Meet the Coach Testimonials Physician Growth Framework Self-Coaching Program Resource Hub
← Back to all posts

Self-induced Blindspots

by Dr. Tonya Caylor
Feb 09, 2026

One time during a record snowfall winter, we ended up with a weekend alone. Our teenage daughter had been picked up by friends for the weekend. We decided to head downtown for a nice dinner. We took my car. As I was backing up our steep long drive, looking over my shoulder, the car jolted to a sudden halt with a loud crashing sound. It took me a second before I realized I had backed into my daughter's car that was parked a bit to the side. 🤦🏼‍♀️ I had to make "the call" to my daughter. The tables had turned, it was time for mom to confess to daughter 😬. (On a positive note, we still enjoyed an amazing dinner out.)

So many of our actions are automated but they're also strongly influenced by expectations. In my subconscious mind, my daughter wasn't home so her car shouldn't be. The fact it was white and the snow berm was taller than her car at the time didn't help. I didn't expect to see anything in the drive when I looked back, and my brain allowed me to miss it.

 

There are known parallels in clinical medicine, however, I want to highlight how it impacts our thoughts about ourselves and our subsequent actions. What do you think happens when you allow a subconscious thought about your worth, ability, or even what others are thinking of you to go unchallenged?  Likely you miss the opposite and only find evidence of the automatic belief. By shining the spotlight on our subconscious, well-worn neuropathways, we allow for awareness and choice to view it more fully and accurately. It is handy to reflect and look for any assumptions, then challenge them. What are the underlying ideas you have of yourself or others in a particular situation?

 

Now, before I look over my shoulder, I tune into the fact I'm not expecting anything in the driveway. And that's where we can give ourselves conscious intention. Doing this makes me much less (w)reckless. 😉

Responses

Join the conversation
t("newsletters.loading")
Loading...
The Tyranny of the Unfamiliar
Recently, I brought a situation to my coach because I was concerned I might be facing an ethical dilemma. As we worked through it together, it became clear I was actually on solid ground. What I was experiencing wasn't an ethics issue. It was just discomfort. What's interesting is that I've sat with plenty of discomfort over the years. Difficult conversations. Competing demands. Trying to get e...
The Penstock Paradox
I've been catching up on Lisa Rosenbaum's Not Otherwise Specified podcast series on primary care. https://not-otherwise-specified-podcast.nejm.org/e/when-no-ones-watching/ The final episode is titled When No One's Watching. Near the end, Jonathan Han, a family physician and residency director, talks about the kinds of things that rarely are captured by metrics: the relationship-building, the mo...
Broadening the Differential: A Lesson in Agile Thinking
I've been spending time with colleagues lately exploring the concept of agility in the research literature. And as a result, I keep finding the need for it everywhere. This week alone, our house build presented a wiring issue that no longer aligned with the original lighting and door-swing plans just as sheetrock was about to go up, so we adjusted to the next-best option. A role-play script for...

Joy in Family Medicine – Stories & Reflections

Lessons, lightbulb moments, and honest reflections from life inside and outside medicine - served with a side of perspective.
Footer Logo
Terms Privacy Disclaimer Contact us Login Personal Code of Ethics
Powered by Kajabi

Stay Connected


Join my mailing list to receive free weekly tips and insights!