“…Although the current literature addresses the evolution of orthopaedic residency education [2,3,6,8,9], proposals to improve orthopaedic surgery GME [16], evaluative tools [5,7,10,19,20], and the impact of requirements and regulations from a clinician's perspective [4,11,15], there is virtually no discussion regarding management of the administrative burden associated with these expansions and the director-coordinator relationship. Specifically, there is a paucity of literature on the evolution of the Association of Residency Coordinators in Orthopaedic Surgery (ARCOS) and its effort to increase the level of professionalism in the field.…”