Stories & Reflections from a Family Medicine Physician Coach

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: medicine

Showing 12 results:

Team Culture: Boundaries, Generosity, and Trust

For me, Fall is closely associated with sports. College football, one of the primary ones, but also volleyball after years of being a volleyball mom. I have a few friends who find sports a bit pedestrian, too focused on competition, and something they’ve never really understood the appeal of. I...

by Dr. Tonya Caylor — Sep 18, 2026 accountability adaptability belonging boundaries burnout career coaching collaboration communication community competition confidence connection cooperation culture development empathy flexibility generosity growth growth mindset healthcare leadership learning medicine mentorship partnership physicians positive intent reciprocity recovery reliability residency resilience self-preservation sports sportsmanship support sustainability team culture teaming teammates teamwork trust volleyball vulnerability workload workplace

Brads Over Lectures

When our youngest daughter was about four, she was watching my husband rescreen a door. She stood there studying what he was doing and asked, “What’s that, Dad? Are you putting in brads, Dad?” I remember thinking, What’s a brad? She knew because she had spent a lot of time following her dad aroun...

by Dr. Tonya Caylor — Sep 11, 2026 adaptability apprenticeship coaching collaboration confidence creativity curiosity development discovery education engagement experience exploration figureoutable gme growth healthcare independence initiative inquiry leadership learning learning by doing medicine mentorship modeling observation parenting persistence physicians practice problem solving reflection residency resilience resourcefulness teaching training

Caring Enough to Tell the Truth

I’ve been reflecting on a situation someone close to me recently faced in her work as a consultant. She was brought into a high-stakes situation by her boss, who had asked her to help a close friend. The friend believed that other people involved in an important transition were the problem. Her a...

by Dr. Tonya Caylor — Aug 28, 2026 accountability advocacy boundaries candor care clinicians coaching communication compassion conflict courage development dignity education empathy evaluation expectations faculty fairness feedback growth healthcare honesty integrity leadership learning medicine mentorship patient care performance professionalism reflection relationships remediation residency residents responsibility standards supervision support teaching transparency trust truth

When an Unexpected Next Step is the Right One

When I began telling people I was considering becoming the Founding Program Director of a new family medicine residency in rural Eastern Washington, the responses were not exactly subtle. “Are you nuts?” “Do you need me to say WTF, Tonya?!” And, perhaps most thoughtfully: “This doesn’t seem align...

by Dr. Tonya Caylor — Aug 19, 2026 access accreditation alignment building calling career change coaching collaboration commitment community courage culture curriculum decisions development discernment education faculty family gme growth healthcare impact innovation intention leadership medicine mentorship mission moses lake opportunity physicians primary care purpose reflection residency residents resilience rural samaritan service sustainability systems teaching teams throughline training transformation transition trust washington workforce wsu wwami

Friendships on Purpose

I’m writing from my kitchen counter, sitting on one of the few things not making the journey to Washington: our kitchen stools. Behind me, three people are wrapping and taping up nearly everything we own. They start loading the truck tomorrow. We are down to one drawer, one cabinet, one coffee ma...

by Dr. Tonya Caylor — Aug 14, 2026 #bemyfriend alaska anchorage authenticity ballard belonging community companionship conference connection courage encouragement friendship friendship building girdwood gratitude intentionality invitation kindness medicine memories mentorship moving networking physicians presence purpose reflection relationships relocation resilience retirement reunion storyslam storytelling support transition vulnerability washington wellbeing women

The River Gets Wider

Just prior to marrying my husband, his dad handed us an article torn from a magazine. It used the imagery of two rivers coming together to describe marriage. The gist that stuck with my young mind was:1. Don’t be shocked by the rapids. They’re a natural outcome of two forces merging.2. Marriage w...

by Dr. Tonya Caylor — Jul 25, 2026 acceptance adaptability adaptation adjustment balance becoming career change coaching commitment confidence courage endurance expectations flexibility gratitude growth hope imperfection joy leadership life transitions marriage medicine mindset navigation partnership perseverance perspective physicians preparation presence progress purpose rapids recovery reflection relationships renewal resilience self-copmpassion stability strength transformation transition trust uncertainty wellbeing whitewater

The Price of Value

This week's theme comes straight from Facebook Marketplace. My husband (who is not a social media guy) asked me to list his Kubota skid steer for "69-9." So I did. I had just sold his utility trailer for $2,200, so I entered all the details, uploaded the photos, and hit Publish. Within seconds, s...

by Dr. Tonya Caylor — Jul 17, 2026 abundance advocacy appreciation authenticity awareness belief business compensation confidence contribution courage empowerment encouragement entrepreneurship expertise family medicine financial health generosity gratitude growth identity impact influence leadership medicine mentorship mindset negotiation opportunity perception perspective physicians purpose recognition reflection self-advocacy self-worth service support sustainability undervaluing validation value visibility worth worthiness

The Bump Nobody Warned You About

A webinar this week about the evolution of a rural residency program inspired this week's reflections. In addition to the successes and growing pains, the thing that caught my attention was the sheer number of changes they had both created and endured. In just 11 years, the program had 4 Chief Me...

by Dr. Tonya Caylor — Jul 10, 2026 acceptance adaptability adaptation agility alignment awareness change change management collaboration commitment communication complexity continuity culture endurance evolution expectations flexibility growth healthcare innovation leadership leadership development medicine mindset mission mission focus navigation organizational health organizations perseverance perspective preparedness puprose reflection residency resilience rural stability stewarship sustainability systems teamwork transformation transition trust turbulence turnover uncertainty

Broadening the Differential: A Lesson in Agile Thinking

I've been spending time with colleagues lately exploring the concept of agility in the research literature. And as a result, I keep finding the need for it everywhere. This week alone, our house build presented a wiring issue that no longer aligned with the original lighting and door-swing plans ...

by Dr. Tonya Caylor — Jun 12, 2026 adaptability adaptation advocacy agility anchoring assumptions awareness bias caregiving change chaos clinical thinking collaboration communication complexity contingency curiosity decision making diagnosis efficiency execution family flexibility growth home building humility insight judgment leadership learning logistics medicine openness perspective perspective shift planning prioritization problem solving realignment reassessment recalibration reconsideration reflection reframing resilience responsiveness rethinking structure systems truth seeking uncertainty

Cognitive Dissonance (From the Archives)

Growing up, my world consisted of good kids like Spook, Ryan, Barry, Jean, and Christy. Especially Jean, she would draw fun pictures and write nice things in a note folded up for me at school: "To Tonya, my friend. From: Jean, your friend." There were bad kids like Eddie - who would come to our s...

by Dr. Tonya Caylor — Jun 07, 2026 acceptance accountability ambiguity authenticity balance boundaries change character cognitive dissonance compassion compelxity complexity conflict conviction courage discernment emotional intelligence empathy ethics forgiveness grief growth humanity humility integrity judgment leadership learning loyalty maturity medicine nuance perspective physicians principles reconciliation refleciotn reflection relationships resilience respect sadness self-awareness trust understanding values wisdom

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

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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: medicine

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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