I am partly inland because I moved to Canada after I got my ITA from the UK, ETE and Anya are outland as well, I think they are both in the UK, not sure if they have landed.
Mrs AJ is also outland, she submitted from Nigeria and her visa office was Ghana, so Ghana processed her application Post ITA.
I remember Hopefulguy as well, he was also in Nigeria when he applied but had his application treated in Ottawa, he got PPR around August. In short, many people have had their PPR and many more to come.
Fingers crossed for good IELTS scores, have you done your ECA with the medical council of Canada? (I'm assuming you are a medical doctor)
Im kind of thinking your medical is a little bit early but its ok if you have plans to land immediately after a successful application.
Hopefully, if you have a CLB 9 in all four for IELTS, you should have a decent score to get you an ITA as soon as possible because you dont want your PCC to exceed three months too. That is if you can get an average to high score for age and work experience, you will get the second highest score for education as a MD.