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: leadership
Showing 12 results:
Right Pause, Right Time Story and Reflection
Years ago, I was leading a medical team in Southeast Asia after the tsunami. Infrastructure was gone, local health workers were either missing or tending to their own communities, and our team, hosted by a local NGO, was running long, hot, and emotionally heavy days.
One morning, something was of...
by Dr. Tonya Caylor —
Jul 31, 2025
awareness
breath
burnout
clarity
cohesion
compassion
connection
emotion
gratitude
healing
humanity
insight
intention
leadership
listening
medicine
mindfulness
observation
pause
perspective
presence
purpose
recovery
reflection
resilience
restoration
support
sustainability
teamwork
wellbeing
Behind the Blame: Story and Reflection
In medicine and academic leadership, change is constant. But the kind we choose feels different than the kind we don’t. Lately, I’ve found myself thinking about what lies beneath the surface when frustration rises. Sometimes what looks like resistance or blame turns out to be something else entir...
by Dr. Tonya Caylor —
Jul 24, 2025
acceptance
blame
change
clarity
collaboration
conversation
frustration
grief
honesty
insight
leadership
loss
mission
purpose
reality
recognition
resistance
softening
transition
values
Freedom Reflection
As we mark Independence Day, I find myself drawn to a quieter kind of patriotism. Instead of fireworks and fanfare, the steady work of building systems where physicians and learners can thrive.
It shows up in faculty who pause long enough to ask better questions.
In leaders willing to shift from ...
Jul 11, 2025
change
coaching
compassion
connection
freedom
hope
interdependence
leadership
learning
listening
patriotism
reflection
support
systemic
truth
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
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
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
Leaders and Legacy Reflection
When physicians or faculty leaders are struggling in their roles—or with certain parts of them—I often ask:
"When you think of a leader you admire, what qualities stand out?"
They usually name things such as integrity. Strength. Clinical wisdom. Courage. Kindness. Collaboration.
And almost always...
by Dr. Tonya Caylor —
Jun 12, 2025
admiration
awareness
balance
boundaries
capacity
choice
clarity
courage
decline
dedication
delegation
discomfort
expansion
growth
impact
influence
integrity
kindness
leaders
leadership
legacy
modeling
possibility
presence
purpose
rolemodeling
streamline
strength
sustainability
tension
wisdom
Purpose at the Crossroads: Story and Reflection
It’s at the crossroads—between opportunity and discernment—that purpose gets tested.
- A resident deciding between a desired fellowship and staying in a community they love that may not utilize that training.
- A faculty member torn between taking on a leadership role or focusing their energy on ...
by Dr. Tonya Caylor —
Jun 12, 2025
alignment
authenticity
boundaries
calling
clarity
decision making
discernment
growth
humility
intentionality
leadership
long-term impact
meaning
opportunity
purpose
responsibility
self-awareness
service
sustainability
team based leadership
timing
transition
vocation
well-being
wisdom
Staying Power Reflection
A couple of weeks ago, I had the gift of facilitating a panel discussion with seasoned leaders in academic family medicine — people whose careers span decades, whose influence is immeasurable. I asked them to name a single word or phrase that captured what contributed to their longevity in this w...
by Dr. Tonya Caylor —
Jun 12, 2025
belief
calling
creativity
detachment
emotional wisdom
endurance
generativity
hope
imagination
impact
inspiration
leadership
legacy
longevity
meaning
mindset
optimism
purpose
resilience
ripple effect
sustainability
trust
vision
Story and Reflection: Mining for Value
Recently, I noticed that a member of our team had quietly pulled back. I knew she had experience—she’d been introduced as someone who had worked with universities, served as a legislative liaison, and helped stand up GME programs. She had consistently offered thoughtful perspectives, often seeing...
by Dr. Tonya Caylor —
Jun 12, 2025
awareness
confidence
confidence without arrogance
contribution over ego
curiosity
deep listening
dignity
drawing out strengths
experience
experience matters
expertise
hidden
hidden assets
hidden strength
honoring the whole person
humility
inclusive leadership
influence beyond title
invitational leadership
leadership
legacy
listening
mining
mining for gold
presence
quiet contributors
reactivation
recognition
relational leadership
respectul curiosity
storytelling
strength
team awareness
undervalued
undervalued expertise
unseen
unseen wisdom
wisdom
The Extra Mile - Story and Reflection
Recently, I’ve been supporting my mom from afar as she’s gone through a complicated health issue. Like many patients, she didn’t show up with a single neat explanation. She had two separate issues—Occam’s razor didn’t apply. That alone created delays and misdirection, but this story isn’t about w...
by Dr. Tonya Caylor —
Jun 12, 2025
bandwidth
care
care over efficiency
clarity
connection
discernment
effort
empathy
experience informed action
family perspective
generosity
going above and beyond
gratitude
groundedness
healing
healing moments
humanity
intention
leadership
meaningful
meaningful effort
medicine
pacing
perspective
physician humanity
presence
prioritization
professionalism
relational medicine
right effort right moment
silent leadership
timing
wisdom
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
Joy in Family Medicine – Stories & Reflections
