look at the nbme match data that i'm attaching. it has a ton of info, but if you look at path stuff specifically 2 things stick out to me:
1) out of about 550 spots in 2006, 50 didn't get filled. 9% of the spots didn't even get filled!! to me, that implies a lack of competition. i would bet those unfilled spots are predominantly in the midwest, but the point i take from it is that there are programs that can't even get as many residents as they want/need.
2) look at the % of that 550 filled by US seniors? works out to about 60% - that's also pretty freakin' low!! for all we may hear about path being more competitive, programs still need at least 1 of 3 of their spots to be filled by FMGs. i'm not knocking FMGs, please don't think i am. but i think the reality is that a program will take a US-trained MD over an FMG if the candidates are similar otherwise, especially is the FMG is an American that went to a Carribean school. and the % of spots filled by Americans is one of the lowest of all the specialties on the list.
you look through this data and you see that other specialties have lower % unfilled spots and high % filled by US grads. to me, that says that path is still relatively uncompetitive overall. like was said, i would venture top programs are of course more competitive, but if you're willing to go to Midwest State University, i think someone like ilovepath could certainly find a spot.