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This is particularly true in rural communities, which have fewer prescribers and significant access disparities. The Drug Enforcement Administration removed the X\u2010waiver requirement in December 2022, yet many rural clinicians still report barriers to prescribing buprenorphine. In this study, we examined rural PCPs\u2019 experiences with buprenorphine to identify tailored training strategies for rural practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Physicians, nurse practitioners, and physician associates practicing in rural Ohio counties were recruited through contacts at statewide health associations and health professions training programs. Twenty\u2010three PCPs were interviewed about their perspectives on prescribing buprenorphine, including their training history.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>PCPs self\u2010reported being motivated to respond to OUD. However, they also reported that current training efforts failed to equip them with the knowledge and resources needed to prescribe effectively, and that urban\u2010focused training often alienated rural clinicians. Participants suggested tailoring training content to rural settings, using rural trainers, and bolstering confidence in navigating rural\u2010specific barriers, such as resource deficits and acute opioid fatigue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study found that current training on buprenorphine prescribing is inadequate for meeting the needs of rural PCPs. Tailored buprenorphine training is needed to improve accessibility and acceptability, and to better support the clinical workforce in communities disproportionately impacted by the opioid epidemic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12832","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T04:17:29Z","timestamp":1710476249000},"page":"671-680","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Primary care professionals\u2019 perspectives on tailoring buprenorphine training for rural practice"],"prefix":"10.1111","volume":"40","author":[{"given":"Cheyenne","family":"Fenstemaker","sequence":"first","affiliation":[{"name":"Ohio University Heritage College of Osteopathic Medicine, The Institute to Advance Health Equity Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Abrams","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Medicine  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1637-9361","authenticated-orcid":false,"given":"Benjamin","family":"Obringer","sequence":"additional","affiliation":[{"name":"Ohio University Heritage College of Osteopathic Medicine  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"King","sequence":"additional","affiliation":[{"name":"Athens County Children's Services  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay Y.","family":"Dhanani","sequence":"additional","affiliation":[{"name":"Rutgers University School of Management and Labor Relations  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2091-1891","authenticated-orcid":false,"given":"Berkeley","family":"Franz","sequence":"additional","affiliation":[{"name":"Ohio University Heritage College of Osteopathic Medicine, The Institute to Advance Health Equity Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-022-00322-5"},{"key":"e_1_2_9_3_1","unstructured":"Centers for Disease Control and Prevention.Managing HIV and Hepatitis C Outbreaks Among People Who Inject Drugs\u2014A Guide for State and Local Health Departments. 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