Clinicians managing older patients with chronic pain play an important role. This paper explores the attitudes of primary care clinicians (PCPs) toward chronic nonmalignant pain management and their experiences using a clinical decision support system. Our investigation followed a qualitative approach based on grounded theory. Twenty-one PCPs participated in focus groups and interviews. Our analysis elicited six themes: pain as part of growing old; concerns about using medications; waiting times for the pain clinic; value of ancillary services; training; and value of an Electronic Medical Record (EMR). We need a more systematic and thorough understanding of PCPs competencies to manage chronic nonmalignant pain.