Table 2. Modified self-reported Zwisch rating scale for core clinical skills related to substance use disorders.

Show and Tell (Observation only)	Active Help (Direct supervision needed)	Passive Help (Indirect supervision needed)	Supervision Only (Supervision only for patient safety)	Expert (Can supervise others)
1. What level of supervision do you think you need for screening patients for substance use disorders in the outpatient setting?
2. What level of supervision do you think you need for counseling patients on the role substance use plays in their health?
3. What level of supervision do you think you need for supporting and guiding patients using Motivational Interviewing techniques in changing their substance use behaviors?
4. When indicated, what level of supervision do you think you need for referring patients for specialty treatment for their substance use?