It varies every few years. For example, anesthesia used to be one of the smallest popular specialities and now it's swiftly increasing in popularity due to large level reimbursement and the relatively stable work hours.
I would read out right now, the most competitive specialities are radiation oncology (very few spots available contained by the U.S.), dermatology, orthopedic surgery and ophthomology. If you're asking about hardest specialty base on the demands in training and hours, probably neurosurgery (7 year minimum residency, drastically long work hours).
i think is neurosurgery....
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