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: values
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
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
When Influence Stops Influencing
Every physician leader I coach eventually reaches the same moment. They’ve done the work: gathered data, built coalitions, shared meaningful stories, aligned it to the core corporate values, used every bit of their Crucial Conversations skill set, emotionally intelligenced the nuances, and framed...
by Dr. Tonya Caylor —
Dec 10, 2025
acceptance
agency
alignment
boundaries
burnout
change
clarity
coalition
community
connection
discernment
energy
exhaustion
frustration
influence
integrity
leadership
mentorship
metrics
perspective
process
purpose
reality
reflection
regulation
resistance
strategy
systems
values
Responsibility Revisited: Story and Reflection
We don’t always talk about guilt in medicine unless it’s framed as toxic or as a byproduct of impossible systems. But some guilt is earned. Some of it’s useful. The kind that nudges us when we’ve strayed from our values. And some is not.
What follows is a story out of several that came to mine fr...
by Dr. Tonya Caylor —
Aug 08, 2025
adaptation
alignment
awareness
character
conscience
deicision
ethics
fatigue
growth
guilt
integrity
judgment
learning
medicine
observation
reflection
residency
responsibility
self-correction
values
Behind the Blame: Story and Reflection
In medicine and academic leadership, change is constant. But the kind we choose feels different than the kind we don’t. Lately, I’ve found myself thinking about what lies beneath the surface when frustration rises. Sometimes what looks like resistance or blame turns out to be something else entir...
by Dr. Tonya Caylor —
Jul 24, 2025
acceptance
blame
change
clarity
collaboration
conversation
frustration
grief
honesty
insight
leadership
loss
mission
purpose
reality
recognition
resistance
softening
transition
values
Story and Reflection: What Success Really Looks Like
As a new academic year begins—fresh name badges, new roles, different rhythms—I’ve been returning to a question I first heard from Dr. Kerri Palamara, a national leader in coaching in graduate medical education and Director of the Center for Physician Well-Being at Massachusetts General Hospital....
by Dr. Tonya Caylor —
Jul 11, 2025
agency
alignment
aspirations
authenticity
awareness
belonging
career
clarity
coaching
compassion
connection
curiosity
fulfillment
growth
intention
meaning
navigation
pause
perspective
presence
purpose
redefinition
reflection
relationships
success
transformation
values
well-being
wholeness
The Award Not Won: Story and Reflection
It’s that season again. Graduation programs. Thank-you speeches. Awards. A flurry of new titles, public praise, and quiet appreciation.
We do this because it matters. Recognition is powerful. Appreciation even more so. But in the messiness of human systems, it doesn’t always land how we intend.
I...
by Dr. Tonya Caylor —
Jun 27, 2025
acknowledgment
alignment
appreciation
authenticity
belonging
care
celebration
community
compassion
connection
contribution
encouragement
equity
gratitude
humanity
humility
impact
inclusion
integrity
leadership
mentorship
mindfulness
presence
process
purpose
recognition
reflection
service
stewardship
support
systems
values
visibility
well-being
Confessions of a Former Night Owl: Story and Reflection on Identity, Change, and Quiet Growth
We often resist change when it feels like it threatens who we are. But not all change is self-abandonment.
Not long ago, someone shared that she felt a surprising amount of grief around changing—even when the change was meant to help a relationship work better. Authenticity was a deeply held valu...
by Dr. Tonya Caylor —
Jun 12, 2025
adaptation
adjustment
alignment
authenticity
change
commitment
curiosity
discovery
evolution
flexibility
grief
growth
habits
identity
intention
mindset
motivation
openness
patterns
resistance
selfhood
surprises
transformation
values
willingness
Waves and Wakes: Reflection
Reflections: Paddle-boarding on Waves & Wakes
Last November, I promised part 2 of my paddle-boarding lesson - so here it is. If you’ve ever been paddleboarding in the ocean, you know to expect waves. You bend your knees, stay flexible, and adjust your stance to keep your balance. It’s part of the...
by Dr. Tonya Caylor —
Jun 12, 2025
adaptability
anticipatory grace
balance
clam within chaos
core strength
emotional agility
equanimity
expectation
flexibility
grounding
inner anchor
mindset
non reactivity
perspective shift
postural awareness
preparation
purposeful adjustment
readiness
resilience
self regulation
situational awareness
turbulence
uncertainty navigation
values
values alignment
wake readiness
Filtering Voices: Story and Reflection
Like many medical students, I went back and forth on what specialty I really loved. OB/GYN? Sports Medicine? Internal Medicine? Rheum? Endocrine? Psychiatry? Adolescent Medicine? (Yes, all of them!)
I also had a fantastic role model in my dad, an outpatient family doc beloved by his patients. And...
by Dr. Tonya Caylor —
Jun 12, 2025
affirmation
belonging
choice
clarity
compassion
confidence
courage
decision making
doubt
encouragement
identity
influence
insecurity
integrity
internal guidance
judgment
medical culture
mentorship
perception
power dynamics
purpose
reassurance
reflection
respect
self-trust
soundtracks
validation
values
voice
wisdom
Word of the Year Reflection
Choosing a word of the year provides a simple yet powerful compass that can guide your decisions, actions, and mindset throughout the year. It's like a quick check-in on your purpose statement focused on 2025.
As we step into a new year, take 15 minutes to sit quietly with yourself and reflect. A...
by Dr. Tonya Caylor —
Jun 12, 2025
adaptability
alignment
amalgamation
blending
choice
clarity
coaching
decision making
direction
empowerment
flexibility
focus
guidance
identity
integration
intention
leadership
mentoring
mindfulness
personal growth
purpose
reflection
resilience
roles
self-awareness
strength
transformation
transition
values
word of the year
Joy in Family Medicine – Stories & Reflections