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: fulfillment
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
John Changes the Question
A few weeks ago, I introduced you to John, a fictional physician whose story reflects common themes many physicians wrestle with. He’s a mid-career family physician facing a career dilemma I hear often:
“I’ve never stayed in one job more than x number of years. I feel I need to leave my current o...
by Dr. Tonya Caylor —
May 29, 2026
adaptation
agency
alignment
authenticity
awareness
burnout
career
change
clarity
coaching
compassion
connection
continuity
decision making
direction
discovery
engagement
fulfillment
growth
inquiry
insight
intention
leadership
listening
meaning
medicine
mindset
perspective
physicians
purpose
reflection
renewal
resilience
self-awareness
sustainability
teaching
transformation
transition
trust
values
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
John's Decision
A common theme I hear from physicians is this:
“I’ve lost confidence in my ability to pick a good job because I’m looking to leave…again.”
And honestly, healthcare is different than it was decades ago when physicians often stayed in one practice for 30–40 years. Expectations, systems, autonomy, c...
by Dr. Tonya Caylor —
May 14, 2026
adaptation
autonomy
balance
burnout
career
career change
change
clarity
coaching
cognition
comparison
confidence
contentment
decision making
despair
fulfillment
growth
healthcare
insight
intention
job search
leadership
medicine
mindset
motivation
negativity bias
perspective
physician
psychology
purpose
reflection
resilience
self-awareness
shame
stress
systems
thought work
transition
values
wellbeing
The Impact We Don't Always See
I came across a piece from Sahil Bloom not too long ago about the “Stonecutter Principle,” which is so relatable to the work I do.
In case you’re not familiar with the story - a quick recap: three stonecutters doing the same work but describing it very differently: cutting stone, building a wall,...
by Dr. Tonya Caylor —
May 14, 2026
administration
awareness
burnout
caregiving
cathedral
compassion
connection
documentation
empathy
forms
fulfillment
gratitude
growth
healing
healthcare
humanity
impact
leadership
legacy
meaning
medicine
mindset
motivation
patient care
perspective
physician
purpose
purposeful work
quality of life
reflection
reframing
relationships
resilience
service
stonecutter
storytelling
support
values
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
Holding Pattern
This is Week 4 of a 5-part series exploring those moments when you care deeply about an issue, and nothing you do seems to move the needle.
So far, we’ve looked at three different approaches to that situation: • Week 1: Redefining success when outcomes aren’t changing • Week 2: Navigating real co...
by Dr. Tonya Caylor —
Jan 09, 2026
academia
agency
alignment
ambiguity
becoming
belonging
calling
choice
clarity
coaching
dignity
discernment
endurance
engagement
equilibrium
fulfillment
holding
identity
leadership
liminality
maturity
meaning
medicine
middle
patience
physicians
presence
process
purpose
resilience
restraint
steadiness
tension
threshold
timing
transition
uncertainty
urgency
values
wisdom
worth
The Hallway Experience (From the Archives)
I recently heard the phrase “hallway experience.” It resonated with me.
The hallway represents the waiting period after the quintessential 'one door closes' and before 'another one opens.' For me, the hallway period began somewhat nebulously between the pandemic start and formal coach certific...
by Dr. Tonya Caylor —
Dec 17, 2025
agency
alignment
calling
co-creation
coaching
fulfillment
growth
identity
liminality
meaning
medicine
purpose
reinvention
transition
uncertainty
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
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
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
Joy in Family Medicine – Stories & Reflections
