Is it more difficult to get an offer for foundation medicine than normal medicine?
From looking at the acceptance rate, foundation medicine % is much lower than normal medicine?
Acceptance rates can vary for a wide variety of reasons. For example, it might be that more applicants who've missed the grades/have low grades for medicine apply to foundation medicine, and they get rejected by the medical schools, artificially decreasing the acceptance rate. Nobody can answer your question for sure since we don't know the demographics of those applying for A104.
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