Substance use disorders are a growing public health crisis and it is increasingly prudent to train all future front- line physicians in the fundamentals of addiction medicine. In this presentation we discuss the experience of 4 family medicine residency programs across the country. When each of our programs started this process our residents were receiving little didactic instruction and very limited clinical training in addictive disorders (with no medication-assisted therapy experience). In this presentation we will discuss the barriers and pitfalls that family medicine residency programs may face when establishing a comprehensive addiction medicine curriculum. We will share solutions from each of our programs that include strategies addressing: (1) educational development (e.g. waiver training, robust case-based didactics, training in screening, brief intervention and referral to treatment (SBIRT), live sessions using the ProjectECHO model, experiential clinic-based learning); (2) clinical integration (e.g. electronic health record (EHR) optimization, incorporation of Certified Alcohol and Substance Abuse Counselors in the residency clinic, utilizing the hub and spoke model of care, piloting an "ED-Bridge Clinic"); and (3) community engagement .(e.g. advocacy, training "peer leaders", integrated peer recovery specialists). This session will be a helpful guide to family medicine physicians interested in advancing addiction education for residents.