The majority of primary care providers did not receive adequate training to detect, prevent, and manage patients at the interface of pain and addiction (CASA, 2005). But there are currently little data to guide training development so that it emphasizes the specific areas of greatest need. We surveyed a convenience sample of twenty-seven primary care providers (9 physicians, 9 residents, and 9 nurse practitioners) retrospectively about their training at the interface of treating pain and addiction. They were asked to rate their agreement that their clinical training adequately prepared them in 9 specific areas. The responses were very similar for each of the three groups. Sixty-four percent (64%) of participants disagreed (either strongly disagreed or disagreed) that they were adequately prepared to treat pain in patients in recovery. Sixty percent (60%) disagreed that they were prepared to treat pain in patients with current addictions. And 52% disagreed that they were adequately prepared to treat patients at risk for addiction. Perception of their training to assess pain in the context of addiction issues was more positive. Of the participants, 48% agreed or strongly agreed that they were adequately prepared to recognize addiction in a pain patient; still 28% disagreed. Similarly, 48% agreed or strongly agreed that they were adequately prepared to recognize patients at risk for addiction; but 36% disagreed. Primary care providers do not feel adequately prepared by their training in pain and addiction, especially in the areas of treatment. Training needs related to treatment increase as the risk of addiction increases. Educational curricula are needed to ensure that pain treatment providers have the skills necessary to assess and treat patients at the interface of pain and addiction. Reference: CASA. Under the counter: The diversion and abuse of controlled prescription drugs in the U.S., 2005.