All, I work in Canada with a WP, since I came from Europe last year they let me come in without an IME. Now I'm trying to apply for a Canadian PR, I received an ITA yesterday. I got an IRCC email a couple of months back that advised that those without a IME done in the last 5 year should do one before they apply. My current issue is I slipped in the snow have a minor fracture. I am wearing a cast, which will be removed in end of May or so. Is it mandatory to submit the application with an IME? I'm not even sure if the Panel doctor will perform an IME for me with an injury? The biggest fear I have is will I fail the IME if I go with a fracture? If any of you have faced or seen similar cases please let know.