Dr. Gramza received her M.D. from The Ohio State University in 2000. She completed clinical training in internal medicine and palliative care at the University of New Mexico in 2004 and fellowships in hematology and oncology at Oregon Health and Sciences University (OHSU) in 2007. Upon completion of her fellowship training, she was appointed to assistant professor of medicine in the Division of Hematology and Medical Oncology at OHSU and the Portland Veterans Affairs Medical Center, where her translational laboratory research focused on the molecular genetics of thyroid malignancies, in particular as targets for therapeutic agents. She joined the Medical Oncology Branch, NCI in 2010 to continue her pursuit of translational clinical research studies of new therapeutics for patients with thyroid malignancies. In 2012, she joined the Endocrine Oncology Branch, NCI.