Names a domain (medical) and two actions (creating opening statements and closings), but the description is incomplete—'for medical' is truncated and lacks detail about what kind of medical content (presentations, papers, speeches?).

The description partially addresses 'what' (creating openings and closings) but is truncated and incomplete, and there is no 'when' clause or explicit trigger guidance. The missing 'Use when...' clause caps this at 2, and the truncation further reduces it.

Includes some relevant terms like 'opening statements', 'closings', and 'medical', but the truncated description misses common variations users might say such as 'introduction', 'conclusion', 'medical presentation', 'speech', or 'paper'.

The combination of 'medical' and 'opening/closing statements' provides some specificity, but the truncated and vague nature of 'for medical' could overlap with general medical writing skills or presentation skills.

Extremely verbose and padded with boilerplate sections (Risk Assessment, Security Checklist, Lifecycle Status, Evaluation Criteria) that add no actionable value for this simple task. Multiple sections reference each other circularly ('See ## Features above', 'See ## Prerequisites above'). The actual domain-specific content (how to craft presentation hooks) is buried under generic template filler that Claude already knows.

Despite the length, there is virtually no concrete guidance on how to actually craft presentation openings or closings. No examples of good hooks, no patterns, no rhetorical techniques. The 'actionable' content is generic boilerplate about running scripts (`python scripts/main.py`) with no indication of what the script does or how it generates hooks. The output format JSON is specified but no example input→output pair is provided.

The workflow section is entirely generic ('Confirm the user objective', 'Validate that the request matches the documented scope') with no steps specific to crafting presentation hooks. There are no validation checkpoints relevant to the actual task. The 'Example run plan' is also generic boilerplate about running a script with no domain-specific sequencing.

Multiple sections reference other sections within the same document circularly ('See ## Features above', 'See ## Prerequisites above', 'See ## Workflow above'), creating confusion rather than progressive disclosure. References to `references/` directory and `scripts/main.py` exist but no bundle files are provided, making these dead references. The document is a monolithic wall of boilerplate with poor organization.