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: sustainability
Showing 12 results:
What’s Your Fuel Level?
It’s the start of a new year, and for many of us, change is on the horizon.
Sometimes that change is self-initiated. Sometimes it’s suggested by others. Sometimes it’s formally required. In medicine and academic life, change often shows up wrapped in goals, milestones, improvement plans, or feedb...
by Dr. Tonya Caylor —
Jan 09, 2026
academia
agency
alignment
autonomy
behavior
beliefs
change
coaching
compliance
confidence
defensiveness
discipline
education
emotions
feedback
fuel
goals
growth
identity
importance
integrity
leadership
learning
meaning
medicine
motivation
needs
ownership
process
purpose
readiness
reflection
reframing
resistance
sustainability
thinking
transformation
values
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
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
When Effort Feels Right
A couple of weeks ago, my friend, colleague, and physician advocate Dr. Sasha Shillcutt wrote something that grabbed my attention:
“Can we all stop shaming women who work hard?”
It resonated.
The pendulum has needed to swing toward rest and boundaries for a long time. We’ve finally begun to norma...
by Dr. Tonya Caylor —
Nov 14, 2025
agency
alignment
autonomy
awareness
balance
boundaries
burnout
choice
clarity
compassion
curiosity
discipline
effort
energy
expectations
flow
fulfillment
inquiry
insight
intention
judgment
mindfulness
obligation
overload
passion
people pleasing
perfectionism
perspective
priorities
purpose
recovery
reflection
reset
rest
self-care
shame
signals
support
sustainability
tells
validation
wellbeing
work
Reflection: Between the Gates
On her recent Dare to Lead podcast, Brené Brown reads an excerpt from her new book, Solid Ground. In it she described ship locks, sometimes called water elevators in canals, and it’s an image that has stayed with me.
For those who haven’t seen them: when a ship moves from one body of water to ano...
by Dr. Tonya Caylor —
Oct 10, 2025
adaptation
adjustment
alignment
attention
awareness
balance
boundaries
calm
centering
compassion
connection
energy
equilibrium
flow
focus
grace
grounding
humanity
integration
intention
leadership
mindfulness
patience
pause
perspective
preparation
presence
recovery
reflection
regulation
renewal
reset
resilience
restoration
rhythm
self-awareness
space
stillness
sustainability
transition
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
Quiet Quitting, Nike’s Reframe, and the Real Risk in Medicine
Quiet quitting is no longer just a workplace buzzword. A new study in Family Medicine described how residency leaders are seeing disengagement, professionalism concerns, and strategic “time protection” among trainees. The authors traced this disengagement back to multiple causes: generational shi...
by Dr. Tonya Caylor —
Sep 13, 2025
burnout
challenges
collaboration
commitment
communication
cringe culture
discernment
disengagement
education
efficiency
effort
faculty
frustration
generations
growth
mentorship
motivation
patient care
professionalism
quiet quitting
rebranding
reflection
residency
selectivity
sustainability
systemic pressures
time protection
trainees
trust
work values
workplace
The Farmer's Table: Rethinking Stewardship in Medicine
When we talk about stewardship in medicine, it usually means handling precious resources wisely:
Blood bank stewardship (don’t squander that O-negative so it’s there in a crisis)
Antibiotic stewardship (use the narrowest spectrum possible, so we don’t fuel resistance)
Resource stewardship (choo...
by Dr. Tonya Caylor —
Sep 12, 2025
balance
boundaries
burnout
care
clinic
costs
efficiency
generosity
inboxes
listening
medicine
notes
patients
reflection
resources
shortages
stewardship
strain
sustainability
time
tradeoffs
well-being
workforce
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
Leaders and Legacy Reflection
When physicians or faculty leaders are struggling in their roles—or with certain parts of them—I often ask:
"When you think of a leader you admire, what qualities stand out?"
They usually name things such as integrity. Strength. Clinical wisdom. Courage. Kindness. Collaboration.
And almost always...
by Dr. Tonya Caylor —
Jun 12, 2025
admiration
awareness
balance
boundaries
capacity
choice
clarity
courage
decline
dedication
delegation
discomfort
expansion
growth
impact
influence
integrity
kindness
leaders
leadership
legacy
modeling
possibility
presence
purpose
rolemodeling
streamline
strength
sustainability
tension
wisdom
Purpose at the Crossroads: Story and Reflection
It’s at the crossroads—between opportunity and discernment—that purpose gets tested.
- A resident deciding between a desired fellowship and staying in a community they love that may not utilize that training.
- A faculty member torn between taking on a leadership role or focusing their energy on ...
by Dr. Tonya Caylor —
Jun 12, 2025
alignment
authenticity
boundaries
calling
clarity
decision making
discernment
growth
humility
intentionality
leadership
long-term impact
meaning
opportunity
purpose
responsibility
self-awareness
service
sustainability
team based leadership
timing
transition
vocation
well-being
wisdom
Staying Power Reflection
A couple of weeks ago, I had the gift of facilitating a panel discussion with seasoned leaders in academic family medicine — people whose careers span decades, whose influence is immeasurable. I asked them to name a single word or phrase that captured what contributed to their longevity in this w...
by Dr. Tonya Caylor —
Jun 12, 2025
belief
calling
creativity
detachment
emotional wisdom
endurance
generativity
hope
imagination
impact
inspiration
leadership
legacy
longevity
meaning
mindset
optimism
purpose
resilience
ripple effect
sustainability
trust
vision
Joy in Family Medicine – Stories & Reflections
