which specialty??

Rank	Specialty	Score
1	dermatology	45
2	general internal med	43
3	med oncology	43
4	physical med & rehabilitation	43
5	rheumatology	42
6	emergency med	41
7	pediatrics	41
8	psychiatry	41
9	occupational med	41
10	nuclear med	40
11	hematology	39
12	nephrology	38
13	neurology	38
14	ophthalmology	38
15	pathology	38
16	aerospace med	38
17	radiology	38
18	thoracic surgery	37
19	plastic surgery	37
20	preventive med	37
21	obstetrics/gynecology	37
22	family practice	37
23	allergy & immunology	37
24	radiation oncology	37
25	gastroenterology	37
26	endocrinology	37
27	cardiology	36
28	infectious disease	36
29	neurosurgery	36
30	otolaryngology	36
31	orthopaedic surgery	35
32	pulmonology	35
33	colon & rectal surgery	35
34	anesthesiology	35
35	general surgery	33
36	urology	33

.how come? dermatology! but internal medicine most likely la!