Content
77%Reviews the quality of instructions and guidance provided to agents. Good implementation is clear, handles edge cases, and produces reliable results.
The body is highly actionable and well-sequenced for tool use, but it is bloated with general clinical teaching Claude already knows and ships as a single large file with no progressive disclosure into references. Splitting the clinical-reasoning and tool-reference material into separate files would lift both weak dimensions.
Suggestions
Move general clinical knowledge (sensitivity/specificity, SnNOut/SpPIn, surgical timing, pediatric fluid formulas, TLICS/Brown-Sequard detail) into a reference file or remove it, keeping SKILL.md focused on tool-specific guidance Claude does not already know.
Extract the Tool Workflow tables, CPIC workflow, and Evidence Grading reference into a references/ file (e.g. TOOL_REFERENCE.md) and link to it from SKILL.md so the body stays a lean overview.
Tighten the Known Limitations and Fallback Strategy sections into a single compact troubleshooting block to reduce token overhead.
| Dimension | Reasoning | Score |
|---|---|---|
Conciseness | The tool-workflow sections are lean and tool-specific, but large stretches (diagnostic test selection, SnNOut/SpPIn, surgical timing, TLICS/Brown-Sequard details, Holliday-Segar and Mosteller pediatric formulas) teach clinical concepts Claude already knows, so it is mostly efficient with unnecessary explanation that could be trimmed. | 2 / 3 |
Actionability | Provides concrete tool names, required parameters, return-structure accessors (e.g. "result[0]['title']", "r.get('data', [])"), field-name gotchas ('cancer_type' NOT 'title', 'clinicalfunctionalstatus'), and a copy-ready synthesis template. | 3 / 3 |
Workflow Clarity | The search strategy is a numbered sequence with parallel-call guidance, a 3-source minimum check, an explicit fallback strategy (NICE empty -> TRIP/GIN), and verification checklists for the MCQ workflow, matching the clear-sequence-with-checkpoints anchor. | 3 / 3 |
Progressive Disclosure | No bundle files exist and the ~300-line body is a monolithic inline document; well-sectioned, but substantial reference material (tool tables, clinical reasoning frameworks) that should be split into separate files is kept inline, fitting the 'content that should be separate is inline' anchor rather than the under-50-line exception. | 2 / 3 |
Total | 10 / 12 Passed |