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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.

Tags: awareness

Showing 12 results:


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
Right Pause, Right Time Story and Reflection
Years ago, I was leading a medical team in Southeast Asia after the tsunami. Infrastructure was gone, local health workers were either missing or tending to their own communities, and our team, hosted by a local NGO, was running long, hot, and emotionally heavy days. One morning, something was of...
by Dr. Tonya Caylor — Jul 31, 2025 awareness breath burnout clarity cohesion compassion connection emotion gratitude healing humanity insight intention leadership listening medicine mindfulness observation pause perspective presence purpose recovery reflection resilience restoration support sustainability teamwork wellbeing
Story and Reflection: What Success Really Looks Like
As a new academic year begins—fresh name badges, new roles, different rhythms—I’ve been returning to a question I first heard from Dr. Kerri Palamara, a national leader in coaching in graduate medical education and Director of the Center for Physician Well-Being at Massachusetts General Hospital....
by Dr. Tonya Caylor — Jul 11, 2025 agency alignment aspirations authenticity awareness belonging career clarity coaching compassion connection curiosity fulfillment growth intention meaning navigation pause perspective presence purpose redefinition reflection relationships success transformation values well-being wholeness
Mise en Place for the Mind
One of my coachees recently identified the missing link in his project workflow. (Thanks for the metaphor, Michael Caçoilo! - shared with permission.) He had developed the right structure for him: breaking big tasks into smaller chunks and blocking time to get them done. But something still felt ...
by Dr. Tonya Caylor — Jun 21, 2025 awareness clarity coaching connection efficiency engagement execution focus habits insight intentionality leadership metaphor mindset mise-en-place planning pre-work preparation presence productivity professionalism readiness reflection structure time blocking trust workflow
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
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
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
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: The Adventure of Conversation
I had just turned a group of faculty workshop participants loose to help each other work on short term career goals & to do so by practicing their new coaching skills with each other. I encouraged them to keep their advice-monster at bay. (See Michael Bungay Stanier's The Advice Trap). When they ...
by Dr. Tonya Caylor — Jun 12, 2025 advice trap awareness co-creation coaching communication connection curiosity discovery empathy engagement exploration facilitation growth guidance insight interaction learning listening mindset non-judgment openness pattern recognition physician habit practice presence reflection restraint storytelling transformation trust
Reflecting on Two Things
In preparing for the AMWA Evolve Leadership Course for trainees session on Difficult Conversations, I've been reflecting on principles from Crucial Conversations, Super Communicators, Non-Violent Communication, and How to Work with Almost Anyone (all highly recommended books). We often fall into ...
by Dr. Tonya Caylor — Jun 12, 2025 awareness balance binary thinking communication compassion complexity conflict resolution contradiction curiosity discernment emotional intelligence empathy fool's choice grace growth honesty kindness labeling mindset nuance overgeneralization paradox perspective polarity thinking reflection relationship self-regulation truth understanding wake
Winning Reflections
As we close out 2024, I want to point our minds toward the wins. What you learned, what impact you made, how you grew, etc. You all know it's one area I like to be intentional and savor. Last week, my own coach just elevated the process for me by 1. recognizing something I was unknowingly doing a...
by Dr. Tonya Caylor — Jun 11, 2025 affirmation awareness celebration coaching communication confidence energy feedback growth insight intentionality leadership learning mindset positivity preparation process progress recognition reflection reinforcement repeatability rumination savoring self-awareness shift success sustainability team dynamics widsom
Car Problems: Story and Reflection
Shortly after moving to Alaska and starting my core faculty role, I caused a traffic jam. You see, I had pulled onto the busy road in front of the residency and quickly maneuvered across three lanes of traffic to the two packed turn lanes in 5 o'clock traffic. And then --- my car died - just as t...
by Dr. Tonya Caylor — Jun 11, 2025 awareness boundaries burnout capacity community compassion embarassment energy management gratitude habits humility learning life balance limits metaphor mindset pacing pattern priorities recovery refueling regulation resilience routine self-awareness self-care support teamwork vulnerabiulity warning signs

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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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