Howard Graman, MD, FACP, FAACH | David Couper Consulting

Howard Graman, MD, FACP, FAACH

career background

EXECUTIVE COACH/HEALTHCARE CONSULTANT -- Howard Graman is a seasoned physician executive with extensive experience in clinical transformational change and large multi-specialty physician enterprise leadership. An integral part of his role as a senior leader has been to mentor and coach numerous health care executives. He has a deep passion for and a rich experience in physician - patient communication skills, practicing for over 30 years as a primary care physician.

As Chief Executive Officer of PeaceHealth Medical Group, he organized the physician practices from several disparate groups that were managed through the local hospital leadership into a single physician-led group, serving many communities with central leadership, expanding the group by 50% over 4 years. At both PeaceHealth and Carilion Clinic, he promoted a culture of excellence by: initiating routine clinical outcomes reporting to the physicians, instituting an annual professional review process, helping create a new compensation plan for primary care.physicians, and initiating a robust rollout of the Primary Care Medical Home model of care.

At Carilion, he also promoted enhanced integration between primary care and specialties through joint creation of clinical guidelines and coordinated care agreements.

As Professor of Medicine at The University of Vermont, he helped develop and taught in the medical student course on interviewing skills for 16 years. Also at UVM, he created and conducted the internal medical residency program experience in videotaped interview reviews. In the early 90s, he did a Fellowship with the American Academy on Physician and Patient (now the American Academy on Communication in Healthcare). In that capacity, he was involved with instruction of faculty from around the country on how to teach communication skills in their respective schools and residencies. As an AACH faculty member, he also traveled to many large health systems to deliver an intense, skills based one-day course in communication skills for practicing physicians. The focus of that work was on identifying emotion in the interview and responding with empathy.

Dr. Graman also helped to develop and facilitate the medical student interview courses at Cleveland Clinic and VTC (Virginia Tech/Carilion School of Medicine). He graduated from the Facilitator Training Program of the American Academy on Communication in Healthcare, and has traveled nationally and internationally to conduct seminars with physicians on enhancing doctor-patient communication. He has also completed numerous management courses through The American College of Physician Executives.


Expertise in physician leadership development, mentoring and coaching of healthcare executives, clinical transformational change and curriculum development for physician-patient communication skills building

industry background & education

Vice President, AMGA Consulting Services
Chief Executive Officer of PeaceHealth Medical Group
Medical Director and Member of Board of Governors of Carilion Clinic
Professor of Medicine at Virginia Tech Carilion School of Medicine
Executive Director at Cleveland Clinic Florida
Professor of Medicine at Cleveland Clinic Lerner School of Medicine
Medical Director, Cleveland Clinic Strongsville
Professor of Medicine at University of Vermont College of Medicine
Fellow of the American Academy on Communication in Healthcare
Fellow of American College of Physicians
Internal Medicine Residency at the University of Michigan;
M.D. Degree, the State University of New York, Downstate
Bachelor’s Degree in Biology, Queens College of the City University of New York

noted accomplishments

  • Developed and taught courses on doctor – patient communication skills at 3 medical schools, 3 residency programs and to practicing physicians in numerous healthcare systems across the country.
  • Created and served as faculty in 3 Physician Leadership Academies.
  • Led several medical group leadership retreats on governance, care model change, compensation plan revision and the path from “volume to value”.
  • Led development of fundamental care model change in large multispecialty group practices.
  • Mentored and coached a number of developing physician leaders on the successful transition from clinician to leader.