Robert E. Gramling, M.D., D.Sc.

Robert E. Gramling, M.D., D.Sc.

Contact Information

Department of Family Medicine
Research & Fellowship Programs
1381 South Avenue
Rochester, NY 14620

Office: (585) 506-9484
Fax: (585) 473-2245

Journal Articles

Showing all 61 journal articles available.

2015 Nov
Gramling R, Sanders M, Ladwig S, Norton SA, Epstein R, Alexander SC. "Goal Communication in Palliative Care Decision-Making Consultations." Journal of pain and symptom management. 2015 Nov; 50(5):701-6. Epub 2015 May 27.
2015 Nov
Alexander SC, Garner DK, Somoroff M, Gramling DJ, Norton SA, Gramling R. "Using music[al] knowledge to represent expressions of emotions." Patient education and counseling. 2015 Nov; 98(11):1339-45. Epub 2015 May 12.
2015 Aug
Wang C, Sen A, Plegue M, Ruffin MT, O'Neill SM, Rubinstein WS, Acheson LS, , . "Impact of family history assessment on communication with family members and health care providers: A report from the Family Healthware™ Impact Trial (FHITr)." Preventive medicine. 2015 Aug; 77:28-34. Epub 2015 Apr 19.
Gramling R; Stanek S; Ladwig S; Gajary-Coots L; Cimino J; Anderson W; Norton SA; AAHPM Research Committee Writing Group. "Feeling heard and understood: a patient-reported quality measure for the inpatient palliative care setting". Journal of pain and symptom management. 2015; In Press.
Gramling R, Gajary-Coots E, Stanek S, Dougoud N, Pyke H, Thomas M, Cimino J, Sanders M, Alexander SC, Epstein R, Fiscella K, Gramling D, Ladwig S, Anderson W, Pantilat S, Norton SA. "Design of, and enrollment in, the palliative care communication research initiative: a direct-observation cohort study." BMC palliative care. 2015 14:40. Epub 2015 Aug 19.
2014 Oct
Greener DT, Quill T, Amir O, Szydlowski J, Gramling RE. "Palliative care referral among patients hospitalized with advanced heart failure." Journal of palliative medicine. 2014 Oct; 17(10):1115-20. Epub 2014 Jul 28.
2014 May
Alexander SC, Ladwig S, Norton SA, Gramling D, Davis JK, Metzger M, Deluca J, Gramling R. "Emotional distress and compassionate responses in palliative care decision-making consultations." Journal of palliative medicine. 2014 May; 17(5):579-84. Epub 2014 Mar 03.
2014 Mar 17
Carroll TM, Ladwig S, Gramling R, Hogan L, Harmor D, Buckley M. "Appropriateness of consults to an inpatient Palliative Care service." Palliative medicine. 2014 Mar 17; 28(6):536-537. Epub 2014 Mar 17.
2014 Jan
Horowitz R, Gramling R, Quill T. "Palliative care education in U.S. medical schools." Medical education. 2014 Jan; 48(1):59-66.
2013 Jun
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." Journal of palliative medicine. 2013 Jun; 16(6):653-60. Epub 2013 May 09.
2013 May 1
Metzger M, Norton SA, Quinn JR, Gramling R. ""That Don't Work for Me": Patients' and Family Members' Perspectives on Palliative Care and Hospice in Late-Stage Heart Failure." Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association. 2013 May 1; 15(3):177-182.
2013 Feb 19
Holloway RG, Gramling R, Kelly AG. "Estimating and communicating prognosis in advanced neurologic disease." Neurology. 2013 Feb 19; 80(8):764-72.
2013 Feb
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." Journal of pain and symptom management. 2013 Feb; 45(2):202-12. Epub 2012 May 30.
2013 Feb
Epstein RM, Gramling RE. "What is shared in shared decision making? Complex decisions when the evidence is unclear." Medical care research and review : MCRR. 2013 Feb; 70(1 Suppl):94S-112S. Epub 2012 Oct 02.
Metzger M, Norton SA, Quinn JR, Gramling R. "Patient and family members' perceptions of palliative care in heart failure." Heart & lung : the journal of critical care. 2013 42(2):112-9. Epub 2012 Dec 17.
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 13:188. Epub 2013 Apr 09.
Norton SA, Metzger M, Deluca J, Alexander SC, Quill TE, Gramling R. "Palliative care communication: linking patients' prognoses, values, and goals of care." Research in nursing & health. 2013 36(6):582-90. Epub 2013 Sep 30.
2012 Nov
Gramling D, Gramling R. "Laughing at the dark: tactical humor for autonomous decision making in serious illness." Journal of palliative medicine. 2012 Nov; 15(11):1170-2.
2012 Oct
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." American journal of preventive medicine. 2012 Oct; 43(4):392-8.
2011 Nov
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." Genetics in medicine : official journal of the American College of Medical Genetics. 2011 Nov; 13(11):956-65.
2011 May 23
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"." Archives of internal medicine. 2011 May 23; 171(10):935-6. Epub 2011 Feb 28.
2011 May
Heffner KL, Waring ME, Roberts MB, Eaton CB, Gramling R. "Social isolation, C-reactive protein, and coronary heart disease mortality among community-dwelling adults." Social science & medicine. 2011 May; 72(9):1482-8. Epub 2011 Mar 30.
2011 Jan
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." Genetics in medicine : official journal of the American College of Medical Genetics. 2011 Jan; 13(1):52-62.
2011 Jan
Ladwig S, Norton S, Gramling R, Metzger M. "The conversation bank cohort: a feasibility study (734)." Journal of pain and symptom management. 2011 Jan; 41(1):292-3. Epub 2011 Jan 08.
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." Annals of family medicine. 2011 9(1):3-11.
2010 Apr
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." Genetics in medicine : official journal of the American College of Medical Genetics. 2010 Apr; 12(4):212-8.
