Figure 1 Box plots of modified Rodnan skin score (MRSS‐51) observed for each patient. (A) Berlin course: the nine examiners were experts from five different European countries. The examiners performed 5–9 investigations on nine patients with SSc. (B) Budapest course: the nine examiners represented seven different countries. Five of the nine examiners had already participated in the previous course in Berlin. 3–6 examinations were performed on 18 patients with SSc. (C) Vienna course: the six examiners represented six different countries. Each of these examiners had also participated in at least one of the previous two courses, and the master teacher was the same (DEF). 4–6 examinations were performed on 11 patients with SSc. #The patient was not measured by the master teacher. For details, see Methods.