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Joy in Family Medicine – Stories & Reflections

Lessons, lightbulb moments, and honest reflections from life inside and outside medicine - served with a side of perspective.
Keep Digging (And Savor the Moments Along the Way)
Dinner was beautiful. A nice evening, bold flavors, shared stories of challenge & success, and laughter with friends who are in simlar trenches. The meal came with this quote came tucked in tableware: “Work. Keep digging your well. Water is there somewhere.” It stayed with me—not just because it...
by Dr. Tonya Caylor — Jun 12, 2025 community connection depth digging effort endurance flow fulfillment grit grounding hope meaning nourishment patience persistence presence process resilience savoring season stillness support uncertainty waiting work
Leaders and Legacy Reflection
When physicians or faculty leaders are struggling in their roles—or with certain parts of them—I often ask: "When you think of a leader you admire, what qualities stand out?" They usually name things such as integrity. Strength. Clinical wisdom. Courage. Kindness. Collaboration. And almost always...
by Dr. Tonya Caylor — Jun 12, 2025 admiration awareness balance boundaries capacity choice clarity courage decline dedication delegation discomfort expansion growth impact influence integrity kindness leaders leadership legacy modeling possibility presence purpose rolemodeling streamline strength sustainability tension wisdom
Confessions of a Former Night Owl: Story and Reflection on Identity, Change, and Quiet Growth
We often resist change when it feels like it threatens who we are. But not all change is self-abandonment. Not long ago, someone shared that she felt a surprising amount of grief around changing—even when the change was meant to help a relationship work better. Authenticity was a deeply held valu...
by Dr. Tonya Caylor — Jun 12, 2025 adaptation adjustment alignment authenticity change commitment curiosity discovery evolution flexibility grief growth habits identity intention mindset motivation openness patterns resistance selfhood surprises transformation values willingness
How We Think Shapes What We See: Story and Reflection
When I mentioned last month that I was heading to Las Vegas to see the Eagles play in the Sphere, more than one person responded with a look of surprise, post-Super Bowl: “You’re going to a football game?” That moment—a simple case of mistaken reference—got me thinking about how our assumptions a...
by Dr. Tonya Caylor — Jun 12, 2025 alignment assumptions awareness beliefs clarity coaching communication culture development dynamics evaluations expectations feedback frustration growth insight interpretation mindsets modeling perception reflection reframing support trust understanding
Purpose at the Crossroads: Story and Reflection
It’s at the crossroads—between opportunity and discernment—that purpose gets tested. - A resident deciding between a desired fellowship and staying in a community they love that may not utilize that training. - A faculty member torn between taking on a leadership role or focusing their energy on ...
by Dr. Tonya Caylor — Jun 12, 2025 alignment authenticity boundaries calling clarity decision making discernment growth humility intentionality leadership long-term impact meaning opportunity purpose responsibility self-awareness service sustainability team based leadership timing transition vocation well-being wisdom
Staying Power Reflection
A couple of weeks ago, I had the gift of facilitating a panel discussion with seasoned leaders in academic family medicine — people whose careers span decades, whose influence is immeasurable. I asked them to name a single word or phrase that captured what contributed to their longevity in this w...
by Dr. Tonya Caylor — Jun 12, 2025 belief calling creativity detachment emotional wisdom endurance generativity hope imagination impact inspiration leadership legacy longevity meaning mindset optimism purpose resilience ripple effect sustainability trust vision
Story and Reflection: Mining for Value
Recently, I noticed that a member of our team had quietly pulled back. I knew she had experience—she’d been introduced as someone who had worked with universities, served as a legislative liaison, and helped stand up GME programs. She had consistently offered thoughtful perspectives, often seeing...
by Dr. Tonya Caylor — Jun 12, 2025 awareness confidence confidence without arrogance contribution over ego curiosity deep listening dignity drawing out strengths experience experience matters expertise hidden hidden assets hidden strength honoring the whole person humility inclusive leadership influence beyond title invitational leadership leadership legacy listening mining mining for gold presence quiet contributors reactivation recognition relational leadership respectul curiosity storytelling strength team awareness undervalued undervalued expertise unseen unseen wisdom wisdom
The Extra Mile - Story and Reflection
Recently, I’ve been supporting my mom from afar as she’s gone through a complicated health issue. Like many patients, she didn’t show up with a single neat explanation. She had two separate issues—Occam’s razor didn’t apply. That alone created delays and misdirection, but this story isn’t about w...
by Dr. Tonya Caylor — Jun 12, 2025 bandwidth care care over efficiency clarity connection discernment effort empathy experience informed action family perspective generosity going above and beyond gratitude groundedness healing healing moments humanity intention leadership meaningful meaningful effort medicine pacing perspective physician humanity presence prioritization professionalism relational medicine right effort right moment silent leadership timing wisdom
The Power of a Smile: Story and Reflection
During the half-day virtual faculty development workshop that I co-led this past week, one thing stood out to me: my co-presenter, Dr. Rae Wright, was always smiling and actively present. Her smile looked so genuine—like she was truly enjoying hearing me speak and appreciating how I was presentin...
by Dr. Tonya Caylor — Jun 12, 2025 appreciation attentiveness attunement authenticity belonging co-facilitation confidence connection culture encouragement encouragement culture energy transfer grace light micro-affirmation nonverbal communication positivity presence psychological safety renewal small gestures smile smile power support validation warmth zoom fatigue buffer
Residency 2.0 Story and Reflection
As most of you know, though my full-time work is in coaching within residency programs, I’ve stayed clinically active—filling in both at the Alaska Family Medicine Residency and Anchorage Neighborhood Health, our local FQHC. Since 2007, I’ve had the privilege of watching over 200 residents grow, ...
by Dr. Tonya Caylor — Jun 12, 2025 affirmation appreciation belonging calm calm contagion community connection continuity culture emotional contagion gratitude groundedness healing environment intentionality joy in medicine kindness leadership legacy mentorship organizational health ripple effect role modeling support systems thinking workplace culture workplace wellbeing
Waves and Wakes: Reflection
Reflections: Paddle-boarding on Waves & Wakes Last November, I promised part 2 of my paddle-boarding lesson - so here it is. If you’ve ever been paddleboarding in the ocean, you know to expect waves. You bend your knees, stay flexible, and adjust your stance to keep your balance. It’s part of the...
by Dr. Tonya Caylor — Jun 12, 2025 adaptability anticipatory grace balance clam within chaos core strength emotional agility equanimity expectation flexibility grounding inner anchor mindset non reactivity perspective shift postural awareness preparation purposeful adjustment readiness resilience self regulation situational awareness turbulence uncertainty navigation values values alignment wake readiness
Story and Reflection: Foundations First
You know my husband and I have taken on quite a few renovation projects over the years. Back in medical school and residency, we bought an old historic home in a neighborhood filled with beautifully restored houses. Of course, we could only afford the fixer-upper. It was built on piers and had pl...
by Dr. Tonya Caylor — Jun 12, 2025 baton passing capacity building collaboration collective effort enduring value faith in action foundation generativity groundwork infrastructure intentional design investment legacy long view mission aligned patience perseverance purpose driven ripple impact rootedness servant leadership slow growth stewardship structural integrity systems building unseen labor vision
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Joy in Family Medicine – Stories & Reflections

Lessons, lightbulb moments, and honest reflections from life inside and outside medicine - served with a side of perspective.
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