She then completed her internal medicine training at the Columbia-Presbyterian Medical Center and her nephrology fellowship, Master of Health Science, and doctoral degree in Epidemiology at Johns Hopkins University.
[3] During the 2018 academic year, Grams was recognized by the Journal of the American Society of Nephrology as one of their top 5 reviewers.
[4] She was later the recipient of the Donald W. Seldin Young Investigator Award from the American Society of Nephrology.
[8] In 2020, Grams was recognized by the American Journal of Kidney Diseases Editors’ Choice Award for her co-authored article Effectiveness of Influenza Vaccination Among Older Adults Across Kidney Function: Pooled Analysis of 2005-2006 Through 2014-2015 Influenza Seasons.
In 2023, she was appointed Co-Chair Elect of the Kidney Disease: Improving Global Outcomes Committee.