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Seema Pattni is a physician coach.

The quiet segregation no one talks about in medical school

Seema Pattni, MD
Education
May 3, 2025

I hated so much of medical school.

Not all of it.

I started eager,
positive and bright.
I was excited.

But I struggled to belong.

There was unwritten, informal
segregation.

Fresher’s week:
I was stoked to try out new things…
Hockey and rowing turned me away—
lack of experience.

I tried something more familiar:
Hindu society.
I was shocked—
they asked me what caste I was from.

It was even in the lecture theatre:
white rugby at the back,
serious Asians at the front,
party Asians in the middle,
cool …

Read more…

The quiet segregation no one talks about in medical school

Teaching by humiliation is still crushing future doctors

Seema Pattni, MD
Physician
April 20, 2025

Shouting at student physicians is still a thing.

Justified as “teaching by humiliation.”
It is the worst form of “teaching” I have ever encountered.

Being asked questions aggressively,
Being ridiculed if you get the answer wrong,
Being shouted at, scolded.
All in front of other students, colleagues, and patients.

It’s embarrassing, undermining, and it crushes confidence.
It silences your voice.
Makes you question yourself.
Makes you want to cry.

It’s disempowering.

Almost 20 years later, I still remember it.
Six of us, wearing …

Read more…

Teaching by humiliation is still crushing future doctors

Why racism in health care is still an emergency

Seema Pattni, MD
Physician
April 1, 2025

“I want to be white,” he said.

I didn’t know how to respond.

I was quiet.

He was serious, waiting for my reply.

He was only 8 years old, in the hospital with an asthma flare-up.

I had asked him, “What do you want to be when you grow up?”

I wished I hadn’t.

I’ve thought a lot about his answer in the …

Read more…

Why racism in health care is still an emergency

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  • Most Popular

  • Past Week

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      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

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    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • How the new DOT ruling on food allergies threatens air travel safety

      Lianne Mandelbaum, PT | Conditions
    • The psychology of hero worship: When admiration overrides reason

      Rao M. Uppu, PhD | Conditions
    • How to manage a difficult patient and survive a high-conflict encounter

      Olumuyiwa Bamgbade, MD | Physician
  • Past 6 Months

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      Stephanie Waggel, MD | Policy
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    • The 9 laws of health care quality: Why metrics miss the point

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    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
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    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Atypical Parkinson disorders vs. Parkinson disease: key differences

      Jerome Lisk, MD, MBA | Conditions
    • Why clinical medicine is harder than flying a plane

      Olumuyiwa Bamgbade, MD | Physician
    • What is often overlooked about male factor infertility

      Erica Bove, MD | Conditions
    • Preventing diabetic lower limb amputation with AI and offloading

      Adwait Chafale | Policy
    • The hidden health crisis of teenage online gambling

      Kayvan Haddadan, MD | Conditions
    • The serpent and the staff: the ancient origins of the medical symbol

      Neal Taub, MD | Physician

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