Hi,
I am a resident/fellow in the Child Neurology program at UPMC. It is an excellent program in my opinion and I am very happy to be here as are my co-residents as far as I know. The child neurology program is probably normal (I guess high-middle in your terms?) in terms of competitiveness in the field. Child neurology, however, is an atypical field... because of the low number of slots at any specific program, competitiveness for any specific program can be oddly high in any given year and entirely unpredictable. As far as I understand, this program at UPMC tends to highly value apparent sincere interest and commitment to coming to UPMC, so I would let the PDs know if you want to be here.
NDD is probably too small a field to rank programs in terms of "competitiveness." What I wrote about competitiveness for any specific program being unpredictable and potentially high in any particular year definitely holds true for this small field. But it's also true that for NDD here, the program also values sincere interest and commitment to coming to UPMC (as well as apparently sincere interest in the field of NDD). As far as I know, my colleagues who are residents/fellows in NDD are also very happy here.
Please PM me if you have any more specific questions.