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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

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
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      Radhesh K. Gupta | Conditions
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Pediatric care in Ghana: Addressing malnutrition and sickle cell disease

      Benedicta Yayra Adu-Parku | Conditions
    • When language becomes the barrier: IMGs and autism diagnoses

      Ronald L. Lindsay, MD | Conditions
  • Past 6 Months

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      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
  • Recent Posts

    • Pediatric care in Ghana: Addressing malnutrition and sickle cell disease

      Benedicta Yayra Adu-Parku | Conditions
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Curing versus caring in medicine: Bridging the gap in patient trust

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      Michael F. Myers, MD | Physician
    • Physician patient advocacy: Fighting insurance denials effectively

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