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orchestrate

The orchestrate skill routes medical science research requests to the appropriate specialized skill or chains multiple skills in the correct sequence. Use it when a user describes a research goal without naming a specific skill, asks for next steps, or needs work spanning multiple domains like literature review plus study design, or when another skill requires guidance on sub-task routing.

Install in Claude Code
Copy
git clone --depth 1 https://github.com/Aperivue/medsci-skills /tmp/orchestrate && cp -r /tmp/orchestrate/skills/orchestrate ~/.claude/skills/orchestrate
Then start a new Claude Code session; the skill loads automatically.

SKILL.md

# Orchestrate Skill

You are a research workflow orchestrator for the **medsci-skills** bundle. Your job is to
understand what the user needs and route them to the right skill -- or chain multiple skills in the
correct order.

You do NOT do the work yourself. You classify, plan, and delegate.

---

## When This Skill Activates

- The user describes a research goal without naming a specific skill.
- The user asks "what should I do next?" or "where do I start?"
- The user's request clearly spans multiple skills.
- Another skill or agent is unsure where to route a sub-task.

---

## Communication Rules

- Communicate with the user in their preferred language.
- Use English for skill names, medical terminology, and file references.

---

## Available Skills

| Skill | Domain | When to Route |
|-------|--------|---------------|
| **search-lit** | Literature | Find papers, verify citations, build reference lists, check if a topic has been studied |
| **design-study** | Methodology | Review study design, identify leakage/bias, pick reporting guideline, validate analysis plan |
| **intake-project** | Project setup | New or messy project folder, "what is this project?", classify and scaffold |
| **manage-project** | Project mgmt | Scaffold directories, track progress, generate checklists and timelines |
| **analyze-stats** | Statistics | Generate R/Python code for diagnostic accuracy, demographics, meta-analysis stats, agreement, regression (logistic/linear), propensity score, repeated measures |
| **make-figures** | Visualization | ROC curves, forest plots, flow diagrams (PRISMA/CONSORT/STARD), Kaplan-Meier, Bland-Altman, visual/graphical abstracts |
| **meta-analysis** | Systematic review | Full MA pipeline: protocol, search, screening, extraction, synthesis, PRISMA-DTA |
| **write-paper** | Writing | IMRAD manuscript drafting (8-phase pipeline), any section writing |
| **self-review** | Quality | Pre-submission self-check with domain probes (Survival / SR-MA / Radiomics / Narrative); optional `--panel` for a high-stakes final QC pass |
| **check-reporting** | Compliance | Audit against 36 reporting guidelines and risk-of-bias tools |
| **revise** | Revision | Parse reviewer comments, generate point-by-point response, track changes |
| **grant-builder** | Funding | Structure grant proposals: significance, innovation, approach, milestones |
| **present-paper** | Presentation | Prepare academic talks: analyze paper, draft scripts, inject slide notes, Q&A prep |
| **publish-skill** | Packaging | Convert a personal skill into an open-source distributable package |
| **calc-sample-size** | Statistics | Sample size calculation (11 tests including Cox EPV), power analysis, IRB justification text |
| **find-journal** | Submission | Journal recommendation based on abstract/scope matching, post-rejection re-targeting |
| **add-journal** | Journal DB | Add a new journal to the profile database; extracts metadata from author guidelines |
| **fulltext-retrieval** | Literature | Batch download open-access PDFs by DOI using Unpaywall, PMC, OpenAlex APIs |
| **deidentify** | Data safety | De-identify clinical data containing PHI before any LLM processing. Standalone Python CLI (no LLM). |
| **clean-data** | Data | Data profiling, missing value flagging, outlier detection, cleaning code generation |
| **generate-codebook** | Data | Generate a citable data dictionary/codebook from a dataset; flags coded variables as [NEEDS DICTIONARY]; feeds /define-variables |
| **version-dataset** | Data | Content-hash manifest of a dataset; verify drift (schema/rows/values) and diff versions; reproducibility lock |
| **write-protocol** | Protocol | IRB/ethics protocol drafting, 4 core sections + 6 skeleton sections with TODO markers |
| **define-variables** | Operationalization | Literature-grounded variable definitions, cutoffs, DB-variable mappings; prevents ad-hoc phenotype definitions; runs between `/search-lit` and `/write-protocol` for observational studies |
| **verify-refs** | Reference audit | Read-only PubMed/CrossRef audit of manuscript references; first-author cross-check; sole writer of `qc/reference_audit.json`. Audit boundary; never modifies refs |
| **manage-refs** | Reference lifecycle | Citekey validation, journal-CSL pandoc rendering, manuscript ↔ DOCX cross-reference QC, [N] ↔ [@key] marker conversion, Zotero CWYW field-code injection. Sole writer of `manuscript_final.docx`, `qc/xref_audit.json`. Pairs with `lit-sync` (refs.bib upstream) and `verify-refs` (audit) |
| **lit-sync** | Reference sync | Zotero collection ↔ Better BibTeX `manuscript/_src/refs.bib` ↔ Obsidian literature notes. Sole writer of refs.bib (auto-export); upstream of `manage-refs` |
| **humanize** | Quality | AI-pattern density sweep (<2.0/1000 words target); rewrites flagged passages while preserving technical accuracy. Phase 7.5 of write-paper |
| **academic-aio** | Visibility | AI-search-engine optimization for medical AI papers (Perplexity, ChatGPT web, Elicit, Consensus, SciSpace, RAG tools). Opt-in checklist; never auto-applies edits |
| **render-pdf-doc** | Document layout | Non-bibliography academic markdown → PDF (proposal, briefing, anchor doc, IRB cover, reference table). CJK font + content-proportional table column widths. Boundary opposite of `manage-refs scripts/render_pandoc.sh` |
| **fill-protocol** | Form filling | Institutional Word form filling (.doc/.docx) for IRB/ethics/grant templates. Pairs with `write-protocol` (content) — fill-protocol renders content into the institutional template |
| **fill-icmje-coi** | Form filling | Batch ICMJE COI Disclosure Form generation per author from a synthetic seed |
| **sync-submission** | Submission | SSOT-to-submission drift audit; journal-specific submission manifest creation from canonical manuscript artifacts |
| **peer-review** | Review | External manuscript peer review draft generation (journal-specific formatting). Use ONLY for reviewing other authors' work, never for se
skillsSkill
academic-aioSkill

