For George H.W. Bush’s first medical checkup as president in 1989, he was seen by five specialists, the White House said at the time. His son George W. Bush was seen by 12 in his first presidential checkup, White House officials said a dozen years later.

President Donald Trump appears to have set a new bar: 22 medical specialists assessed him as part of his latest checkup, according to a medical report recently released by the White House.

That figure is nearly double the number of specialists who assessed Trump for his past medical checkups as president, according to a review of publicly available statements by Trump’s doctors.

The figure also represents the most medical specialists to assess a president for a single visit, based on a review of public statements and records, prompting questions from outside physicians who said they were already skeptical of the White House’s disclosures around the nearly 80-year-old Trump’s health.

“It is an extraordinary number,” said Jonathan Reiner, a longtime cardiologist for former vice president Dick Cheney. “What specialties do they represent? Why so many?”