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: resilience
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
Acting Out of Character
A common tension came up during a coaching conversation with a brilliant, deeply thoughtful coachee.
With a lot of diligent work, she has grown more comfortable being and showing her authentic self rather than holding back or becoming someone different for other people’s comfort.
Now she is facin...
by Dr. Tonya Caylor —
Sep 04, 2026
adaptability
adaptation
alignment
authentic leadership
authenticity
awareness
behavior
boundaries
coaching
communicaiton
communication style
confidence
congruence
connection
courage
development
emotional awareness
emotional intelligence
expression
extroversion
fulfillment
growth
identity
influence
integrity
interpersonal
introversion
leadership
motivation
performance
personal growth
personality
presence
psychology
purpose
purposefulness
reflection
relationships
renewal
resilience
restoration
self-abandonment
self-acceptance
self-awareness
self-expression
teaching
temperament
values
vulnerability
wellbeing
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
Planning the Unpredictable
As my move out of Alaska gets closer, I find myself increasingly reflective.
There is something to the saying that life is what happens while we’re making plans. Nineteen years ago, I finally gave in to my husband’s persistent suggestion that we go “look” at Alaska. We stepped off the plane, fel...
by Dr. Tonya Caylor —
Aug 07, 2026
adventure
alaska
belonging
change
clarity
community
decisions
faith
family
family medicine
grandchildren
gratitude
growth
home
journey
legacy
moving
next chapter
northwest
planning
priorities
purpose
reflection
residency
resilience
retirement
transition
vision
washington
wenatchee
Pick Up the Phone
A couple of weeks ago, I was juggling multiple time-sensitive projects when someone began doing work which I felt was mine to do, that I wanted to do, and in an order that made no sense to me.
I initially reacted from momentary frustration.
Becoming a coach does not uninstall the old neural pathw...
by Dr. Tonya Caylor —
Jul 31, 2026
acceptance
activation
adaptability
awareness
breathing
burnout
centering
compassion
connection
creativity
curiosity
emotional intelligence
emotions
empathy
grounding
growth
learning
mindfulness
mindset
nervous system
neuroscience
pathways
patience
perspective
reactions
reflection
regulation
relationships
residency
resilience
responding
self-awareness
self-regulation
stress
transformation
trust
wellness
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 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
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 Penstock Paradox
I've been catching up on Lisa Rosenbaum's Not Otherwise Specified podcast series on primary care. https://not-otherwise-specified-podcast.nejm.org/e/when-no-ones-watching/
The final episode is titled When No One's Watching.
Near the end, Jonathan Han, a family physician and residency director, ta...
by Dr. Tonya Caylor —
Jun 23, 2026
alignment
artistry
authenticity
balance
burnout
caring
community
compassion
connection
contribution
creativity
encouragement
energy
engagement
excellence
flourishing
fulfillment
generosity
gratidtude
humanity
impact
influence
inspiration
intentionality
joy
kindness
leadership
legacy
meaning
mentorship
motivation
presence
purpose
purpose driven
regognition
rejuvenation
relationships
relection
renewal
resilience
restoration
service
significance
stewardship
sustainability
values
wellbeing
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
Joy in Family Medicine – Stories & Reflections
