Graduate students are often utilized to co-lead skills training groups alongside licensed clinicians but despite the longstanding use of student co-leaders, there is a lack of standardized training protocols for their role. This lack of guidelines is relevant given the often complex and high-risk nature of individuals with BPD often referred to DBT. This project, conducted at a large outpatient DBT clinic, sought to better understand novice co-leader experiences and identify areas of improvement utilizing the Institute for Healthcare Improvement (IHI) Model for Improvement. A survey of co-leaders examined the perceived effectiveness of various training components including orientation, active co-leading of skill training groups, supervision, and independent study.