
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: reflection
Showing 12 results:
Responsibility Revisited: Story and Reflection
We don’t always talk about guilt in medicine unless it’s framed as toxic or as a byproduct of impossible systems. But some guilt is earned. Some of it’s useful. The kind that nudges us when we’ve strayed from our values. And some is not.
What follows is a story out of several that came to mine fr...
by Dr. Tonya Caylor —
Aug 08, 2025
adaptation
alignment
awareness
character
conscience
deicision
ethics
fatigue
growth
guilt
integrity
judgment
learning
medicine
observation
reflection
residency
responsibility
self-correction
values
Power of Conversation, Story and Invitation
A thoughtful reader recently wrote in and asked me: “How did you build the strong relationships you have with specialists?”
At first, I wasn’t sure how to answer. My brain went to the tactical: referrals, shared patients, thank-yous. (These are still paramount. Doing your due diligence with worku...
by Dr. Tonya Caylor —
Aug 02, 2025
assumptions
collaboration
communication
community
connection
consistency
conversation
curiosity
empathy
engagement
fallibility
grace
gratitude
habit
humanity
initiative
intentionality
invitation
listening
mindset
overwhelm
participation
perfectionism
presence
professionalism
reflection
relationships
respect
support
trust
vulnerability
Right Pause, Right Time Story and Reflection
Years ago, I was leading a medical team in Southeast Asia after the tsunami. Infrastructure was gone, local health workers were either missing or tending to their own communities, and our team, hosted by a local NGO, was running long, hot, and emotionally heavy days.
One morning, something was of...
by Dr. Tonya Caylor —
Jul 31, 2025
awareness
breath
burnout
clarity
cohesion
compassion
connection
emotion
gratitude
healing
humanity
insight
intention
leadership
listening
medicine
mindfulness
observation
pause
perspective
presence
purpose
recovery
reflection
resilience
restoration
support
sustainability
teamwork
wellbeing
Story and Reflection: What Success Really Looks Like
As a new academic year begins—fresh name badges, new roles, different rhythms—I’ve been returning to a question I first heard from Dr. Kerri Palamara, a national leader in coaching in graduate medical education and Director of the Center for Physician Well-Being at Massachusetts General Hospital....
by Dr. Tonya Caylor —
Jul 11, 2025
agency
alignment
aspirations
authenticity
awareness
belonging
career
clarity
coaching
compassion
connection
curiosity
fulfillment
growth
intention
meaning
navigation
pause
perspective
presence
purpose
redefinition
reflection
relationships
success
transformation
values
well-being
wholeness
Freedom Reflection
As we mark Independence Day, I find myself drawn to a quieter kind of patriotism. Instead of fireworks and fanfare, the steady work of building systems where physicians and learners can thrive.
It shows up in faculty who pause long enough to ask better questions.
In leaders willing to shift from ...
Jul 11, 2025
change
coaching
compassion
connection
freedom
hope
interdependence
leadership
learning
listening
patriotism
reflection
support
systemic
truth
The Award Not Won: Story and Reflection
It’s that season again. Graduation programs. Thank-you speeches. Awards. A flurry of new titles, public praise, and quiet appreciation.
We do this because it matters. Recognition is powerful. Appreciation even more so. But in the messiness of human systems, it doesn’t always land how we intend.
I...
by Dr. Tonya Caylor —
Jun 27, 2025
acknowledgment
alignment
appreciation
authenticity
belonging
care
celebration
community
compassion
connection
contribution
encouragement
equity
gratitude
humanity
humility
impact
inclusion
integrity
leadership
mentorship
mindfulness
presence
process
purpose
recognition
reflection
service
stewardship
support
systems
values
visibility
well-being
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
How We Think Shapes What We See: Story and Reflection
When I mentioned last month that I was heading to Las Vegas to see the Eagles play in the Sphere, more than one person responded with a look of surprise, post-Super Bowl: “You’re going to a football game?”
That moment—a simple case of mistaken reference—got me thinking about how our assumptions a...
by Dr. Tonya Caylor —
Jun 12, 2025
alignment
assumptions
awareness
beliefs
clarity
coaching
communication
culture
development
dynamics
evaluations
expectations
feedback
frustration
growth
insight
interpretation
mindsets
modeling
perception
reflection
reframing
support
trust
understanding
Wake Up Call in Paradise: Story and Reflection
In 2018, our annual mid-winter break took us to Hawaii with our adult daughters and our one grand-little at the time. We stayed together in an Airbnb, soaking up the warmth and beauty of the islands.
One morning, I took the grand in the stroller while the others split into two groups of runners h...
by Dr. Tonya Caylor —
Jun 12, 2025
acceptance
calm in chaos
clarity
composure
detachment
emergency
faith
false alarm
family
gratitude
grounding
instinct
legacy
meaning
mindfulness
mindset
perspective
presence
priority reset
reflection
resilience
surrealism
surrender
uncertainty
value alignment
Time Hack and Emotions: Story and Reflection
Time Hack - I'm modeling scheduled rest and boundaries, so I got creative with scheduling this week's reflection. 😊 Time-hack - make your work count twice. I'm working smarter not harder - linking you to the reflection from my blog rather than writing something new while I'm off.
The story: I'm o...
by Dr. Tonya Caylor —
Jun 12, 2025
automation
balance
boundaries
creativity
delegation
efficiency
emotional awareness
flexibility
intentionality
off-grid
pacing
prioritization
reflection
rest
self-care
self-permission
simplicity
smart working
sustainability
time management
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
Joy in Family Medicine – Stories & Reflections