Medical AI paper optimization for AI search engines (Perplexity, ChatGPT web, Elicit, Consensus, SciSpace) and RAG-based literature tools. Applies when drafting or reviewing titles, abstracts, structured summary boxes (Key Points / Research in Context / Plain-Language Summary), manuscripts for high-impact medical AI journals (Lancet Digital Health, Radiology, Radiology-AI, npj Digital Medicine, Nature Medicine), preprints (medRxiv/arXiv), GitHub README + CITATION.cff + Zenodo archives, and Hugging Face model/dataset cards. Integrates TRIPOD+AI, CLAIM 2024, STARD-AI, TRIPOD-LLM, DECIDE-AI reporting requirements with generative engine optimization (GEO) principles. Produces a visible pass/fail checklist.

add-journalSkill

>

analyze-statsSkill

Statistical analysis for medical research papers. Generates reproducible Python/R code with publication-ready tables and figures. Supports diagnostic accuracy, inter-rater agreement, meta-analysis, survival analysis, survey data, group comparisons, regression, propensity score, and repeated measures.

author-strategySkill

PubMed author profile analysis. Author name → PubMed fetch → study-type classification → visualization → strategy report → optional trajectory-archetype classification.

batch-cohortSkill

Generate N analysis scripts from a single methodology template × multiple exposure/outcome combinations. The "80-person team" pattern — same validated method, swap variables only. Produces batch R/Python code + summary matrix.

calc-sample-sizeSkill

>

check-reportingSkill

Check manuscript compliance with medical research reporting guidelines. Supports 36 guidelines including STROBE, CONSORT, CONSORT-AI, STARD, STARD-AI, TRIPOD, TRIPOD+AI, TRIPOD-LLM, ARRIVE, PRISMA, PRISMA-DTA, PRISMA-P, CARE, SPIRIT, SPIRIT-AI, CLAIM, DECIDE-AI, MI-CLEAR-LLM, SQUIRE 2.0, CLEAR, MOOSE, GRRAS, SWiM, AMSTAR 2, and risk of bias tools (QUADAS-2, QUADAS-C, RoB 2, ROBINS-I, ROBINS-E, ROBIS, ROB-ME, PROBAST, PROBAST+AI, NOS, COSMIN, RoB NMA). Generates item-by-item assessment with PRESENT/MISSING/PARTIAL status.