I have no idea how programs consider PR as far as med schools go, but I wouldn't let comments by other people be the major factor in a career decision that you have to live with for life. Ortho is a touch field to match into even if you are from a competitive US school. It also can be a grueling residency. But after careful consideration, if ortho is what you want and you can't see yourself doing anything else, how could you not go for it? That decision can only come from within yourself, not something anyone says.
If you apply intelligently to a variety of programs and make a strong impression at away rotations, you probably have the same chance as a lot of people applying. But that being said, the selection process can be so desperately random. I thought I was a decent candidate, but failed to match - so who really knows!
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