To the Editor The Viewpoint by Dwarakanath¹ provided a thoughtful description of the adolescent opioid use disorder (OUD) epidemic and the limited access to recommended care. The remedy presented was requiring pediatric residents to take an 8-hour course and become waivered to prescribe buprenorphine. Pediatric residents’ exposure to addiction medicine is so limited that this would be quantitatively more training than many now receive. However, the goals should be to increase treatment capacity and improve the quality of care in this domain, not just a numerical increase in hours of exposure. For these goals to be achieved, a more comprehensive and operational approach is needed.

致编辑Dwarakanath ¹的观点对青少年阿片类药物使用病（OUD）的流行以及获得推荐治疗的机会有限提供了周到的描述。提出的补救措施是要求儿科居民参加8小时的课程，并放弃开处方丁丙诺啡的处方。小儿居民对成瘾药的接触非常有限，以至于从数量上讲，这比现在许多人所接受的训练更多。但是，目标应该是增加该领域的治疗能力并改善护理质量，而不仅仅是增加暴露时间。为了实现这些目标，需要一种更全面和可操作的方法。