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: uncertainty

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

Part Two: Damage and Discovery

Among the casualties of our move was a beautiful glass hourglass that normally sits on my desk. It was a small, beautiful thing, given to me by a friend and doing exactly what it was supposed to do – beautifully measure time. I think it's great comedic timing that the (now shattered) hourglass sh...

by Dr. Tonya Caylor — Oct 09, 2026 acceptance adaptability aftermath balance caregiving challenges change chaos collaboration community construction damage delegation discovery disruption endurance exhaustion family flexibility gratitude healing imperfection leadership life logistics moving opportunity organization overwhelm patience perseverance perspective planning preparation priorities productivity recovery reflection relocation resilience setbacks stress support teamwor time trtansition uncertainty work

Preparing for Storms, Part 1

I’m writing this on Tuesday morning, September 22, before the storm hits. To be clear, the actual weather here in Central Washington is supposed to be pretty perfect. I mean all the things. Tuesday night: Husband arrives from Alaska. Furniture moving and construction-site Tetris begins. Wednesday...

by Dr. Tonya Caylor — Oct 02, 2026 acceptance adaptability change chaos construction control courage endurance expectations faith family flexibility furniture growth home hope hurricane imperfection letting-go moving overwhelm patience perseverance perspective planning plywood preparation preparedness priorities readiness reality reflection relocation resilience resourcefulness responsibility storms supplkies surrender transition trust uncertainty unpacking vulnerability

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

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

Broadening the Differential: A Lesson in Agile Thinking

I've been spending time with colleagues lately exploring the concept of agility in the research literature. And as a result, I keep finding the need for it everywhere. This week alone, our house build presented a wiring issue that no longer aligned with the original lighting and door-swing plans ...

by Dr. Tonya Caylor — Jun 12, 2026 adaptability adaptation advocacy agility anchoring assumptions awareness bias caregiving change chaos clinical thinking collaboration communication complexity contingency curiosity decision making diagnosis efficiency execution family flexibility growth home building humility insight judgment leadership learning logistics medicine openness perspective perspective shift planning prioritization problem solving realignment reassessment recalibration reconsideration reflection reframing resilience responsiveness rethinking structure systems truth seeking uncertainty

What Renovation Taught Me About Teams

My husband and I are back in the messy middle of building. We are not a strangers to it. We completely renovated a historic home over seven years and our Alaskan home over ten, with my husband acting as contractor, doing the work he enjoyed and subbing the rest out. And now, we’re building remote...

by Dr. Tonya Caylor — Mar 13, 2026 adaptation alignment behavior building change clarity co-creation collaboration communication conflict construction creativity decision making development dynamics expectations forming friction group growth homebuilding innovation leadership learning marriage mindset organization partnership patience performing problem solving process progress reflection remodel renovation resilience satisfaction storming structure teams teamwork transformation uncertainty vision

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

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

Lessons in the Messy Middle Reflection

“Celebrate the abundance within troubles.” – Will Miller, MD, Annals of Family Medicine, 2010 📸 Thanks to Jay Fetter for the reminder and this powerful slide in Atlanta last week where the year long STFM CBME pilot project wrapped up. The CBME pilot participants showed us what it looks like to le...

by Dr. Tonya Caylor — Jun 19, 2025 abundance adaptation breakthrough challenge change clarity complexity courage culture curiosity design discovery experimentation failure growth innovation insight leadership learning meaning momentum optimism persistence progress purpose reflection resilience tension transformation uncertainty

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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: uncertainty

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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