications. Prim Care. 2005 Dec; 32(4):995-1010.
    View in: PubMed
  32. Gramling R, Anthony D, Lowery J, Ballinger L, Ma D, Habbal R, Leighton N, 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. Genet Med. 2005 Nov-Dec; 7(9):640-5.
    View in: PubMed
  33. Gramling R, Trask P, Nash J, Culpepper L. Family physicians' beliefs about genetic testing. Fam Med. 2004 Nov-Dec; 36(10):691-2.
    View in: PubMed
  34. Gramling R, Duffy C, David S. Does providing hereditary breast cancer risk assessment support to practicing physicians decrease the likelihood of them discussing such risk with their patients? Genet Med. 2004 Nov-Dec; 6(6):542.
    View in: PubMed
  35. David SP, Eaton CB, Taylor JS, Stamp MJ, Cyr M, Siegel B, Gramling R, Walton R. Envisaging and applying a unifying three-dimensional theoretical framework for generalist physicians. Med Health R I. 2004 Nov; 87(11):336-40.
    View in: PubMed
  36. Gramling R, Irvin JE, Nash J, Sciamanna C, Culpepper L. Numeracy and medicine: key family physician attitudes about communicating probability with patients. J Am Board Fam Pract. 2004 Nov-Dec; 17(6):473.
    View in: PubMed
  37. Fine LJ, Philogene GS, Gramling R, Coups EJ, Sinha S. Prevalence of multiple chronic disease risk factors. 2001 National Health Interview Survey. Am J Prev Med. 2004 Aug; 27(2 Suppl):18-24.
    View in: PubMed
  38. Sciamanna CN, Novak SP, Houston TK, Gramling R, Marcus BH. Visit satisfaction and tailored health behavior communications in primary care. Am J Prev Med. 2004 Jun; 26(5):426-30.
    View in: PubMed
  39. Gramling R, Nash J, Siren K, Eaton C, Culpepper L. Family physician self-efficacy with screening for inherited cancer risk. Ann Fam Med. 2004 Mar-Apr; 2(2):130-2.
    View in: PubMed
  40. Gramling R. Many abnormal PSA test results normalize over time. J Fam Pract. 2003 Sep; 52(9):667-71.
    View in: PubMed
  41. Gramling R, David S. Genetic susceptibility to breast cancer: teaching points. Fam Med. 2003 Jul-Aug; 35(7):466-8.
    View in: PubMed
  42. 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. Genet Med. 2003 May-Jun; 5(3):172-5.
    View in: PubMed
  43. Wiecha JM, Gramling R, Joachim P, Vanderschmidt H. Collaborative e-learning using streaming video and asynchronous discussion boards to teach the cognitive foundation of medical interviewing: a case study. J Med Internet Res. 2003 Apr-Jun; 5(2):e13.
    View in: PubMed
  44. Brown RL, Gramling R, Bert RJ, Karpen JW. Cyclic GMP contact points within the 63-kDa subunit and a 240-kDa associated protein of retinal rod cGMP-activated channels. Biochemistry. 1995 Jul 4; 34(26):8365-70.
    View in: PubMed

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