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: focus
Showing 12 results:
Two Kinds of Motivation
I had the chance to host Dr Tyra Fainstad (University of Colorado, Better Together Coaching Founder) for a group coaching session on mindset, and she opened with Self-Determination Theory (SDT).
I've loved the topic of SDT since hearing Dr Richard Ryan speak at the IOC Coaching in Leadership and ...
by Dr. Tonya Caylor —
Apr 23, 2026
autonomy
awareness
behavior
burnout
capability
choice
clarity
coaching
cognition
competence
connection
development
educaiton
emotions
engagement
extrinsic
focus
growth
habits
innercritic
intrinsic
introjects
leadership
learning
medicine
mindset
motivation
performance
physician
psychology
purpose
reflection
relatedness
resilience
self-determination
thinking
values
wellbeing
What the Critic Taught Me
I was talking with a physician recently who started his own practice.
Someone had asked about him in a local Facebook group. There were about thirty responses. Not just “he’s good,” but detailed, generous paragraphs about his skill, empathy, time, and care.
And then one line:
“My mom saw him and ...
by Dr. Tonya Caylor —
Apr 23, 2026
adaptability
attention
awareness
beliefs
boundaries
burnout
coaching
comparison
confidence
criticism
delegation
development
emotions
empathy
feeback
focus
grace
growth
identity
improvement
interpretation
leadership
learning
medicine
mentorship
mindset
narrative
perspective
physician
practice
purpose
reflection
reputation
resilience
reviews
selfworth
trigger
validation
values
wellbeing
Back to Now: When the Clock Stops Judging You
A physician I was coaching recently brought this to a session:
“I’m always running late in clinic.”
If you work in medicine in this day and age, you know that reality.
But as we slowed it down, she noticed something important:
‘Late’ has judgment.
The actual data?
She walked into the room at 10:3...
by Dr. Tonya Caylor —
Mar 27, 2026
acceptance
attention
awareness
balance
calm
clarity
coaching
compassion
data
decision making
efficiency
effort
emotion
focus
healthcare
insight
judgment
medicine
mental health
midnfulness
observation
organization
overwhelm
patient care
perception
performance
perspective
physician
presence
prioritization
process
productivity
reflection
reslience
self-awareness
self-compassion
stress
surgeon
thoughts
wellbeing
workflow
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
Tools and Strategies
Mindset
I always spend a lot of time on mindset. It is foundational and under-discussed. However, if we only change mindset without also learning strategies and new tools, many things will stay the same.
For instance, you may have a whole new outlook on your inbox. But if you want to improve comm...
by Dr. Tonya Caylor —
Feb 27, 2026
accountability
alignment
assertiveness
awareness
boundaries
burnout
clarity
cognitive load
communication
compassion
conflict
decision making
development
efficiency
emotional intelligence
empowerment
energy management
execution
feedback
focus
growth
intentionality
kindness
leadership
mindset
ownership
perspective
prevention
prioritization
proactivity
processes
productivity
professionalism
psychological safety
reactivity
reflection
relationships
repair
resilience
respect
response
sbar
self-efficacy
self-leadership
self-regulation
strategy
structure
systems
triage
Progress Through Process
I’ve been spending a lot of time lately in complex work with many moving parts: helping design a longitudinal faculty coach training with the STFM CBME Faculty Coach Training initiative, and collaborating with colleagues through an AMA-funded Precision Medicine education grant with GAFP. In both ...
by Dr. Tonya Caylor —
Jan 28, 2026
adaptability
attention
chunking
coaching
development
discipline
discomfort
focus
growth
improvement
incremental
integration
learning
mastery
mindfulness
observation
patience
persistence
planning
practice
process
progression
reflection
resilience
skillbuilding
Endurance, Recovery, and Trust: What Medicine Can Learn from an Ironman
I logged 24,000 steps a couple of weeks ago, not competing, just spectating. Cheering at an Ironman turned out to be its own endurance event!
Somewhere between the cowbells and the cheers, I found myself thinking about what it really takes to sustain that kind of effort. Not just on race day and ...
by Dr. Tonya Caylor —
Nov 07, 2025
adaptability
adaptation
awareness
balance
discipline
effort
endurance
flow
focus
integration
microbreaks
momentum
patience
persistence
preparation
presence
process
recovery
recovery load
reflection
resilience
restraint
savoring
threshold
training
trust
Reflection: Between the Gates
On her recent Dare to Lead podcast, Brené Brown reads an excerpt from her new book, Solid Ground. In it she described ship locks, sometimes called water elevators in canals, and it’s an image that has stayed with me.
For those who haven’t seen them: when a ship moves from one body of water to ano...
by Dr. Tonya Caylor —
Oct 10, 2025
adaptation
adjustment
alignment
attention
awareness
balance
boundaries
calm
centering
compassion
connection
energy
equilibrium
flow
focus
grace
grounding
humanity
integration
intention
leadership
mindfulness
patience
pause
perspective
preparation
presence
recovery
reflection
regulation
renewal
reset
resilience
restoration
rhythm
self-awareness
space
stillness
sustainability
transition
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
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
Word of the Year Reflection
Choosing a word of the year provides a simple yet powerful compass that can guide your decisions, actions, and mindset throughout the year. It's like a quick check-in on your purpose statement focused on 2025.
As we step into a new year, take 15 minutes to sit quietly with yourself and reflect. A...
by Dr. Tonya Caylor —
Jun 12, 2025
adaptability
alignment
amalgamation
blending
choice
clarity
coaching
decision making
direction
empowerment
flexibility
focus
guidance
identity
integration
intention
leadership
mentoring
mindfulness
personal growth
purpose
reflection
resilience
roles
self-awareness
strength
transformation
transition
values
word of the year
Twin Perspectives: Story and Reflection
One day a few of years ago, my husband and I started watching Medici - the historical Netflix series set in medieval Italy. The two main brothers looked so much alike during those first two episodes. I kept getting so confused.
After asking Mark for the 6th time which brother was speaking, he fin...
by Dr. Tonya Caylor —
Jun 11, 2025
acceptance
adjustment
attentiveness
awareness
balance
clarity
confusion
distortion
emotional regulation
focus
humility
insight
judgment
lens
mindfulness
mindset
narrative
overwhelm
patience
perception
perspective
presence
proportion
reframe
self-awareness
self-reflection
storytelling
strengths
values
zooming-out
Joy in Family Medicine – Stories & Reflections