In the past to have a med-peds program you just needed to have an accredited Internal Medicine program and an accredited Pediatrics program. Med-Peds didn't have its own accreditation. This wasn't really an issue until (as I've heard it told), some physicians in Texas were filling out a form and on the form it asked, "Did you graduate from an accredited Residency program?" They answered "no" because their Med-Peds program wasn't accredited because there was no such thing for Med-Peds. So then it was decided that Med-Peds should have its own accreditation. As part of that accreditation, it was required that there be a single governing entity over the residency program. Some programs closed then because if they were set up in such a way that the medicine and pediatric portions were governed by separate entities it didn't meet accreditation. Anyway, that is what I was talking about when I said that Med-Peds got its own RRC.