01/02/2026
Women physicians are dying younger—not because we don’t know medicine, but because we carry. We are often expected to perform at the highest level without support systems that match that expectation. Building a long life that sustains excellence requires intention, permission, and practical delegation.
First Principle: You Don’t Need to Do It All
Shorter life spans in women physicians is driven less by hours worked and more by invisible labor: decision-making, emotional management, household logistics, and professional over-functioning. Relief comes from offloading tasks and decisions, not from trying to be more efficient at everything.
I. What to Outsource at Home (High-Impact)
1) Food & Nutrition
• Meal delivery kits or fully prepared meals
• Grocery delivery with saved lists
• Weekly meal planning service
• Private chef, eating out or getting take-out (even 1–2 days/week)
—Frees daily decision fatigue.
2) Home Maintenance
• House cleaner or Housekeeper (daily, biweekly or weekly)
• Laundry service or wash-and-fold pickup or assign to housekeeper
• Yard care / snow removal
• Handyman on retainer
—Reclaims entire weekends.
3) Family & Life Admin
• Nanny and/or household manager or executive assistant (even part-time. Also include in the duties school and camp forms, doctor’s appointments, etc)
• After-school transportation service (or assign to nanny/household person)
• Financial advisor
• Travel planner
Offloads logistics and contingency planning.
4) Mental Load Delegation
• Shared digital calendar with spouse/family
• Default decisions (same meals, same cleaners, same routines)
• Explicit division of labor (not “helping” and have him/her/them continue even if it’s not “perfect” - your life depends on it)
—Reduces constant background stress.
A Simple Rule of Thumb
If a task:
- Can be done by someone else
- Does not bring you joy
- Does not require your training
→ Outsource it
I WILL GIVE TIPS FOR OUTSOURCING AT WORK IN THE COMING WEEKS!