November 24, 2025

Episode 149: Fair Play, Mental Load & Women Physicians

30 minutes

Welcome to another episode of the Sustainable Clinical Medicine Podcast!

In this episode, Dr. Sarah Smith explores the challenges of balancing mental load and domestic labor, particularly for women in medicine. She is joined by Dr. Pip Houghton, a family physician, facilitator, and advocate for women’s wellness.

Dr. Houghton shares her expertise in mental health and her personal journey with the Fair Play Method, offering practical strategies for creating more equitable and joyful lives at home and at work. Together, they discuss how open communication, trust, and small changes can lead to big results for busy professionals and families.

Listeners will gain valuable insights into sharing responsibilities, building supportive partnerships, and lightening the mental load—making this episode a must-listen for anyone seeking balance and sustainability in their personal and professional lives.

Here are 3 key takeaways from this episode:

The Fair Play Method Empowers Equitable Domestic Labor Pip Houghton shares how the Fair Play Method helps families clearly define, distribute, and take ownership of household tasks. This system reduces mental load, prevents resentment, and creates more space for joy, self-care, and professional fulfillment—especially for women physicians.

Open Communication and Trust Are Essential Successful implementation of Fair Play and equitable labor requires honest conversations and mutual trust between partners. Letting go of micromanagement and allowing each person to fully own their responsibilities is key to reducing stress and building a supportive partnership.

Small Changes Lead to Big Results Pip emphasizes starting with one small task—like managing garbage or backpacks—to build momentum and confidence. Gradually, these small wins can transform household dynamics, involve children in responsibilities, and even improve teamwork in professional settings.

Meet Dr. Pip Houghton:

Dr Phillippa "Pip" Houghton is a family physician on Vancouver Island providing addiction, mental health and primary care to adults and youth in her community. Dr Pip completed a B.Sc. in Kinesiology from the University of Victoria (2011), medical school at The University of Wollongong (2015) and family practice residency through the University of British Columbia in 2019. In addition to her formal education, Dr Pip is particularly supporting families in navigating the many challenges that we all face when it comes to balancing the demands of the three P’s (partner, professional, parent). Dr Pip has pursued additional education in the areas of perinatal Mental Health, digital health and wellness and most recently as a Fair Play Facilitator. In addition to her assigned roles, Dr Pip is also a mother to three boys, wife to an amazing husband, house hippo owner, new-ish CrossFit enthusiast, creative writer, book club enthusiast and cut-flower garden newbie.

Connect with Dr. Pip Houghton:
🌐 Website: www.timeoutmd.ca

🗣️ Speaking & Workshops: Revived Physician Retreat

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