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: burnout
Showing 12 results:
The Myth of Ready
This week, I tried a simple AI morning brain-warm-up experiment at the suggestion of Alex Morgan from The Neuron.
I gave ChatGPT this reflective prompt: Share one interesting assumption I might hold without realizing.
The response: Sometimes we assume we need clarity before we’re allowed to move....
by Dr. Tonya Caylor —
Feb 06, 2026
action
balance
burnout
clarity
contribution
creativity
decision
default mode
direction
equlibrium
experimentation
growth
healing
insight
leadership
learning
metaphor
mindset
momentum
movement
neuroscience
paddleboarding
progress
reassessment
recovery
reflection
resilience
rest
strategy
thinking
uncertainty
The Casting Room
I’ve been reflecting on how easily past training experiences (or any experience for that matter) can be oversimplified by those who didn’t live them.
It took me a minute to understand why that bothered me. It's because those oversimplified accounts tell a very narrow story of some of the very exp...
by Dr. Tonya Caylor —
Jan 31, 2026
burnout
compassion
grace
healing
healthcare
humanity
humility
kindness
medicine
mentorship
perfectionism
professionalism
reflection
residency
resilience
stress
suffering
surgery
training
trauma
vulnerability
witnessing
When Influence Stops Working: Acceptance Without Endorsement
This is Part 3 of a 5-part series exploring what helps when influence has stopped working. Nothing moves. No matter how much skill, strategy, data, coalition-building, or heart you bring. And it’s something you care deeply about.
Earlier pieces focused on redefining success and navigating constra...
by Dr. Tonya Caylor —
Jan 09, 2026
academia
acceptance
adaptation
agency
alignment
boundaries
bureaucracy
burnout
clarity
coaching
constraint
control
detachment
discernment
dynamics
dysfunction
emotionality
endorsement
energy
equanimity
expectations
frustration
influence
leadership
letting go
maturity
medicine
ownership
predictability
prioritization
reafctivity
reality
regulation
resilience
sobriety
stewardship
sustainability
systems
tolerance
wisdom
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
When Influence Stops Influencing
Every physician leader I coach eventually reaches the same moment. They’ve done the work: gathered data, built coalitions, shared meaningful stories, aligned it to the core corporate values, used every bit of their Crucial Conversations skill set, emotionally intelligenced the nuances, and framed...
by Dr. Tonya Caylor —
Dec 10, 2025
acceptance
agency
alignment
boundaries
burnout
change
clarity
coalition
community
connection
discernment
energy
exhaustion
frustration
influence
integrity
leadership
mentorship
metrics
perspective
process
purpose
reality
reflection
regulation
resistance
strategy
systems
values
Grateful for Rejection? A Post-Thanksgiving Reflection
If you’re feeling maxed out on gratitude messages this month, you’re not alone. The day after Thanksgiving tends to expose the gap between the gratitude we’re “supposed” to feel and how our brains actually work. That gap is where the science gets interesting. So instead of another round of holida...
by Dr. Tonya Caylor —
Dec 10, 2025
acceptance
awareness
bias
burnout
clarity
disappointment
ego
gratitude
growth
happiness
insight
mindfulness
mindset
mood
negativity
perspective
positivity
psychology
purpose
reflection
reframing
resilience
sleep
stress
When Effort Feels Right
A couple of weeks ago, my friend, colleague, and physician advocate Dr. Sasha Shillcutt wrote something that grabbed my attention:
“Can we all stop shaming women who work hard?”
It resonated.
The pendulum has needed to swing toward rest and boundaries for a long time. We’ve finally begun to norma...
by Dr. Tonya Caylor —
Nov 14, 2025
agency
alignment
autonomy
awareness
balance
boundaries
burnout
choice
clarity
compassion
curiosity
discipline
effort
energy
expectations
flow
fulfillment
inquiry
insight
intention
judgment
mindfulness
obligation
overload
passion
people pleasing
perfectionism
perspective
priorities
purpose
recovery
reflection
reset
rest
self-care
shame
signals
support
sustainability
tells
validation
wellbeing
work
When Justice Meets the Judge
The shadow side of good values in medicine...
I’ve learned that even good values have edges. Justice, for me, especially.
We talk a lot about values in medicine: integrity, compassion, excellence, justice. But I’ve learned that even our best values have a "shadow side". Sometimes, even justice ne...
by Dr. Tonya Caylor —
Oct 24, 2025
alignment
awareness
balance
boundaries
burnout
clarity
compassion
control
criticism
discernment
distortion
ego
evolution
excellence
faith
grace
humanity
humility
imbalance
integrity
judge
judgment
justice
learning
martyrdom
outrage
perfectionism
perspective
proportion
reflection
responsibility
rigidity
self-justification
A Ditch on Each Side of the Road (and How to Avoid Them)
Leadership often feels like driving a narrow road. You’re trying to keep the vehicle moving forward, but there’s a ditch on each side that can take you out if you drift too far.
Recently I had the chance to moderate an STFM GME Leadership Panel with three seasoned leaders in academic medicine — D...
by Dr. Tonya Caylor —
Oct 10, 2025
accountability
balance
boundaries
burnout
collaboration
communication
creativity
delegation
development
discipline
efficiency
empowerment
engagement
feedback
focus
growth
leadership
longevity
mentoship
mindset
organization
oversight
perspective
prioritization
reflection
resilience
skillset
strategy
structure
support
sustainability
time
transparency
vision
Quiet Quitting, Nike’s Reframe, and the Real Risk in Medicine
Quiet quitting is no longer just a workplace buzzword. A new study in Family Medicine described how residency leaders are seeing disengagement, professionalism concerns, and strategic “time protection” among trainees. The authors traced this disengagement back to multiple causes: generational shi...
by Dr. Tonya Caylor —
Sep 13, 2025
burnout
challenges
collaboration
commitment
communication
cringe culture
discernment
disengagement
education
efficiency
effort
faculty
frustration
generations
growth
mentorship
motivation
patient care
professionalism
quiet quitting
rebranding
reflection
residency
selectivity
sustainability
systemic pressures
time protection
trainees
trust
work values
workplace
The Farmer's Table: Rethinking Stewardship in Medicine
When we talk about stewardship in medicine, it usually means handling precious resources wisely:
Blood bank stewardship (don’t squander that O-negative so it’s there in a crisis)
Antibiotic stewardship (use the narrowest spectrum possible, so we don’t fuel resistance)
Resource stewardship (choo...
by Dr. Tonya Caylor —
Sep 12, 2025
balance
boundaries
burnout
care
clinic
costs
efficiency
generosity
inboxes
listening
medicine
notes
patients
reflection
resources
shortages
stewardship
strain
sustainability
time
tradeoffs
well-being
workforce
The Power of a Pen: Story and Reflection
Sometimes autonomy doesn’t start with a policy change or a big career decision. Sometimes it starts with… a pen.
Last week, I listened to Dr. Jeff Haney, Vice Dean for Clinical Affairs at WSU Elson S. Floyd COM, share a story during a session on emotional intelligence. He described a night on cal...
by Dr. Tonya Caylor —
Aug 22, 2025
agency
autonomy
awareness
burnout
choice
connection
empowerment
engagement
fulfillment
identity
intentionality
mindset
resilience
well-being
Joy in Family Medicine – Stories & Reflections
