Historic moments compel us to take stock of ourselves, to examine who we are and what we do. Our conference theme, A Searching and Fearless Inventory asks us to do just that - take stock of our performance as it concerns quality, leadership, and equity. The parallels to that which we ask our patients to do in their personal development are apt and as we know, the benefits of doing so are abundant. Our opening session will present perspectives of our status as a field through the lenses of quality of clinical care, equitable access to care, and the role of leadership at a critical juncture in the continued development of SUD treatment.