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: commitment
Showing 11 results:
When an Unexpected Next Step is the Right One
When I began telling people I was considering becoming the Founding Program Director of a new family medicine residency in rural Eastern Washington, the responses were not exactly subtle.
“Are you nuts?”
“Do you need me to say WTF, Tonya?!”
And, perhaps most thoughtfully:
“This doesn’t seem align...
by Dr. Tonya Caylor —
Aug 19, 2026
access
accreditation
alignment
building
calling
career
change
coaching
collaboration
commitment
community
courage
culture
curriculum
decisions
development
discernment
education
faculty
family
gme
growth
healthcare
impact
innovation
intention
leadership
medicine
mentorship
mission
moses lake
opportunity
physicians
primary care
purpose
reflection
residency
residents
resilience
rural
samaritan
service
sustainability
systems
teaching
teams
throughline
training
transformation
transition
trust
washington
workforce
wsu
wwami
The River Gets Wider
Just prior to marrying my husband, his dad handed us an article torn from a magazine. It used the imagery of two rivers coming together to describe marriage.
The gist that stuck with my young mind was:1. Don’t be shocked by the rapids. They’re a natural outcome of two forces merging.2. Marriage w...
by Dr. Tonya Caylor —
Jul 25, 2026
acceptance
adaptability
adaptation
adjustment
balance
becoming
career
change
coaching
commitment
confidence
courage
endurance
expectations
flexibility
gratitude
growth
hope
imperfection
joy
leadership
life transitions
marriage
medicine
mindset
navigation
partnership
perseverance
perspective
physicians
preparation
presence
progress
purpose
rapids
recovery
reflection
relationships
renewal
resilience
self-copmpassion
stability
strength
transformation
transition
trust
uncertainty
wellbeing
whitewater
The Bump Nobody Warned You About
A webinar this week about the evolution of a rural residency program inspired this week's reflections. In addition to the successes and growing pains, the thing that caught my attention was the sheer number of changes they had both created and endured.
In just 11 years, the program had 4 Chief Me...
by Dr. Tonya Caylor —
Jul 10, 2026
acceptance
adaptability
adaptation
agility
alignment
awareness
change
change management
collaboration
commitment
communication
complexity
continuity
culture
endurance
evolution
expectations
flexibility
growth
healthcare
innovation
leadership
leadership development
medicine
mindset
mission
mission focus
navigation
organizational health
organizations
perseverance
perspective
preparedness
puprose
reflection
residency
resilience
rural
stability
stewarship
sustainability
systems
teamwork
transformation
transition
trust
turbulence
turnover
uncertainty
Building Impact Capacity
This week I did something new.
I asked Claude to forecast my workload after I entered in all the things from my calendar and everything that wasn’t. It included my coaching practice, presentations, faculty development, travel, writing, a new time-limited leadership role I'll share more about soon...
by Dr. Tonya Caylor —
Jul 10, 2026
agency
alignment
attention
awareness
boundaries
capacity
capacity building
change
clarity
collaboration
commitment
communication
compelxity
decision-making
delegation
design
efficiency
energy
expectations
focus
forecasting
foundation
growth
impact
intentionality
leadership
momentum
organization
planning
preparation
prevention
priorities
prioritization
proactivity
readiness
reflection
resources
simplification
stewardship
strategy
sustainability
sustems
time
tradeoffs
transformation
transition
workload
The Emerging Choice: Staying for the Long Game or Moving On Gracefully
And just like that, it’s 2026!
The perfect time for the final piece in a five-part series exploring what helps when you care deeply about something, your influence no longer influences, and meaningful change seems unlikely.
Over the past several weeks, I’ve shared a few different approaches to ha...
by Dr. Tonya Caylor —
Jan 09, 2026
abundance
academia
agency
alignment
calling
choice
clarity
coaching
commitment
completion
culture
departure
discernment
equanimity
fulfillment
hope
identity
influence
integrity
leadership
legacy
maturity
meaning
medicine
ownership
patience
physicians
purpose
renewal
resilience
scarcity
stewardship
sustainability
systems
timing
transition
values
wellbeing
wisdom
Providing Entertainment in Lane 1
Last week a few things converged and culminated in me taking something head on that I’d been avoiding.
First, spectating an Ironman a couple weeks ago. There’s something about being around real athletes who train hard and perform at that level. Inspiring for sure. That swim tho’…
Second, planning...
by Dr. Tonya Caylor —
Dec 10, 2025
awareness
beginner
commitment
confidence
courage
discipline
discomfort
embarassment
fear
growth
humility
improvement
inspiration
integrity
learning
mindset
motivation
persistence
practice
progress
reflection
resilience
self-talk
swimming
technique
vulnerability
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
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
Balancing Reflection
I received two important pieces of advice once while taking an ocean paddle boarding course. I will cover the first of those today and the other in a future reflection.
The advice: As soon as you stand upright on the board, put your paddle in the water and start moving. It's like a bike - You wou...
by Dr. Tonya Caylor —
Jun 11, 2025
action
adaptability
balance
burnout
commitment
courage
curiosity
decision making
experimentation
flexbility
forward motion
growth
imperfection
learning
metaphor
momentum
movement
navigation
progress
purpose
readiness
reassessment
recovery
reflection
rejuvenation
resilience
risk
self-leadership
timing
uncertainty
The In-Between Reflection
A story with three invitations for you to reflect. A few months ago, a friend asked if I would consider a small part-time role that seemed exciting in some respects and daunting in others. (Plus, the potential to be distracting even). I quickly did the reflex thing that I rarely do - I said, "Of ...
by Dr. Tonya Caylor —
Jun 08, 2025
alignment
balance
boundaries
calling
centering
clarity
commitment
decision
discernment
integrity
mentorship
peace
priorities
process
purpose
reflection
service
surrender
waiting
wisdom
VW Bug Reflection
For this week's reflection, I invite you to picture a 4-seater car. My friend, Dr Sasha Shillcutt, likes to talk about balancing/integrating life as the driver. You occupy the driver's seat (hopefully!), and then you have one other front-seat passenger and 2 back-seat passengers.
Here's my take. ...
by Dr. Tonya Caylor —
Jun 08, 2025
awareness
balance
boundaries
capacity
choice
clarity
commitment
control
decision-making
discernment
energy
focus
integration
intentionality
mindfulness
navigation
priorities
reflection
responsibility
time
Joy in Family Medicine – Stories & Reflections
