Dr. Gramelspacher served for two years with the National Health Service Corps in Appalachia. He then completed a fellowship in medical ethics at the University of Chicago's MacLean Center for Clinical Medical Ethics before joining the Department of Medicine at Indiana University. Dr. Gramelspacher has written extensively in the area of medical ethics. His research interests include medical professionalism and the doctor-patient relationship, end of life care, and health care for the underserved. Currently, he directs the Palliative Care Program for Wishard Health Services and is medical director for Visiting Nurse Service Hospice of Central Indiana.