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On production, art directors are there to sweat the small stuff. A creative director is usually the keeper of a brand. make big decisions, especially when it comes time to steer the brand in a new direction. A good CD will be involved in creating a brief (which is then given to an art director & copywriter).
Typically, to become a creative director, one must climb the ranks within an organization by progressively working jobs with more responsibility, such as desktop publisher, graphic designer, copywriter or art director.