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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: trust

Showing 12 results:


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
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
Beyond Labels: Story and Reflection
It’s not infrequent that I’m in conversation with a faculty member who’s frustrated with one or two residents they see as lazy or disengaged. Those moments take me right back to how I sometimes felt a decade ago, when I was burned out in my core faculty role. I remember the intensity of that frus...
by Dr. Tonya Caylor — Aug 22, 2025 barriers burnout connection conversations criticism curiosity data defesiveness drive efficiency energy engagement exhuastion experience feedback frustration gaps growth immersion interviewing labels language learning minset motivation nuance patience perspective procrastination quality rapport reflection remediation repitition resources responsibility safety strengths support trust understanding
Power of Conversation, Story and Invitation
A thoughtful reader recently wrote in and asked me: “How did you build the strong relationships you have with specialists?” At first, I wasn’t sure how to answer. My brain went to the tactical: referrals, shared patients, thank-yous. (These are still paramount. Doing your due diligence with worku...
by Dr. Tonya Caylor — Aug 02, 2025 assumptions collaboration communication community connection consistency conversation curiosity empathy engagement fallibility grace gratitude habit humanity initiative intentionality invitation listening mindset overwhelm participation perfectionism presence professionalism reflection relationships respect support trust vulnerability
Mise en Place for the Mind
One of my coachees recently identified the missing link in his project workflow. (Thanks for the metaphor, Michael Caçoilo! - shared with permission.) He had developed the right structure for him: breaking big tasks into smaller chunks and blocking time to get them done. But something still felt ...
by Dr. Tonya Caylor — Jun 21, 2025 awareness clarity coaching connection efficiency engagement execution focus habits insight intentionality leadership metaphor mindset mise-en-place planning pre-work preparation presence productivity professionalism readiness reflection structure time blocking trust workflow
How We Think Shapes What We See: Story and Reflection
When I mentioned last month that I was heading to Las Vegas to see the Eagles play in the Sphere, more than one person responded with a look of surprise, post-Super Bowl: “You’re going to a football game?” That moment—a simple case of mistaken reference—got me thinking about how our assumptions a...
by Dr. Tonya Caylor — Jun 12, 2025 alignment assumptions awareness beliefs clarity coaching communication culture development dynamics evaluations expectations feedback frustration growth insight interpretation mindsets modeling perception reflection reframing support trust understanding
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
The Helper's Fine Line: Story and Reflection
I usually received good grades and positive comments on my report cards as a kid. However, I received one remark from my first-grade teacher that I wasn't sure how to take. She wrote, "Tonya is sometimes too helpful to her neighbors." Being helpful is good, right? I mean, Dawn was struggling with...
by Dr. Tonya Caylor — Jun 12, 2025 autonomy boundaries burnout capacity building coaching developmental struggle discomfort enablement expectations growth growth mindset helicoptering independence intention learning mental muscle mentoring modeling overhelping pause rescuing role clarity self-efficacy supportive leadership trust
The Draft Reflection
At the start of the pandemic, my primary role was in a private practice setting, though I still filled in as faculty at the residency (as I do now). In our group of six physicians and one PA, we were constantly using every resource available to stay up to date on the ever-evolving science—what it...
by Dr. Tonya Caylor — Jun 12, 2025 adaptability advocacy balance bandwidth burnout collaboration communication community drafting educaiton energy management information fatigue leadership misinformation overload pacing perspective priorities public health recovery reflection regulation resilience resource sharing solidarity support sustainability teamwork trust uncertainty
Reflection: The Adventure of Conversation
I had just turned a group of faculty workshop participants loose to help each other work on short term career goals & to do so by practicing their new coaching skills with each other. I encouraged them to keep their advice-monster at bay. (See Michael Bungay Stanier's The Advice Trap). When they ...
by Dr. Tonya Caylor — Jun 12, 2025 advice trap awareness co-creation coaching communication connection curiosity discovery empathy engagement exploration facilitation growth guidance insight interaction learning listening mindset non-judgment openness pattern recognition physician habit practice presence reflection restraint storytelling transformation trust
Blindfolds: Story and Reflection
For better or worse (mostly better), I'm partly the result of having an older sister. When we were kids, she had brilliant ideas for games. One of her favorites? A blindfolded taste test. She claimed it was all in good fun—but let’s be honest, it was her sneaky way of trying to cure my “ridiculou...
by Dr. Tonya Caylor — Jun 12, 2025 agency autonomy boundaries childhood coaching competence control curiosity empowerment encouragement experimentation growth humor individuality insight learning memory non-judgment persuasion playfulness psychological safety reflection relatedness resilience resistance self-discovery skepticism support trial and error trust
The Dilemma: Story and Reflection
Many of you have heard me tell how being a great wife landed me in Alaska from Florida in 2007. It has been a fantastic decision. I don't often talk about the fears I had. I worried about moving an 8th grader away from good friends and the sunny beach to an unknown, cold, dark place (the story of...
by Dr. Tonya Caylor — Jun 10, 2025 adaptation adjustment all-or-nothing binary thinking career catastrophizing compromise decision making emotional growth expansion fear flexibility gray-area identity mindset narrative opportunity options overthinking parenting perspective problem solving reframing resilience self-awareness success support transition trust vulnerability

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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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