We just installed a medpro card so we could add IP sets to our system. As I understand it, the medpro controlls IP to TDM transcoding, as well as call setup and teardown of IP phones. You can support up to 64 IP to TDM transcoding with 1 medpro card, assuming you are using a G.711 codec. Any other codec, like G.729, reduces the number of total transcodings to 32, primarily due to addition processing needed on the DSP's for compression.
The medpro works in conjuction with the CLAN card for IP sets.
Hope this helps, and I reserve the right to be a little off on my explanation. I have only been working on the G3 for 2.5 months.
Scott M.