“…Since that time additional publications have followed that further clarify resources and roles [6], needs [8], as well as special subgroups of clerkship directors, such as emergency medicine [9] and the medicine sub-internship director [10]. In addition, the educational landscape has markedly evolved to include a new focus on competency-based education CONTACT Gary L. Beck Dallaghan gary_beck_dallaghan@med.unc.edu Office of Medical Education, 108 Taylor Hall, CB#7595, Chapel Hill, NC 27599-7595, USA [11], longitudinal integrated clerkship models [12], utilization of new educational technologies [13][14][15], enhanced early and advanced clinical coursework [16], and a need to accommodate increasing class sizes [17], often requiring increased use of geographically separate clinical sites [18]. Liaison Committee on Medical Education (LCME) standards and elements have evolved since release of the 2003 ACE article [7], resulting in increased responsibilities and accountability for clerkship directors and their schools, including but not limited to monitoring duty hours, providing mid clerkship feedback, and clinical site equivalency.…”