Joy in Family Medicine – Stories & Reflections
Lessons, lightbulb moments, and honest reflections from life inside and outside medicine - served with a side of perspective.
Tags: adaptation
Showing 12 results:
Suitcases, Constraints, and Where Possibility Lives
Last week, I wrote about a familiar moment in medicine: when you’ve used every skillful form of influence you have (data, stories, coalitions, reframing) and nothing moves. When effort stops matching outcome, (high importance, low control, and your influence stalls), there are a few ways forward....
by Dr. Tonya Caylor —
Dec 12, 2025
acceptance
adaptation
agency
burnout
constraint
control
creativity
energy
flexibility
impact
influence
leadership
limits
navigation
possibility
problem-solving
reframing
resilience
strategy
systems
Endurance, Recovery, and Trust: What Medicine Can Learn from an Ironman
I logged 24,000 steps a couple of weeks ago, not competing, just spectating. Cheering at an Ironman turned out to be its own endurance event!
Somewhere between the cowbells and the cheers, I found myself thinking about what it really takes to sustain that kind of effort. Not just on race day and ...
by Dr. Tonya Caylor —
Nov 07, 2025
adaptability
adaptation
awareness
balance
discipline
effort
endurance
flow
focus
integration
microbreaks
momentum
patience
persistence
preparation
presence
process
recovery
recovery load
reflection
resilience
restraint
savoring
threshold
training
trust
Reflection: Between the Gates
On her recent Dare to Lead podcast, Brené Brown reads an excerpt from her new book, Solid Ground. In it she described ship locks, sometimes called water elevators in canals, and it’s an image that has stayed with me.
For those who haven’t seen them: when a ship moves from one body of water to ano...
by Dr. Tonya Caylor —
Oct 10, 2025
adaptation
adjustment
alignment
attention
awareness
balance
boundaries
calm
centering
compassion
connection
energy
equilibrium
flow
focus
grace
grounding
humanity
integration
intention
leadership
mindfulness
patience
pause
perspective
preparation
presence
recovery
reflection
regulation
renewal
reset
resilience
restoration
rhythm
self-awareness
space
stillness
sustainability
transition
Responsibility Revisited: Story and Reflection
We don’t always talk about guilt in medicine unless it’s framed as toxic or as a byproduct of impossible systems. But some guilt is earned. Some of it’s useful. The kind that nudges us when we’ve strayed from our values. And some is not.
What follows is a story out of several that came to mine fr...
by Dr. Tonya Caylor —
Aug 08, 2025
adaptation
alignment
awareness
character
conscience
deicision
ethics
fatigue
growth
guilt
integrity
judgment
learning
medicine
observation
reflection
residency
responsibility
self-correction
values
Lessons in the Messy Middle Reflection
“Celebrate the abundance within troubles.” – Will Miller, MD, Annals of Family Medicine, 2010 📸 Thanks to Jay Fetter for the reminder and this powerful slide in Atlanta last week where the year long STFM CBME pilot project wrapped up.
The CBME pilot participants showed us what it looks like to le...
by Dr. Tonya Caylor —
Jun 19, 2025
abundance
adaptation
breakthrough
challenge
change
clarity
complexity
courage
culture
curiosity
design
discovery
experimentation
failure
growth
innovation
insight
leadership
learning
meaning
momentum
optimism
persistence
progress
purpose
reflection
resilience
tension
transformation
uncertainty
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
Two Travelers and A Mountain: Tale and Reflection
Two explorers set out on a journey to find a hidden village high in the mountains. Both were experienced travelers, used to well-marked paths, sturdy bridges, and reliable guides.
They started on different sides of the mountain which strattled two countries. The first traveler was started in an...
by Dr. Tonya Caylor —
Jun 12, 2025
acceptance
adaptation
agency
awareness
calm in chaos
clarity
comparison
expectation reset
expectations
frustration
internal shift
journey
mindset
orientation
perspective
presence
privilege
purpose
reframing
resilience
resistance
surrender
systems thinking
transformation
trial and error
Reflection: Game Tape
One small aspect of the culture I grew up in centered around College Football. (Stick with me, non-sports fans) As we soon head into the College Football Playoffs, watching Sports Center Game Day with retired coach Nick Saban and former players Des Howard and Kirk Herbstreet is entertaining and i...
by Dr. Tonya Caylor —
Jun 11, 2025
adaptation
adult learning
analysis
clinical reasoning
coaching
cognition
decision making
execution
feedback
flexibility
growth
improvement
insight
intentionality
learning
metacognition
minfulness
non-judgment
observation
pattern recognition
performance
practice
productivity
recognition
reflect-in
reflect-on
reflection
rumination
self-awareness
situatinal awareness
Near Miss Story and Reflection
Many years ago, as a second-year medical student, I stopped by the post office on my way to pathology to mail a certified letter. I had to take a different route than usual - one I knew well because it was my evening route for my study group. It was already 90 degrees with max humidity upon my ar...
by Dr. Tonya Caylor —
Jun 11, 2025
adaptation
automation
awareness
behavior change
change
cognitive load
compassion
course correction
grace
growth
habit
humanity
humility
intentionality
judgment
learning
memory
mindfulness
mistake
neuropathways
neuroplasticity
patterning
progress
reflection
resilience
rewiring
routine
self-forgiveness
self-regulation
The Dilemma: Story and Reflection
Many of you have heard me tell how being a great wife landed me in Alaska from Florida in 2007. It has been a fantastic decision. I don't often talk about the fears I had. I worried about moving an 8th grader away from good friends and the sunny beach to an unknown, cold, dark place (the story of...
by Dr. Tonya Caylor —
Jun 10, 2025
adaptation
adjustment
all-or-nothing
binary thinking
career
catastrophizing
compromise
decision making
emotional growth
expansion
fear
flexibility
gray-area
identity
mindset
narrative
opportunity
options
overthinking
parenting
perspective
problem solving
reframing
resilience
self-awareness
success
support
transition
trust
vulnerability
Anniversaries and Analogies Reflection
Just prior to marrying the man in this photo (throwback to big hair 😂), his dad handed us an article torn out of a magazine. It used comparative imagery of two rivers coming together to describe marriage. The takeaway gist in my young mind was 1. Don't be shocked by the rapids, which are a natura...
by Dr. Tonya Caylor —
Jun 10, 2025
acceptance
adaptation
celebration
challenge
change
curiosity
emotions
endurance
evolution
forewarning
growth
imposter syndrome
journey
marriage
metaphor
mindset
navigation
partnership
perspective
phases
preparation
reflection
relationships
resilience
self-doubt
support
transformation
transition
uncertainty
whitewater
Spring Outside Story and Reflection
On March 6, my husband said - let's run tomorrow night. Our local running store offers unofficial community runs each week. Normally, I'm the least spontaneous person I know - maybe it was his enthusiasm or the sun shining through my Alaskan window. I was like, "Let's do it!"
It was a fabulous ru...
by Dr. Tonya Caylor —
Jun 10, 2025
adaptation
appreciation
awareness
change
community
gratitude
growth
hope
humor
identity
joy
light
optimism
perspective
privilege
reflection
reframing
resilience
seasons
spontaneity
Joy in Family Medicine – Stories & Reflections
