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.