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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: leadership

Showing 12 results:


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
Reflection: Passing it On
This past week, I had the great honor of sitting in a (virtual) room with five individuals who have dedicated decades of their careers to leadership in graduate medical education (GME). The idea for this gathering started one morning when I woke up thinking about how tough leading in GME can be. ...
by Dr. Tonya Caylor — Jun 12, 2025 collaborative growth collective wisdom community connection cultivation honoring humility impact influence inspiration intergenerational learning knowledge transfer leadership legacy longevity meaning making mentorship reflective practice ripple effect slow leadership stewardship storytelling transparency vision casting vulnerability wisdom
The Draft Reflection
At the start of the pandemic, my primary role was in a private practice setting, though I still filled in as faculty at the residency (as I do now). In our group of six physicians and one PA, we were constantly using every resource available to stay up to date on the ever-evolving science—what it...
by Dr. Tonya Caylor — Jun 12, 2025 adaptability advocacy balance bandwidth burnout collaboration communication community drafting educaiton energy management information fatigue leadership misinformation overload pacing perspective priorities public health recovery reflection regulation resilience resource sharing solidarity support sustainability teamwork trust uncertainty
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
Winning Reflections
As we close out 2024, I want to point our minds toward the wins. What you learned, what impact you made, how you grew, etc. You all know it's one area I like to be intentional and savor. Last week, my own coach just elevated the process for me by 1. recognizing something I was unknowingly doing a...
by Dr. Tonya Caylor — Jun 11, 2025 affirmation awareness celebration coaching communication confidence energy feedback growth insight intentionality leadership learning mindset positivity preparation process progress recognition reflection reinforcement repeatability rumination savoring self-awareness shift success sustainability team dynamics widsom

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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.
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