Stories & Reflections from a Family Medicine Physician Coach

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: curiosity

Showing 12 results:

Broadening the Differential: A Lesson in Agile Thinking

I've been spending time with colleagues lately exploring the concept of agility in the research literature. And as a result, I keep finding the need for it everywhere. This week alone, our house build presented a wiring issue that no longer aligned with the original lighting and door-swing plans ...

by Dr. Tonya Caylor — Jun 12, 2026 adaptability adaptation advocacy agility anchoring assumptions awareness bias caregiving change chaos clinical thinking collaboration communication complexity contingency curiosity decision making diagnosis efficiency execution family flexibility growth home building humility insight judgment leadership learning logistics medicine openness perspective perspective shift planning prioritization problem solving realignment reassessment recalibration reconsideration reflection reframing resilience responsiveness rethinking structure systems truth seeking uncertainty

Retroactive Omniscience and Having Your Own Back

Over the past few weeks, we’ve been following “John,” a fictional physician trying to sort through the emotional aftermath of multiple job changes and the growing belief that maybe he was just bad at choosing jobs. In the first edition, he recognized the story he was telling himself and how it wa...

by Dr. Tonya Caylor — May 23, 2026 adaptability adaptation awareness career career change change clarity coaching cognition compassion confidence curiosity decision making development discernment evolution growth healthcare hindsight insight intentionality judgment leadership learning medicine mindset perspective physician psychology purpose refleciton resilience self-awareness self-doubt selftrust shame stress transitions trust wellbeing

John and the Honeymoon Effect

Last week I introduced you to John, a fictional physician whose story reflects common themes many physicians wrestle with. He’s a mid-career family physician wrestling with a career dilemma I hear very frequently: “I’ve never stayed in one job more than x number of years. I feel I need to leave m...

by Dr. Tonya Caylor — May 17, 2026 adaptation awareness balance burnout career career change clarity coaching cognition compassion contentment curiosity decision making development feedback fulfillment growth healthcare identity insight intentionality leadership learning medicine mindset motivation negativity bias patterns perspective physician psychology purpose reflection relationships resilience self-assessment self-awareness systems transitions wellbeing

Say It Again

Recently, something happened in a meeting that used to bother me, but now I find it fascinating. I was catching a colleague up who had missed the previous meeting. We had left one decision unresolved: where to place a particular talk. I mentioned the option we had discussed and asked for her take...

by Dr. Tonya Caylor — Mar 13, 2026 alignment attention awareness behavior clarity cognition collaboration communication complexity culture curiosity decision making distration dynamics focus grace group hearing inattention information insight integration leaders leadership learning listening management meetings message messaging miscommunication neuroscience patience patterns perception processing psychology reflection reinforcement reminders repetition signals strategy teamwork understanding workplace

Same Game, Different Frame

Two men played chess a few evenings near the main path before dinner. It was entertaining to pass by and see them deep in strategic concentration. One night, two photos were taken about twenty minutes apart from different angles. In the first, the light, sky, and ocean make it feel expansive. So ...

by Dr. Tonya Caylor — Feb 21, 2026 aperture awareness chess contrast curiosity discourse empathy flexibility framing gratitude growth humility insight interpretation leadership lens light love medicine metaphor mindfulness mindset narrative perception perspective presence psychology reflection relationships strategy vantage

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

Ask Responsibly

I was thinking recently about how agreeable my AI assistant, Scribbs, is with me. He’s great at coming up with answers in the direction I point him - quick to confirm, validate, or spot what might be off. It’s a lot like those friends we turn to when we just want someone to agree with us. But I’v...

by Dr. Tonya Caylor — Oct 24, 2025 ai alignment assumption awareness bias clarity confirmation connection course-correction criticism curiosity detective dialogue direction excitement exploration feedback growth guidance humility impulsivity inquiry insight intention judgment learning listening meaning-making mindset mirror oversight perspective purpose questions reflection reframing relevance self-talk

Beyond Labels: Story and Reflection

It’s not infrequent that I’m in conversation with a faculty member who’s frustrated with one or two residents they see as lazy or disengaged. Those moments take me right back to how I sometimes felt a decade ago, when I was burned out in my core faculty role. I remember the intensity of that frus...

by Dr. Tonya Caylor — Aug 22, 2025 barriers burnout connection conversations criticism curiosity data defesiveness drive efficiency energy engagement exhuastion experience feedback frustration gaps growth immersion interviewing labels language learning minset motivation nuance patience perspective procrastination quality rapport reflection remediation repitition resources responsibility safety strengths support trust understanding

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

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

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

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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: curiosity

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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