Individual skill
lancet-fit
Use when scoping a project and before any writing, to stress-test whether a study clears The Lancet's bar — clinically or public-health important, globally relevant, and likely to change practice or policy, often with an equity lens. Decides The Lancet vs a Lancet family title vs another general medical journal.
Lancet-Skills/skills/lancet-fit/SKILL.md
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# Scope & Significance Fit (lancet-fit)
## Why this is skill #1
The Lancet triages **most submissions to rejection without external review**. The gate is not "is the trial sound" — it is **"is this clinically or public-health important, globally relevant, and likely to change practice or policy."** A rigorous single-centre confirmatory study is rejected if it does not move practice for a broadly relevant problem. Run this before investing in prose.
## When to trigger
- Before drafting, to decide if The Lancet is even the right venue.
- When a co-investigator says "this is a Lancet paper" and you need a sober second opinion.
- When choosing among The Lancet, the Lancet family, NEJM/JAMA/BMJ, and a specialty journal.
## The Lancet bar (four lenses)
