Stories & Reflections from a Family Medicine Physician Coach

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: strategy

Showing 12 results:

I was recently talking with a leader who had navigated a complex, high-stakes situation. We discussed the stress she had experienced. I asked if in the midst of it, she had also felt energized by the challenge. I saw a little twinkle in her eye as she said, “a little.” And so, no surprise, that g...

by Dr. Tonya Caylor — Oct 30, 2026 adaptability adrenaline appraisal awareness capacity challenge challenge response cognitive flexbility cohesion collaboration complexity confidence coping cortisol crisis decision making dhea discomfort dopamine education emotional intelligence empowerment engagement fight or flight figureoutable flexbility fulfillment growth healthcare leadership leadership development learning medicine mentoring mindset motivation neuroscience perception performance physiology pressure prioritization problem-solving psychology recovery reflection reframing residency resilience resourcefulness satisfaction strategy stress stress management teaching teamwork thriving uncertainty

Building Impact Capacity

This week I did something new. I asked Claude to forecast my workload after I entered in all the things from my calendar and everything that wasn’t. It included my coaching practice, presentations, faculty development, travel, writing, a new time-limited leadership role I'll share more about soon...

by Dr. Tonya Caylor — Jul 10, 2026 agency alignment attention awareness boundaries capacity capacity building change clarity collaboration commitment communication compelxity decision-making delegation design efficiency energy expectations focus forecasting foundation growth impact intentionality leadership momentum organization planning preparation prevention priorities prioritization proactivity readiness reflection resources simplification stewardship strategy sustainability sustems time tradeoffs transformation transition workload

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

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

Say It Again

Recently, something happened in a meeting that used to bother me, but now I find it fascinating. I was catching a colleague up who had missed the previous meeting. We had left one decision unresolved: where to place a particular talk. I mentioned the option we had discussed and asked for her take...

by Dr. Tonya Caylor — Mar 13, 2026 alignment attention awareness behavior clarity cognition collaboration communication complexity culture curiosity decision making distration dynamics focus grace group hearing inattention information insight integration leaders leadership learning listening management meetings message messaging miscommunication neuroscience patience patterns perception processing psychology reflection reinforcement reminders repetition signals strategy teamwork understanding workplace

Tools and Strategies

Mindset I always spend a lot of time on mindset. It is foundational and under-discussed. However, if we only change mindset without also learning strategies and new tools, many things will stay the same. For instance, you may have a whole new outlook on your inbox. But if you want to improve comm...

by Dr. Tonya Caylor — Feb 27, 2026 accountability alignment assertiveness awareness boundaries burnout clarity cognitive load communication compassion conflict decision making development efficiency emotional intelligence empowerment energy management execution feedback focus growth intentionality kindness leadership mindset ownership perspective prevention prioritization proactivity processes productivity professionalism psychological safety reactivity reflection relationships repair resilience respect response sbar self-efficacy self-leadership self-regulation strategy structure systems triage

Same Game, Different Frame

Two men played chess a few evenings near the main path before dinner. It was entertaining to pass by and see them deep in strategic concentration. One night, two photos were taken about twenty minutes apart from different angles. In the first, the light, sky, and ocean make it feel expansive. So ...

by Dr. Tonya Caylor — Feb 21, 2026 aperture awareness chess contrast curiosity discourse empathy flexibility framing gratitude growth humility insight interpretation leadership lens light love medicine metaphor mindfulness mindset narrative perception perspective presence psychology reflection relationships strategy vantage

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

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

When Influence Stops Influencing

Every physician leader I coach eventually reaches the same moment. They’ve done the work: gathered data, built coalitions, shared meaningful stories, aligned it to the core corporate values, used every bit of their Crucial Conversations skill set, emotionally intelligenced the nuances, and framed...

by Dr. Tonya Caylor — Dec 10, 2025 acceptance agency alignment boundaries burnout change clarity coalition community connection discernment energy exhaustion frustration influence integrity leadership mentorship metrics perspective process purpose reality reflection regulation resistance strategy systems values

A Ditch on Each Side of the Road (and How to Avoid Them)

Leadership often feels like driving a narrow road. You’re trying to keep the vehicle moving forward, but there’s a ditch on each side that can take you out if you drift too far. Recently I had the chance to moderate an STFM GME Leadership Panel with three seasoned leaders in academic medicine — D...

by Dr. Tonya Caylor — Oct 10, 2025 accountability balance boundaries burnout collaboration communication creativity delegation development discipline efficiency empowerment engagement feedback focus growth leadership longevity mentoship mindset organization oversight perspective prioritization reflection resilience skillset strategy structure support sustainability time transparency vision

Story and Reflection: Lessons from Strife

During my part of my time as core faculty, I gained many humorous memories and more valuable (even if somewhat unorthodox) lessons. We were a large group (12 in all), and for a short while, the makeup of personalities and dynamics created some unruly situations. Many memorable and laughable lesso...

by Dr. Tonya Caylor — Jun 11, 2025 adaptability agreement collaboration communication conflict consensus culture decision making emotional intelligence emotional regulation facilitation feedback group dynamics humanity humor leadership lessons perspective process productivity psychological safety reflection regulation relationship preservation repetition resolution self-awareness strategy strife systems teamwork yes-and

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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: strategy

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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