Def. possible for IMG to land PMR spot. I went to Saba U. and landed a spot at LSU. My steps were good (243, 219) and MSK background was generally a plus (chiropractor) but I also know of mistakes I made during the interview process. Let me just clarify though, I'm in no means upset about my LSU spot. LSU was my #4 spot but should have been my #2 (behind OSU...go buckeyes!!).
One mistake was NOT having a PMR rotation that included inpt PMR. My 4wks were completely outpt MSK kind of stuff (which is what I love). You gotta show that you've been exposed to BOTH inpt and outpt PMR and love it. Most new PMR residents are more attracted to the outpt MSK/injection/pain medicine side of PMR...but keep in mind, most of the interviewing attendings/program directors had a focus on inpt PMR (or so it seemed to me). So don't go into an interview with a 100% "i'm into outpt pmr" attitude. If you gotta stretch the truth about your interest in inpt PMR so be it.
Another mistake I made was having a laxidasical answer to "why PMR?" that u get at every interview. I thought my background in chiropractic was enough of an explanation of why I love MSK medicine. So come up with a great answer.
Boy did I get off on a tangent. But anyway, look at all my prior posts and find the one that has my entire interview summary on it (which places i got interviews, went to interviews, and ranked). Use that as a general guide as to who will give interviews to IMGs.
And let me know if u have any more questions.
Chris