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: teaching
Showing 11 results:
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
Caring Enough to Tell the Truth
I’ve been reflecting on a situation someone close to me recently faced in her work as a consultant.
She was brought into a high-stakes situation by her boss, who had asked her to help a close friend. The friend believed that other people involved in an important transition were the problem. Her a...
by Dr. Tonya Caylor —
Aug 28, 2026
accountability
advocacy
boundaries
candor
care
clinicians
coaching
communication
compassion
conflict
courage
development
dignity
education
empathy
evaluation
expectations
faculty
fairness
feedback
growth
healthcare
honesty
integrity
leadership
learning
medicine
mentorship
patient care
performance
professionalism
reflection
relationships
remediation
residency
residents
responsibility
standards
supervision
support
teaching
transparency
trust
truth
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
The Hidden Curriculum of a Career
Over the past several weeks, I’ve introduced you to John, a fictional physician whose story reflects common themes many physicians wrestle with.
He’s a mid-career family physician struggling with a career dilemma I hear often: “I’ve never stayed in one job more than x number of years. I feel like...
by Dr. Tonya Caylor —
Jun 06, 2026
adaptation
appreciation
becoming
career
clarity
communication
community
conribution
culture
development
discernment
evolution
experience
expertise
fulfillment
gratitude
growth
impact
insight
intentionality
knowledge
leadership
learning
legacy
maturity
meaning
medicine
mentorship
operations
perspective
physicians
progress
purpose
recognition
reflection
relationships
renewal
resilience
self-awareness
stewardship
sustainability
systems
teaching
teamwork
transformation
wisdom
John Changes the Question
A few weeks ago, I introduced you to John, a fictional physician whose story reflects common themes many physicians wrestle with. He’s a mid-career family physician facing a career dilemma I hear often:
“I’ve never stayed in one job more than x number of years. I feel I need to leave my current o...
by Dr. Tonya Caylor —
May 29, 2026
adaptation
agency
alignment
authenticity
awareness
burnout
career
change
clarity
coaching
compassion
connection
continuity
decision making
direction
discovery
engagement
fulfillment
growth
inquiry
insight
intention
leadership
listening
meaning
medicine
mindset
perspective
physicians
purpose
reflection
renewal
resilience
self-awareness
sustainability
teaching
transformation
transition
trust
values
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
Marine Survival Weekend (From the Archives)
As a faculty member of the Alaska Family Medicine Residency program, I had my share of teaching during our infamous Wilderness Medicine Weekend excursion. In January, it involved snow cave construction, and in May, it involved marine safety. The first spring, I participated with 2 other faculty m...
by Dr. Tonya Caylor —
Feb 23, 2026
accountability
adaptability
alaska
awareness
education
embarassment
experience
growth
humility
insight
leadership
learning
medicine
mentorship
perspective
professionalism
reflection
reframing
residency
resilience
responsibility
safety
teaching
teamwork
trust
wilderness
wisdom
Best Laid Plans: Story and Reflection
I enjoy it when people expand and contrast the meanings of words. It gives me a better grasp of various approaches. I came across a quote from Sahil Bloom that did just that:
"Preparation always beats planning. Planning is based on the expectation of order. Preparation is based on the expectation...
by Dr. Tonya Caylor —
Jun 11, 2025
adaptability
calm
control
creativity
emotional intelligence
engagement
evolution
expectations
flexibility
foresight
grace
humor
idealism
improvisation
leadership
learning
mindset
perspective
pivoting
planning
preparation
presence
problem solving
recovery
reflection
resilience
responsiveness
self-regulation
teaching
uncertainty
Laughs and Confidence, Story and Reflection
I was recently discussing confidence in the lecture setting with a few faculty physicians, and it brought up some memories.
One of the first didactics I taught as a new faculty member was 9 years out of residency. (Actual photo around that time of me as new faculty, 2007-2008 above.) I was presen...
by Dr. Tonya Caylor —
Jun 10, 2025
adaptability
authenticity
confidence
connection
courage
credibility
didactic
education
expertise
growth mindset
humility
humor
identity
imperfection
imposter-phenomenon
insecurity
learning
mentorship
partnership
presence
presentation
reflection
relatability
resilience
self-acceptance
support
teaching
teamwork
transparency
vulnerability
Giving Reflection
This week, in the spirit of giving - I invite you to consider who you might gift a unique gift to.
The gift of extending positive intent is powerful.
I once coached a resident who felt a particular attending "had it out for him." He reviewed the evidence. I asked if there was any other way to see...
by Dr. Tonya Caylor —
Jun 08, 2025
awareness
burnout
coaching
cognitive reframing
compassion
emotional intelligence
empathy
gratitude
growth
insight
intent
leadership
medicine
mindset
perspective
perspective shift
positive intent
reflection
reframing
relationships
resilience
suffering
teaching
wellness
Joy in Family Medicine – Stories & Reflections
