Identity concordance is a well-studied phenomenon that may improve physician–patient relationships, communication, and ultimately, patient outcomes.1 2 However, there are numerous barriers to identity concordance in medicine. For instance, nearly 15% of the US population identifies as ‘Black,’ and another 3% identify as ‘American Indian/Alaskan Native.’3 4 Across all identities, 27% of individuals in the USA identify as having a physical, sensory, learning or psychological disability.5 However, when looking at the identities of US physicians, only 5.7% identify as Black, 0.3% as American Indian/Alaskan Native and 3.1% as having a disability.6 7 While the analogies of ‘leaky pipeline’ and ‘pathways and potholes’ were originally coined to describe the representation of women in the science, technology, engineering and mathematics fields, they are now used more broadly to emphasise the under-represented identities in these fields, particularly in medicine.8 Many medical schools and healthcare institutions are working to patch these ‘leaks’ and ‘potholes’ and improve representation and concordance in medicine, yet the numbers suggest that there is still a …

中文翻译：

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运动医学的一天：支持代表性不足人群的职业道路


身份一致性是一种经过充分研究的现象，它可能会改善医患关系、沟通，并最终改善患者预后。1 2 然而，在医学中，身份一致性存在许多障碍。例如，近 15% 的美国人口认为自己是“黑人”，另外 3% 的人认为自己是“美洲印第安人/阿拉斯加原住民”。3 4 在所有身份中，27% 的美国人认为自己有身体、感官、学习或心理残疾。5 然而，在查看美国医生的身份时，只有 5.7% 的人认为自己是黑人，0.3% 的人认为自己是美洲印第安人/阿拉斯加原住民，3.1% 的人认为自己有残疾。6 7 虽然“漏水的管道”和“途径”的类比而 Potholes“最初是为了描述女性在科学、技术、工程和数学领域的代表性而创造的，现在它们被更广泛地用于强调这些领域中代表性不足的身份，尤其是在医学领域。许多医学院和医疗机构正在努力修补这些”漏洞“和”坑洼“，并提高医学中的代表性和一致性。 然而，数字表明，仍然存在......