• Mim Ari, Michael Kisielewski, Nora Y Osman, Karen Szauter, Clifford D Packer, and Amber T Pincavage.
• Department of Medicine, University of Chicago Pritzker School of Medicine, Chicago, IL, USA. mari2@medicine.bsd.uchicago.edu.
• J Gen Intern Med. 2019 Dec 1; 34 (12): 2812-2817.

BackgroundEducating medical trainees across the continuum is essential to a multifaceted strategy for addressing the opioid epidemic.ObjectiveTo assess the current state of internal medicine clerkship content on safe opioid prescribing and opioid use disorder, and barriers to curriculum implementation.DesignNational Annual (2018) Clerkship Directors in Internal Medicine (CDIM) cross-sectional survey.ParticipantsOne hundred thirty-four clerkship directors at all Liaison Committee of Medical Education accredited US medical schools with CDIM membership as of October 1, 2018.Main MeasuresThe survey section on safe opioid prescribing and opioid use disorder education in the internal medicine clerkship addressed assessment of current curricula, perceived importance of curricula, barriers to implementation, and plans to start or expand curricula. Descriptive statistics were used to summarize responses, and Pearson's chi-square and Fisher's exact tests for statistical comparisons.Key ResultsThe survey response rate was 82% (110/134). Overall 54.1% of responding institutions reported covering one or more topics related to safe opioid prescribing or opioid use disorder in the internal medicine clerkship. A preponderance of clerkship directors (range 51-86%) reported that various opioid-related topics were important to cover in the internal medicine clerkship. Safe opioid prescribing topics were covered more frequently than topics related specifically to opioid use disorder. The main barriers identified included time (80.9%) and lack of faculty expertise (65.5%).ConclusionsClerkship directors agreed that incorporating safe opioid prescribing and opioid use disorder topics in the internal medicine clerkship is important, despite wide variation in current curricula. Addressing curricular time constraints and lack of faculty expertise in internal medicine clerkships will be key to successfully integrating content to address the opioid epidemic.

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