Out and Proud? Part II

So a couple of months ago, I wrote a post about my inability to come out at work/rotations because I'm afraid it will affect my grade. I wish I could say that this has changed since then, but it hasn't, and I've actually had a number of experiences where people have just assumed even further that I'm straight.

Today's example actually ticked me off a little bit (actually it ticked me off a lot). This year, our family medicine clerkship got revamped, so instead of a month of family medicine, we have family medicine days one day, every other week, for the entire academic year. They think it'll help with longitudinal relationships with patients (yea..that's not gonna happen).
This also means I'm stuck with one preceptor for the entire year....and to say that I'm having a horrible time with this preceptor is an understatement. I was actually interested in going into family medicine as one of my possible residencies..but this preceptor has deterred me from that decision. I've asked to get placed with another preceptor with no avail (surprise surprise).
The first thing that bothers me about her is the fact that she does not let me see patients on my own before she sees them. It's essentially become like a shadowing program. I'm not learning anything! I've even asked her if I could see the patients first because it's something we're expected to do, but so far, I've only seen one patient on my own (and she interrupted us midway).
The more aggravating thing about her is her unprofessionalism. She always talks to me about patients that irritate her, and of course, I'm not going to say, "please stop being inappropriate" cause she basically determines my entire grade. So I just nod along...
One time, an Indian patient came for a checkup, and afterwards, my preceptor would comment on how much the patient smelled and how she needs to get some air freshener in the room....I mean come on! What kind of physician are you?

Now how does this tie into the whole theme of me not being able to come out at work? Well today, there was a patient who came in cause of an episode of rectal bleeding/blood in his stool that he was worried about. After working up the patient, my preceptor comments on how she forgot to ask him if he's had any anal intercourse. And then she says, to me, "well he seemed like a normal guy so he probably didn't have any. right? he looked like a normal guy, right?". At that moment, I had the urge to say, "so...gay guys aren't normal??" but again, I had to refrain myself, telling myself that this woman will determine my entire grade. Damnit.

Afterwards I began to wonder if she would have said that if she knew that I was gay. I'm tempted to go in in 2 weeks and wear very flamboyant clothing and just show her how gay and fabulous I am...but that's not me and I don't think it's right for her to assume that I'm straight in the first place. Actually, it's not right for her to think that straight sex = normal and gay sex = abnormal. Man, I thought doctors were supposed to be educated!