In 2022, the Accreditation Council on Graduate Medical Education (ACGME) began requiring residency programs to provide instruction and experience in pain management for internal medicine trainees. Residency program directors were surveyed in 2019 about whether and how they provide instruction and experience to residents in safe opioid prescribing (SOP) and treatment of opioid use disorder (OUD). Most programs required didactic learning, but few required clinical experience. Given that the ACGME requirement is now in place, the researchers suggest many programs may be ill-prepared to meet the requirement.