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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: progress

Showing 12 results:


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 Tyranny of the Unfamiliar
Recently, I brought a situation to my coach because I was concerned I might be facing an ethical dilemma. As we worked through it together, it became clear I was actually on solid ground. What I was experiencing wasn't an ethics issue. It was just discomfort. What's interesting is that I've sat w...
by Dr. Tonya Caylor — Jun 26, 2026 acceptance adaptability adaptation adjustment agility awareness calibration capacity chagne challenge coaching confidence coping courage curiosity development discomfort emotional-intelligence endurance enviornment experience familiarity flexibility growth leadership learning mentorship mindfulness mindset perseverance perspective planning preparation problem solving progress readiness recovery reflection resilience resourcing self-awareness strategy support sustainability transformation uncertainty wellbeing
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
Learning As We Go
We’re in the thick of our Washington build, and I’ve lost count of how many times the plan has had to change on a dime. Not many major ones. But what feels like a near-constant set of pivots. Inspection corrections. New ideas. The domino effect of one decision making another no longer feasible. A...
by Dr. Tonya Caylor — Apr 24, 2026 adaptability adjustment ai awareness balance change coaching cognition consistency decision making development education efficiency flexibility framework future growth improvement innovation insight iteration leadership learning medicine mindset planning problem solving progress reasoning reflection residency resilience skills strategy teaching technology thinking transformation
Childhood Courage
In our early days as a family with one car, my husband's boss would pick him up for work up on a motorcycle. He kept the spare helmet at our house. Our oldest, a toddler at the time, had an instinctual and intense fear of the helmet -- even when Mark was wearing it (wise beyond her years?). This ...
by Dr. Tonya Caylor — Mar 18, 2026 action behavior bravery breakthrough challenge change childhood coaching comfort-zone confidence courage determination development empowerment family fear fearlessness future goal-setting growth habits inspiration learning life-lessons mindfulness mindset motivation overcoming parenting personal-growth progress psychology reflection resilience reward risk self-growth storytelling success transformation vision
What Renovation Taught Me About Teams
My husband and I are back in the messy middle of building. We are not a strangers to it. We completely renovated a historic home over seven years and our Alaskan home over ten, with my husband acting as contractor, doing the work he enjoyed and subbing the rest out. And now, we’re building remote...
by Dr. Tonya Caylor — Mar 13, 2026 adaptation alignment behavior building change clarity co-creation collaboration communication conflict construction creativity decision making development dynamics expectations forming friction group growth homebuilding innovation leadership learning marriage mindset organization partnership patience performing problem solving process progress reflection remodel renovation resilience satisfaction storming structure teams teamwork transformation uncertainty vision
The Myth of Ready
This week, I tried a simple AI morning brain-warm-up experiment at the suggestion of Alex Morgan from The Neuron. I gave ChatGPT this reflective prompt: Share one interesting assumption I might hold without realizing. The response: Sometimes we assume we need clarity before we’re allowed to move....
by Dr. Tonya Caylor — Feb 06, 2026 action balance burnout clarity contribution creativity decision default mode direction equlibrium experimentation growth healing insight leadership learning metaphor mindset momentum movement neuroscience paddleboarding progress reassessment recovery reflection resilience rest strategy thinking uncertainty
Providing Entertainment in Lane 1
Last week a few things converged and culminated in me taking something head on that I’d been avoiding. First, spectating an Ironman a couple weeks ago. There’s something about being around real athletes who train hard and perform at that level. Inspiring for sure. That swim tho’… Second, planning...
by Dr. Tonya Caylor — Dec 10, 2025 awareness beginner commitment confidence courage discipline discomfort embarassment fear growth humility improvement inspiration integrity learning mindset motivation persistence practice progress reflection resilience self-talk swimming technique vulnerability
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
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
Balancing Reflection
I received two important pieces of advice once while taking an ocean paddle boarding course. I will cover the first of those today and the other in a future reflection. The advice: As soon as you stand upright on the board, put your paddle in the water and start moving. It's like a bike - You wou...
by Dr. Tonya Caylor — Jun 11, 2025 action adaptability balance burnout commitment courage curiosity decision making experimentation flexbility forward motion growth imperfection learning metaphor momentum movement navigation progress purpose readiness reassessment recovery reflection rejuvenation resilience risk self-leadership timing uncertainty
Near Miss Story and Reflection
Many years ago, as a second-year medical student, I stopped by the post office on my way to pathology to mail a certified letter. I had to take a different route than usual - one I knew well because it was my evening route for my study group. It was already 90 degrees with max humidity upon my ar...
by Dr. Tonya Caylor — Jun 11, 2025 adaptation automation awareness behavior change change cognitive load compassion course correction grace growth habit humanity humility intentionality judgment learning memory mindfulness mistake neuropathways neuroplasticity patterning progress reflection resilience rewiring routine self-forgiveness self-regulation

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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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