You are not alone. I am going to apply for a few licenses. All the licenses require PR. I am losing a better situation at my job just because of lack of PR. As far as I have heard, it seems it is totally the discretion of the officer to whether ask us for medical or not. In my friend's case who got CoPR 3 days ago, the officer did not require him.I'm desperate, IRCC handles cases in no order at all, very random! I really waited until I was desperate. I applied in August last year. So far, I have received a temporary application number, which has not been updated in the future. Those submitted later than me have already started processing. Our medical treatment has expired, and we have to re-examine , as well as the cost of medical examination, you need to pay by yourself
It is just a waiting game for everyone. Nothing can be done.