In the ACC Presidential speech in annual convocation, Steve Nissen ( Immediate Past President) mentioned it is high time for Cardiology to separate from Internal Medicine. The advances in Cards is very dynamic and explosive so that training has to be extended at the same time it needs the freedom as Derm and Neurology. He suggested ACC should work for changing Cards into an independant speciality with 5 years of training. Any thoughts? COURAGE trial was the highlights of this ACC. However the editors of NEJM and JAMA claimed more negative trials came out because of the new clinical trials registration policy.