What Am I No Longer Willing To Do?

Welcome to another edition of Ending Physician Overwhelm - this time recorded from the car because life happens, and we roll with it.

The Question That Changes Everything

When we talk about cutting back on work or reducing FTE, we often focus on what we want less of. But here's what we miss: What do we actually want MORE of?

This episode dives deep into a conversation I had with a coaching client who was looking to reconfigure her work schedule. We weren't just trying to work less for the sake of working less - we were being intentional about creating space for what truly matters.

The Laundry Trap (And Why We're Not Cutting FTE for More Chores)

Let's be crystal clear: We are not cutting our physician FTE in order to do more laundry.

Yes, those piles of laundry create distress. Yes, the house needs attention. But if you find yourself cutting hours only to spend that precious time doing tasks that breed resentment and frustration, you've missed the point entirely.

Three Areas Where You Need to Ask This Question

1. At Work: What Professional Boundaries Have Shifted?

That evening clinic you agreed to when you first started? The complex procedures you took on to save patients a referral? The schedule flexibility you once had that no longer serves your current life phase?

Just because you were willing to do something before doesn't mean you're wrong to say no now.

Your life has changed. Maybe you have aging parents, young children, or different priorities. There's nothing wrong with recognizing that what worked then doesn't work now.

2. At Home: Where Are You Trading Time for the Wrong Things?

If you have more money than time available, why are you still doing your own laundry, cleaning, and yard work?

Your kids and partner need to learn life skills anyway. Get the humans in your house contributing, or pay someone else to handle what doesn't bring you joy.

3. In Relationships: What Are You No Longer Willing to Tolerate?

This applies everywhere - with patients, family, colleagues, and friends. Maybe you used to let visits run long, take on cases outside your expertise, or accommodate behaviors that drain your energy.

You get to change your mind about what you'll accept.

The Permission You've Been Waiting For

You don't need to justify why something that was okay before isn't okay now. Evidence changes. Life circumstances change. Sometimes you just wake up and realize you need better boundaries because you're drowning.

All of these reasons are valid.

Your Action Steps

1. Get clear on your values and goals - What do you actually want more of in your life?
2. Identify your non-negotiables - What are you willing to be flexible on, and what absolutely isn't up for discussion?
3. Practice the uncomfortable conversations - Whether it's asking for schedule changes at work or setting boundaries at home.
4. Remember: Boundaries aren't selfish - They're necessary for sustainability and showing u