Most posts show that we go back into the pile and start again. Happy to wait for PR, the OWP is more urgent. Thanks for your input.Recently just saw one case where OWP was expedited after being sent back but that was only because IRCC erroneously sent it back thinking there was an error with it when there was not. I have not seen any OWP jump the queue when it's an applicants fault or mistake in terms of the application, payment, etc.
I don't understand your question about the medical. The medical is mandatory as part of both the inland and outland PR app. It is not tied to any processing times - the medical is simply another step in the process.