How do you define "heavy hitters"? Many of them are EM/IM trained or IM trained and grandfathered in EM (Jay Falk, Steve Conrad). Manny did EM/IM at Henry Ford, then UPMC cc fellowship. Steve Trzeciak EM/IM/CC - Rush/Cooper, Mike Donnino EM/IM/CCM Ford, Bryant Nguyen EM/IM Ford, CCM Loma...