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impact opioid use disorder oud united states continues rise yet topic limited coverage medical school curricula study partnered academic community harm reductionists design peerassisted learning case opioid withdrawal teach fourthyear medical students traumainformed oud care harm reduction services emergency medicine clerkship academic community harm reductionists iteratively codesigned case partnership research team communityengaged pedagogy informed process promote social action power sharing education case integrated existing weekly peerassisted learning curriculum ie medical students teaching medical students structured case fourthyear medical students required emergency medicine clinical rotation participants completed postcase evaluation survey sixtyfour medical students completed survey june november 2022 total 985 participants found educational session quite extremely relevant medical education 875 believed case quite extremely effective achieving learning objectives total 453 initially felt quite extremely competent talking patients drug use whereas 532 felt quite extremely competent participating case finally 219 initially felt quite extremely competent proposing treatment plan patient uses drugs whereas 625 felt quite extremely competent participating case study supports feasibility importance incorporating voices people lived living experience medical school curricular development peerassisted learning case focused treatment oud emergency department seamlessly integrated existing curriculum well received medical students engaging local experts could easily adapted expanded sites