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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: resilience

Showing 12 results:


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
The Casting Room
I’ve been reflecting on how easily past training experiences (or any experience for that matter) can be oversimplified by those who didn’t live them. It took me a minute to understand why that bothered me. It's because those oversimplified accounts tell a very narrow story of some of the very exp...
by Dr. Tonya Caylor — Jan 31, 2026 burnout compassion grace healing healthcare humanity humility kindness medicine mentorship perfectionism professionalism reflection residency resilience stress suffering surgery training trauma vulnerability witnessing
Progress Through Process
I’ve been spending a lot of time lately in complex work with many moving parts: helping design a longitudinal faculty coach training with the STFM CBME Faculty Coach Training initiative, and collaborating with colleagues through an AMA-funded Precision Medicine education grant with GAFP. In both ...
by Dr. Tonya Caylor — Jan 28, 2026 adaptability attention chunking coaching development discipline discomfort focus growth improvement incremental integration learning mastery mindfulness observation patience persistence planning practice process progression reflection resilience skillbuilding
Story and Reflection: By the Book
A lighter note for today. I thought it’d be fun to share a story about what happens when my rule-follower tendencies show up at the exact moment my plan stops matching reality. Not too long ago, while traveling with multiple stops, airline changes, and short layovers, I was determined to fit ever...
by Dr. Tonya Caylor — Jan 28, 2026 acceptance adaptability control determination flexibility frustration humility humor improvisation mindfulness partnership patience perseverance perspective planning problem-solving reflection resilience rules travel
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
Holding Pattern
This is Week 4 of a 5-part series exploring those moments when you care deeply about an issue, and nothing you do seems to move the needle. So far, we’ve looked at three different approaches to that situation: • Week 1: Redefining success when outcomes aren’t changing • Week 2: Navigating real co...
by Dr. Tonya Caylor — Jan 09, 2026 academia agency alignment ambiguity becoming belonging calling choice clarity coaching dignity discernment endurance engagement equilibrium fulfillment holding identity leadership liminality maturity meaning medicine middle patience physicians presence process purpose resilience restraint steadiness tension threshold timing transition uncertainty urgency values wisdom worth
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
Suitcases, Constraints, and Where Possibility Lives
Last week, I wrote about a familiar moment in medicine: when you’ve used every skillful form of influence you have (data, stories, coalitions, reframing) and nothing moves. When effort stops matching outcome, (high importance, low control, and your influence stalls), there are a few ways forward....
by Dr. Tonya Caylor — Dec 12, 2025 acceptance adaptation agency burnout constraint control creativity energy flexibility impact influence leadership limits navigation possibility problem-solving reframing resilience strategy systems
Grateful for Rejection? A Post-Thanksgiving Reflection
If you’re feeling maxed out on gratitude messages this month, you’re not alone. The day after Thanksgiving tends to expose the gap between the gratitude we’re “supposed” to feel and how our brains actually work. That gap is where the science gets interesting. So instead of another round of holida...
by Dr. Tonya Caylor — Dec 10, 2025 acceptance awareness bias burnout clarity disappointment ego gratitude growth happiness insight mindfulness mindset mood negativity perspective positivity psychology purpose reflection reframing resilience sleep stress
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
Learning to Hold the Tension
The majority of us in medicine are in it because we care.  But sometimes caring means saying “no.” We say no to one more initiative when our team is already stretched. We say no to a patient’s request when it’s not in their best interest. We say no to ourselves when we know we can’t do it all. ...
by Dr. Tonya Caylor — Nov 07, 2025 acceptance adjustment agency alignment awareness balance boundaries boundedness caring clarity compassion connection courage deliberation disappointment discernment equanimity ethics harmony integrity intentionality leadership navigation polarity presence prioritization reflection resilience responsibility restraint self-care tension
Endurance, Recovery, and Trust: What Medicine Can Learn from an Ironman
I logged 24,000 steps a couple of weeks ago, not competing, just spectating. Cheering at an Ironman turned out to be its own endurance event! Somewhere between the cowbells and the cheers, I found myself thinking about what it really takes to sustain that kind of effort. Not just on race day and ...
by Dr. Tonya Caylor — Nov 07, 2025 adaptability adaptation awareness balance discipline effort endurance flow focus integration microbreaks momentum patience persistence preparation presence process recovery recovery load reflection resilience restraint savoring threshold training trust

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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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