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." BioPsychoSocial medicine. 2010 4(1):11. Epub 2010 Sep 21.
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 research : BCR. 2010 12(5):R82. Epub 2010 Oct 12.
2009 Sep
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.
2009 Jun
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." American journal of preventive medicine. 2009 Jun; 36(6):506-14.
2009 Feb
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." Preventive medicine. 2009 Feb; 48(2):197-202. Epub 2008 Nov 25.
2009 Feb
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. 2009 Feb; 20(1):50-4.
2008 Sep
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. Epub 2008 Feb 07.
2008 Apr
Farrell TW, Chandran R, Gramling R. "Understanding the role of shame in the clinical assessment of health literacy." Family medicine. 2008 Apr; 40(4):235-6.
2008 Mar
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 Mar; 40(3):161.
Gramling R. "Self-rated risk, clinical communication and the self-fulfilling prophecy". Annals of family medicine. 2008; 6(4): e2008.
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." Preventive cardiology. 2008 11(1):29-35.
Gramling R, Klein W, Roberts M, Waring ME, Gramling D, Eaton CB. "Self-rated cardiovascular risk and 15-year cardiovascular mortality." Annals of family medicine. 2008 6(4):302-6.
2007 Jun
Gramling R, Anthony D, Frierson G, Bowen D. "The cancer worry chart: a single-item screening measure of worry about developing breast cancer." Psycho-oncology. 2007 Jun; 16(6):593-7.
Gramling R, Irvin-Vidrine J. "State of the art review: risk communication during screening for genomic breast cancer susceptibility." Journal of Lifestyle Medicine. 2007; : 54-58. Link
2006 Oct
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." Genetics in medicine : official journal of the American College of Medical Genetics. 2006 Oct; 8(10):658-64.
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." Annals of family medicine. 2006 4(3):205-12.
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." Genetics in medicine : official journal of the American College of Medical Genetics. 2005 7(9):640-5.
Crouch MA, Gramling R. "Family history of coronary heart disease: evidence-based applications." Primary care. 2005 32(4):995-1010.
2004 Nov
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." Medicine and health, Rhode Island. 2004 Nov; 87(11):336-40.
2004 Aug
Fine LJ, Philogene GS, Gramling R, Coups EJ, Sinha S. "Prevalence of multiple chronic disease risk factors. 2001 National Health Interview Survey." American journal of preventive medicine. 2004 Aug; 27(2 Suppl):18-24.
2004 Jun
Sciamanna CN, Novak SP, Houston TK, Gramling R, Marcus BH. "Visit satisfaction and tailored health behavior communications in primary care." American journal of preventive medicine. 2004 Jun; 26(5):426-30.
Gramling R. "Beyond math: risk and perceptions in doctor-patient communication". Annals of family medicine. 2004; 2(6).
Gramling R, Nash J, Siren K, Eaton C, Culpepper L. "Family physician self-efficacy with screening for inherited cancer risk." Annals of family medicine. 2004 2(2):130-2.
Gramling R, Trask P, Nash J, Culpepper L. "Family physicians' beliefs about genetic testing." Family medicine. 2004 36(10):691-2.
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?" Genetics in medicine : official journal of the American College of Medical Genetics. 2004 6(6):542.
Gramling R, Irvin JE, Nash J, Sciamanna C, Culpepper L. "Numeracy and medicine: key family physician attitudes about communicating probability with patients." The Journal of the American Board of Family Practice / American Board of Family Practice. 2004 17(6):473.
2003 Sep
Gramling R. "Many abnormal PSA test results normalize over time." The Journal of family practice. 2003 Sep; 52(9):667-71.
David SP; Gramling R. "Teaching genetics in primary care through a Transatlantic videoconference". Nature reviews genetics. 2003; 4(1): e2.
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 : official journal of the American College of Medical Genetics. 2003 5(3):172-5.
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." Journal of medical Internet research. 2003 5(2):e13.
Gramling R, David S. "Genetic susceptibility to breast cancer: teaching points." Family medicine. 2003 35(7):466-8.
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. "Book review of Case Studies in Public Health Ethics by Coughlin SS et al. 1999". Dartmouth Ethics Institute Newsletter. 1999; .
Gramling R. "Book review of Society's Choices: Social and Ethical Decision-Making in Biomedicine by Bulger RE et al. 1995". Dartmouth Ethics Institute Newsletter. 1998; .
1995 Jul 4
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.


Norton SA; Waldrop D; Gramling R. "Palliative care, ethics and interprofessional teams". Palliative Care and Ethics. Quill T; Miller F. New York City, NY: Oxford University Press, 2014.
Gramling R; Carroll T; Epstein R. "Prognostication in advanced illness". Evidence-Based Practice of Palliative Medicine. Goldstein N; Morrison S. Waltham, Massachusetts: Elsevier Press, 2013.
Carroll T; Epstein R; Gramling R. "Stategies for estimating survival prognoses in advanced cancer". Evidence-Based Practice of Palliative Medicine. Goldstein N; Morrison S. Waltham, Massachusetts: Elsevier Press, 2013.
Carroll T; Epstein R; Gramling R. "Strategies for estimating survival prognosis in advanced non-cancer illnesses". Evidence-Based Practice of Palliative Medicine. Goldstein N; Morrison S. Waltham, Massachusetts: Elsevier Press, 2013.