Importance: The use of medical cannabis continues to expand rapidly across the US, yet most health care practitioners and trainees report feeling unprepared to counsel patients or integrate cannabis into care. Despite its clinical relevance, standardized education on medical cannabis remains absent from most medical school curricula.

Question: What core competencies should guide undergraduate medical education to prepare future clinicians to address medical cannabis?

Findings: This consensus statement used a modified Delphi process involving 23 experts, yielding 6 consensus-based core competencies covering cannabis pharmacology, legal frameworks, clinical evidence, risks, and clinical management. Each competency is supported by subcompetencies that provide more granular learning objectives.

Meaning: These competencies offer a structured foundation for integrating medical cannabis into medical education; by addressing a critical knowledge gap, they can enhance clinician preparedness, support evidence-based counseling, and help future physicians engage patients in informed, evidence-based discussions about cannabis use.