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: community
Showing 12 results:
The Penstock Paradox
I've been catching up on Lisa Rosenbaum's Not Otherwise Specified podcast series on primary care. https://not-otherwise-specified-podcast.nejm.org/e/when-no-ones-watching/
The final episode is titled When No One's Watching.
Near the end, Jonathan Han, a family physician and residency director, ta...
by Dr. Tonya Caylor —
Jun 23, 2026
alignment
artistry
authenticity
balance
burnout
caring
community
compassion
connection
contribution
creativity
encouragement
energy
engagement
excellence
flourishing
fulfillment
generosity
gratidtude
humanity
impact
influence
inspiration
intentionality
joy
kindness
leadership
legacy
meaning
mentorship
motivation
presence
purpose
purpose driven
regognition
rejuvenation
relationships
relection
renewal
resilience
restoration
service
significance
stewardship
sustainability
values
wellbeing
The Hidden Curriculum of a Career
Over the past several weeks, I’ve introduced you to John, a fictional physician whose story reflects common themes many physicians wrestle with.
He’s a mid-career family physician struggling with a career dilemma I hear often: “I’ve never stayed in one job more than x number of years. I feel like...
by Dr. Tonya Caylor —
Jun 06, 2026
adaptation
appreciation
becoming
career
clarity
communication
community
conribution
culture
development
discernment
evolution
experience
expertise
fulfillment
gratitude
growth
impact
insight
intentionality
knowledge
leadership
learning
legacy
maturity
meaning
medicine
mentorship
operations
perspective
physicians
progress
purpose
recognition
reflection
relationships
renewal
resilience
self-awareness
stewardship
sustainability
systems
teaching
teamwork
transformation
wisdom
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
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
Power of Conversation, Story and Invitation
A thoughtful reader recently wrote in and asked me: “How did you build the strong relationships you have with specialists?”
At first, I wasn’t sure how to answer. My brain went to the tactical: referrals, shared patients, thank-yous. (These are still paramount. Doing your due diligence with worku...
by Dr. Tonya Caylor —
Aug 02, 2025
assumptions
collaboration
communication
community
connection
consistency
conversation
curiosity
empathy
engagement
fallibility
grace
gratitude
habit
humanity
initiative
intentionality
invitation
listening
mindset
overwhelm
participation
perfectionism
presence
professionalism
reflection
relationships
respect
support
trust
vulnerability
The Award Not Won: Story and Reflection
It’s that season again. Graduation programs. Thank-you speeches. Awards. A flurry of new titles, public praise, and quiet appreciation.
We do this because it matters. Recognition is powerful. Appreciation even more so. But in the messiness of human systems, it doesn’t always land how we intend.
I...
by Dr. Tonya Caylor —
Jun 27, 2025
acknowledgment
alignment
appreciation
authenticity
belonging
care
celebration
community
compassion
connection
contribution
encouragement
equity
gratitude
humanity
humility
impact
inclusion
integrity
leadership
mentorship
mindfulness
presence
process
purpose
recognition
reflection
service
stewardship
support
systems
values
visibility
well-being
Keep Digging (And Savor the Moments Along the Way)
Dinner was beautiful. A nice evening, bold flavors, shared stories of challenge & success, and laughter with friends who are in simlar trenches.
The meal came with this quote came tucked in tableware:
“Work. Keep digging your well. Water is there somewhere.”
It stayed with me—not just because it...
by Dr. Tonya Caylor —
Jun 12, 2025
community
connection
depth
digging
effort
endurance
flow
fulfillment
grit
grounding
hope
meaning
nourishment
patience
persistence
presence
process
resilience
savoring
season
stillness
support
uncertainty
waiting
work
Residency 2.0 Story and Reflection
As most of you know, though my full-time work is in coaching within residency programs, I’ve stayed clinically active—filling in both at the Alaska Family Medicine Residency and Anchorage Neighborhood Health, our local FQHC.
Since 2007, I’ve had the privilege of watching over 200 residents grow, ...
by Dr. Tonya Caylor —
Jun 12, 2025
affirmation
appreciation
belonging
calm
calm contagion
community
connection
continuity
culture
emotional contagion
gratitude
groundedness
healing environment
intentionality
joy in medicine
kindness
leadership
legacy
mentorship
organizational health
ripple effect
role modeling
support
systems thinking
workplace culture
workplace wellbeing
Reflection: Passing it On
This past week, I had the great honor of sitting in a (virtual) room with five individuals who have dedicated decades of their careers to leadership in graduate medical education (GME).
The idea for this gathering started one morning when I woke up thinking about how tough leading in GME can be. ...
by Dr. Tonya Caylor —
Jun 12, 2025
collaborative growth
collective wisdom
community
connection
cultivation
honoring
humility
impact
influence
inspiration
intergenerational learning
knowledge transfer
leadership
legacy
longevity
meaning making
mentorship
reflective practice
ripple effect
slow leadership
stewardship
storytelling
transparency
vision casting
vulnerability
wisdom
The Draft Reflection
At the start of the pandemic, my primary role was in a private practice setting, though I still filled in as faculty at the residency (as I do now).
In our group of six physicians and one PA, we were constantly using every resource available to stay up to date on the ever-evolving science—what it...
by Dr. Tonya Caylor —
Jun 12, 2025
adaptability
advocacy
balance
bandwidth
burnout
collaboration
communication
community
drafting
educaiton
energy management
information fatigue
leadership
misinformation
overload
pacing
perspective
priorities
public health
recovery
reflection
regulation
resilience
resource sharing
solidarity
support
sustainability
teamwork
trust
uncertainty
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
Reflection: What's Left?
A couple of years ago, at the BE Conference in Scottsdale, speaker and drama researcher, Cy Wakeman demonstrated a tool she called "Edit Your Story" to a room of hundreds of women physicians. She asked for show of hands of who worked with a difficult person on a regular basis. (I snapped the phot...
by Dr. Tonya Caylor —
Jun 11, 2025
agency
boundaries
choice
clarity
cognitive shift
community
compassion
decision making
detachment
drama
editing
emotional intelligence
empowerment
facts
groundedness
interpretation
mindset
narrative
next step
ownership
perception
perspective
reaction
reality
reframing
resilience
self-awareness
self-regulation
story editing
workplace
Joy in Family Medicine – Stories & Reflections
