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: change
Showing 12 results:
Childhood Courage
In our early days as a family with one car, my husband's boss would pick him up for work up on a motorcycle. He kept the spare helmet at our house. Our oldest, a toddler at the time, had an instinctual and intense fear of the helmet -- even when Mark was wearing it (wise beyond her years?). This ...
by Dr. Tonya Caylor —
Mar 18, 2026
action
behavior
bravery
breakthrough
challenge
change
childhood
coaching
comfort-zone
confidence
courage
determination
development
empowerment
family
fear
fearlessness
future
goal-setting
growth
habits
inspiration
learning
life-lessons
mindfulness
mindset
motivation
overcoming
parenting
personal-growth
progress
psychology
reflection
resilience
reward
risk
self-growth
storytelling
success
transformation
vision
What Renovation Taught Me About Teams
My husband and I are back in the messy middle of building.
We are not a strangers to it. We completely renovated a historic home over seven years and our Alaskan home over ten, with my husband acting as contractor, doing the work he enjoyed and subbing the rest out.
And now, we’re building remote...
by Dr. Tonya Caylor —
Mar 13, 2026
adaptation
alignment
behavior
building
change
clarity
co-creation
collaboration
communication
conflict
construction
creativity
decision making
development
dynamics
expectations
forming
friction
group
growth
homebuilding
innovation
leadership
learning
marriage
mindset
organization
partnership
patience
performing
problem solving
process
progress
reflection
remodel
renovation
resilience
satisfaction
storming
structure
teams
teamwork
transformation
uncertainty
vision
Beauty and Belonging Discovered After Change (From the Archives)
When we moved from Florida to Alaska in 2007, it wasn't necessarily a big hit with our teenage girls. My oldest moved off to college saying she would visit us but she wasn't "moving out of the country." My youngest, was about to start 8th grade and had strong opinions about leaving her friends an...
by Dr. Tonya Caylor —
Feb 18, 2026
acceptance
adaptation
adolescence
alaska
awareness
beauty
belonging
change
community
discovery
family
gratitude
growth
home
identity
impermanence
intentin
joy
mindfulness
nature
perspective
presence
refleciton
reflection
resilience
transformation
transition
What’s Your Fuel Level?
It’s the start of a new year, and for many of us, change is on the horizon.
Sometimes that change is self-initiated. Sometimes it’s suggested by others. Sometimes it’s formally required. In medicine and academic life, change often shows up wrapped in goals, milestones, improvement plans, or feedb...
by Dr. Tonya Caylor —
Jan 09, 2026
academia
agency
alignment
autonomy
behavior
beliefs
change
coaching
compliance
confidence
defensiveness
discipline
education
emotions
feedback
fuel
goals
growth
identity
importance
integrity
leadership
learning
meaning
medicine
motivation
needs
ownership
process
purpose
readiness
reflection
reframing
resistance
sustainability
thinking
transformation
values
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
Behind the Blame: Story and Reflection
In medicine and academic leadership, change is constant. But the kind we choose feels different than the kind we don’t. Lately, I’ve found myself thinking about what lies beneath the surface when frustration rises. Sometimes what looks like resistance or blame turns out to be something else entir...
by Dr. Tonya Caylor —
Jul 24, 2025
acceptance
blame
change
clarity
collaboration
conversation
frustration
grief
honesty
insight
leadership
loss
mission
purpose
reality
recognition
resistance
softening
transition
values
Freedom Reflection
As we mark Independence Day, I find myself drawn to a quieter kind of patriotism. Instead of fireworks and fanfare, the steady work of building systems where physicians and learners can thrive.
It shows up in faculty who pause long enough to ask better questions.
In leaders willing to shift from ...
by Dr. Tonya Caylor —
Jul 11, 2025
change
coaching
compassion
connection
freedom
hope
interdependence
leadership
learning
listening
patriotism
reflection
support
systemic
truth
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
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
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
When the Jacket Fits, Story and Reflection
Once upon a time, as core faculty with various leadership roles, I was unexpectedly summoned to meet with the program director. He said he wanted to discuss my attitude with me. "MY attitude??!!" I thought. I was busting my tail to make the program better. What could possibly be wrong with my att...
by Dr. Tonya Caylor —
Jun 10, 2025
attitude
awareness
blindspots
burnout
change
coaching
collaboration
communication
courage
criticism
ego
emotional intelligence
feedback
growth
humility
insight
leadership
mindset
ownership
partnership
recalibration
recovery
reflection
self-reflection
Joy in Family Medicine – Stories & Reflections