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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: primary care

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Where Does the Time Go?
Monday was one of those days: meeting after meeting after meeting after meeting. Seriously. Plus no space between them. One room to another, to virtual, back to the other room. No space to do a quick prep review before any but the first. There was no time to process what we'd just discussed, thin...
by Dr. Tonya Caylor — Sep 25, 2026 access administration appointments boundaries burnout calendars capacity care coordination complexity documentation efficiency follow-up fte healthcare healthcare systems inbox leadership medicine meetings messaging patient care physician wellbeing physicians preparation primary care productivity reflection resilience resources scheduling staffing sustainability systems change teamwork technology time transition work-life balance workflow workload
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

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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