...I do understand that some programs want diversity and being LGBTQ may be an advantage. So use it. Come out to some programs when the opportunity arises (“reach” programs, those in liberal areas, etc), and not to others. After all, gamesmanship is the name of the game to get into medical school—with sometimes useless volunteering, shadowing, b.s. research, etc—so I see no reason not to use coming out as a calculated “surgical” strategy to employ only at select programs at the right time and place. Play to WIN.