A PSM is not the same as an SMP. PSM's are great if you want to work in staff positions in research (generally speaking). That could explain your training for what you did in pharma/clinical trials management perhaps.
Also, your non-clinical volunteering is subpar. I usually disregard any activity with fewer than 50 hours (unless it's shadowing), and your four activities are each below 50 hours. That was just as much a reason why you weren't successful last cycle, and you are at risk of repeating going zero for n schools. You need at least 150 hours of service orientation activities (food distribution, shelter volunteer, job/tax preparation, legal support, transportation services, or housing rehabilitation) when you submit your application or it might be screened out at most schools.