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: transition
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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
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
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
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
John's Decision
A common theme I hear from physicians is this:
“I’ve lost confidence in my ability to pick a good job because I’m looking to leave…again.”
And honestly, healthcare is different than it was decades ago when physicians often stayed in one practice for 30–40 years. Expectations, systems, autonomy, c...
by Dr. Tonya Caylor —
May 14, 2026
adaptation
autonomy
balance
burnout
career
career change
change
clarity
coaching
cognition
comparison
confidence
contentment
decision making
despair
fulfillment
growth
healthcare
insight
intention
job search
leadership
medicine
mindset
motivation
negativity bias
perspective
physician
psychology
purpose
reflection
resilience
self-awareness
shame
stress
systems
thought work
transition
values
wellbeing
Beauty and Belonging Discovered After Change (From the Archives)
When we moved from Florida to Alaska in 2007, it wasn't necessarily a big hit with our teenage girls. My oldest moved off to college saying she would visit us but she wasn't "moving out of the country." My youngest, was about to start 8th grade and had strong opinions about leaving her friends an...
by Dr. Tonya Caylor —
Feb 18, 2026
acceptance
adaptation
adolescence
alaska
awareness
beauty
belonging
change
community
discovery
family
gratitude
growth
home
identity
impermanence
intentin
joy
mindfulness
nature
perspective
presence
refleciton
reflection
resilience
transformation
transition
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
The Hallway Experience (From the Archives)
I recently heard the phrase “hallway experience.” It resonated with me.
The hallway represents the waiting period after the quintessential 'one door closes' and before 'another one opens.' For me, the hallway period began somewhat nebulously between the pandemic start and formal coach certific...
by Dr. Tonya Caylor —
Dec 17, 2025
agency
alignment
calling
co-creation
coaching
fulfillment
growth
identity
liminality
meaning
medicine
purpose
reinvention
transition
uncertainty
Joy in Family Medicine – Stories & Reflections
