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: ownership
Showing 9 results:
What’s Your Fuel Level?
It’s the start of a new year, and for many of us, change is on the horizon.
Sometimes that change is self-initiated. Sometimes it’s suggested by others. Sometimes it’s formally required. In medicine and academic life, change often shows up wrapped in goals, milestones, improvement plans, or feedb...
by Dr. Tonya Caylor —
Jan 09, 2026
academia
agency
alignment
autonomy
behavior
beliefs
change
coaching
compliance
confidence
defensiveness
discipline
education
emotions
feedback
fuel
goals
growth
identity
importance
integrity
leadership
learning
meaning
medicine
motivation
needs
ownership
process
purpose
readiness
reflection
reframing
resistance
sustainability
thinking
transformation
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
When Influence Stops Working: Acceptance Without Endorsement
This is Part 3 of a 5-part series exploring what helps when influence has stopped working. Nothing moves. No matter how much skill, strategy, data, coalition-building, or heart you bring. And it’s something you care deeply about.
Earlier pieces focused on redefining success and navigating constra...
by Dr. Tonya Caylor —
Jan 09, 2026
academia
acceptance
adaptation
agency
alignment
boundaries
bureaucracy
burnout
clarity
coaching
constraint
control
detachment
discernment
dynamics
dysfunction
emotionality
endorsement
energy
equanimity
expectations
frustration
influence
leadership
letting go
maturity
medicine
ownership
predictability
prioritization
reafctivity
reality
regulation
resilience
sobriety
stewardship
sustainability
systems
tolerance
wisdom
Structure Creates Culture: Lessons from Launching the Alaska GME Council
Culture doesn’t just “happen.” It’s shaped — often by the structures we choose. That was clear to me during the recent launch of the Alaska GME Council, a 3½-hour sprint where structure set the tone for team identity, purpose, and action.
(And yes, it also showed up in my sleep — a classic sign o...
by Dr. Tonya Caylor —
Sep 28, 2025
action
adoption
agreements
authenticity
charter
connection
coordination
culture
decision-making
design
energy
engagement
foundation
funding
identity
layout
leadership
meeting
officers
outcomes
ownership
principles
priorities
purpose
reflection
structure
subcommittees
team
vision
voice
Reflection: What's Left?
A couple of years ago, at the BE Conference in Scottsdale, speaker and drama researcher, Cy Wakeman demonstrated a tool she called "Edit Your Story" to a room of hundreds of women physicians. She asked for show of hands of who worked with a difficult person on a regular basis. (I snapped the phot...
by Dr. Tonya Caylor —
Jun 11, 2025
agency
boundaries
choice
clarity
cognitive shift
community
compassion
decision making
detachment
drama
editing
emotional intelligence
empowerment
facts
groundedness
interpretation
mindset
narrative
next step
ownership
perception
perspective
reaction
reality
reframing
resilience
self-awareness
self-regulation
story editing
workplace
The Tale of Two Challenges
Challenge #1 The Hike. When my kids were both back in Alaska, they insisted that we climb the frontside of Flattop one rainy day. It's a popular local hike. It's my least favorite because I loathe the "scramble" at the top, where you create your own rock climbing path up. It's not particularly st...
by Dr. Tonya Caylor —
Jun 10, 2025
acceptance
adaptability
agency
automatic thoughts
challenge
control
discomfort
emotions
experience
fear
flexibility
frustration
growth
humor
memory making
mindset
narrative
negativity
ownership
perspective
reactivity
reflection
reframing
resilience
responsibility
self-awareness
self-compasssion
self-talk
storytelling
thoughts
transformation
Costly Lunch Laughs, Story and Reflection
Back in 2003, I was with four friends in Germany. We ducked into a diner for lunch. The two guys were just hilarious. Their dry sense of humor and perfect timing had us laughing so hard we could barely catch our breaths - literally for my friend Cheryl. 😳
She inhaled food upon laughing, and then ...
by Dr. Tonya Caylor —
Jun 10, 2025
action
adrenaline
amygdala
bravery
compassion
courage
decision making
discomfort
doubt
fear
freeze response
growth
hesitation
humor
inner conflict
instinct
intuition
knowing
leadership
ownership
paradox
presene
pressure
reaction
reflection
rescue
responsibility
self-trust
urgency
vulnerability
When the Jacket Fits, Story and Reflection
Once upon a time, as core faculty with various leadership roles, I was unexpectedly summoned to meet with the program director. He said he wanted to discuss my attitude with me. "MY attitude??!!" I thought. I was busting my tail to make the program better. What could possibly be wrong with my att...
by Dr. Tonya Caylor —
Jun 10, 2025
attitude
awareness
blindspots
burnout
change
coaching
collaboration
communication
courage
criticism
ego
emotional intelligence
feedback
growth
humility
insight
leadership
mindset
ownership
partnership
recalibration
recovery
reflection
self-reflection
Edit Reflection
When we lived in Florida, we had a lab mix named Snickers. True to his breed, he loved to be right next to his people. While we were temporarily in a rental house, he had to stay outside, and he became an escape artist. One day driving home from work, I saw him happily trotting on the side of the...
by Dr. Tonya Caylor —
Jun 08, 2025
acceptance
adaptability
bias
compassion
connection
forgiveness
grace
growth
humor
identity
interpretation
learning
lightness
mistakes
ownership
perspective
redemption
reframing
rescue
storytelling
Joy in Family Medicine – Stories & Reflections
