Individual skill
nejm-fit
Use this first, before any writing, to stress-test whether a clinical study clears NEJM's bar — practice-changing clinical impact, methodological rigor, and generalizability. Decides NEJM vs Lancet/JAMA vs a specialty journal.
NEJM-Skills/skills/nejm-fit/SKILL.md
Source commit 932eb23331721b16e967c59f093781be1928b498
What was checked
- Matches the observed repository HEAD
- Yes
- Scanner rules are current
- Yes
- Repository scan complete
- No
- Skill scan complete
- Yes
- Observed behavior
- Network or broad shell
- Last checked
- Nov 9, 2026
These are observations at the recorded commit, not a guarantee of safety. Review the source before running it.
Install this skill
Choose an agent in your Stack or copy a command below. Commands fetch the pinned commit and copy only this skill directory. Existing destinations are refused. Copying a command does not install anything.
An install command is unavailable: current rules, complete repository and skill scans, an eligible behavior level and a permitted license are required.
Repository context
- Repository stars (not skill ratings)
- 1,405
- Repository last updated
- Sep 27, 2026
- License
- MIT
Observed agent integration: No specific integration evidence. Standard SKILL.md installation does not imply verified compatibility.
- academic-writing Repository topic
- agent-skills Repository topic
- journal Repository topic
- academic-research Repository topic
- ai-agents Repository topic
- anthropic Repository topic
- awesome-list Repository topic
- claude Repository topic
- claude-code Repository topic
- economics Repository topic
- writing Derived category
- testing Derived category
Files and excerpt
File metadata and permitted, redacted excerpts come from the recorded scan. Source links are pinned to that commit.
Browse files
SKILL.mdcore · 4,946 bytes
Read excerpt
# Clinical Significance Fit (nejm-fit)
## Why this is skill #1
NEJM triages **the large majority of submissions to rejection without external review**. The gate is not "is the study sound" — it is **"would this change clinical practice, and is the evidence definitive enough to justify that change."** A well-conducted but narrow study is desk-rejected. Run this before investing in prose.
## When to trigger
- Before drafting, to decide if NEJM is even the right venue.
- When a co-author says "this is an NEJM paper" and you need a sober second opinion.
- When choosing between NEJM, Lancet, JAMA, a specialty journal (e.g., Circulation, Blood, JCO), and NEJM Evidence.
## The three gates (all must hold)
