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: engagement
Showing 11 results:
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
Structure Creates Culture: Lessons from Launching the Alaska GME Council
Culture doesn’t just “happen.” It’s shaped — often by the structures we choose. That was clear to me during the recent launch of the Alaska GME Council, a 3½-hour sprint where structure set the tone for team identity, purpose, and action.
(And yes, it also showed up in my sleep — a classic sign o...
by Dr. Tonya Caylor —
Sep 28, 2025
action
adoption
agreements
authenticity
charter
connection
coordination
culture
decision-making
design
energy
engagement
foundation
funding
identity
layout
leadership
meeting
officers
outcomes
ownership
principles
priorities
purpose
reflection
structure
subcommittees
team
vision
voice
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
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
Mise en Place for the Mind
One of my coachees recently identified the missing link in his project workflow. (Thanks for the metaphor, Michael Caçoilo! - shared with permission.)
He had developed the right structure for him: breaking big tasks into smaller chunks and blocking time to get them done. But something still felt ...
by Dr. Tonya Caylor —
Jun 21, 2025
awareness
clarity
coaching
connection
efficiency
engagement
execution
focus
habits
insight
intentionality
leadership
metaphor
mindset
mise-en-place
planning
pre-work
preparation
presence
productivity
professionalism
readiness
reflection
structure
time blocking
trust
workflow
Reflection: The Adventure of Conversation
I had just turned a group of faculty workshop participants loose to help each other work on short term career goals & to do so by practicing their new coaching skills with each other.
I encouraged them to keep their advice-monster at bay. (See Michael Bungay Stanier's The Advice Trap).
When they ...
by Dr. Tonya Caylor —
Jun 12, 2025
advice trap
awareness
co-creation
coaching
communication
connection
curiosity
discovery
empathy
engagement
exploration
facilitation
growth
guidance
insight
interaction
learning
listening
mindset
non-judgment
openness
pattern recognition
physician habit
practice
presence
reflection
restraint
storytelling
transformation
trust
Best Laid Plans: Story and Reflection
I enjoy it when people expand and contrast the meanings of words. It gives me a better grasp of various approaches. I came across a quote from Sahil Bloom that did just that:
"Preparation always beats planning. Planning is based on the expectation of order. Preparation is based on the expectation...
by Dr. Tonya Caylor —
Jun 11, 2025
adaptability
calm
control
creativity
emotional intelligence
engagement
evolution
expectations
flexibility
foresight
grace
humor
idealism
improvisation
leadership
learning
mindset
perspective
pivoting
planning
preparation
presence
problem solving
recovery
reflection
resilience
responsiveness
self-regulation
teaching
uncertainty
Worst Case, Story and Reflection
Early on, as a new physician coach, one of my first group sessions was in a Zoom breakout room with residents during their grand rounds. The main room topic, presented by another physician coach, a surgeon, was Unhealthy Perfectionism, briefly mentioning how our thoughts affect our emotions and a...
by Dr. Tonya Caylor —
Jun 09, 2025
assumptions
avoidance
awareness
coaching
curiosity
empathy
engagement
grace
insight
intent
interpretation
mindset
patience
perception
presence
projection
reflection
silence
uncertainty
vulnerability
1% Reflection
I invite you this week to consider what percent of your average work week includes joy. When you drill down - what are those experiences that offer soul-satisfying glimmers?
If it's below 20% - there is some good news - slowly increasing up to 20% will be protective against burnout. If it's above...
by Dr. Tonya Caylor —
Jun 03, 2025
awareness
balance
burnout
connection
energy
engagement
fulfillment
gratitude
growth
incremental
inspiration
joy
mindfulness
presence
purpose
reflection
resilience
satisfaction
wellbeing
workplace
Team Reflection
I invite you this week to pause and reflect.
First, reflect on the BEST team you've ever been a part of. What were the behaviors, characteristics, practices, established culture, and norms made it so? When you've listed it all out, pause, think more, and dig deeper.
Second, if this is your curren...
by Dr. Tonya Caylor —
Jun 03, 2025
alignment
appreciation
awareness
belonging
celebration
collaboration
connection
contribution
culture
engagement
gratitude
growth
influence
leadership
motivation
norms
reflection
support
teamwork
trust
Joy in Family Medicine – Stories & Reflections
