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Although most investigated skills were interrelated, elicitation of the patient's treatment preferences showed the strongest associations with the other skills. Network parameters of this skill were also decisive in predicting observer\u2010rated competence. Correlation between predicted competence scores and observer\u2010rated measurements ranged from 0.710 to 0.785.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Conceptualizing physicians\u2019 SDM competence as a network of interacting skills enables the measurement of observer\u2010rated competence using patient\u2010reported data. In addition to theoretical implications for defining and training medical competences, the findings open a new way to measure physicians\u2019 SDM competence under routine conditions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13130","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T09:57:51Z","timestamp":1598954271000},"page":"1466-1476","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["A skills network approach to physicians\u2019 competence in shared decision making"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0748-264X","authenticated-orcid":false,"given":"Levente","family":"Kriston","sequence":"first","affiliation":[{"name":"Department of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg 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