I'm a FMG who is gearing up for the test this summer and I'm pretty worried about it. I keep consoling myself with the knowledge that a girl from our school had failed twice, but was successful enough during years 3 and 4 that she was given a verbal assurance from a hospital that she had a spot with them if she could just pass the damn thing.
As I understand, she finally passed on the 3rd try, and matched to that program.
I'm pretty sure the program was family med, or maybe an internal med thing but nothing very competitive. Also, our school (BGU-CU in Israel) has a really good reputation for placing students and isn't regarded as the typical "offshore" school - whatever that means. So maybe that partly explains her situation. But the reality is that there's probably a spot out there for you if you can make it through the test and you're a cool person who works really hard on the wards.
Hang in there.