Note that if it is a site for doctors from Finland then the 'N-word' use is still shocking but far less shocking than if it were in the United States.

You're probably right. In Finland the word can't be used in casual conversations with people you don't know well unless you want to be pigeonholed forever and using it publicly could definitely end a career. Many of our social norms seem to be borrowed from other cultures because of our desperate need to fit in to ensure survival.