Use when targeting the American Journal of Respiratory and Critical Care Medicine or deciding whether a respiratory, critical-care, or sleep study fits this venue. Encodes the journal's fit across clinical-translational-basic science, the mechanistic and evidence bar, reporting-guideline and registration requirements, ATS house style, official-submission re-check, and desk-reject heuristics. Venue-fit aid only, not clinical advice.
SkillScore82Maintained
Automatic
◆Research pack
Last verified 9/2/2026
What it changes
Passed 18 of 22 test cases with the skill, and 8 of 22 without it.
Without skill36%
With skill82%
Checks it passed that the model alone missed
Formats the output using bracketed key-value field headers.
Identifies STROBE as the relevant observational reporting guideline.
Identifies CONSORT as the relevant clinical trial reporting standard.
and 11 more in the full report
12 fixed6 passed either way2 still failing2 broke
Pass-rate lift
+45 pp
Tokens
+33%
Agent turns
0%
Response time
-32%
Model gemini-3.6-flashMeasured 9/2/2026v118 of 22 cases passed with skill
Tokens, turns and time describe resource use, not a dollar price.
See it in action
One of 12 test cases the skill fixed. Same model, same prompt, with and without the skill.
1 of 12
Prompt
We analyzed a retrospectively gathered registry of 120 COPD patients at our local community clinic, reporting correlations between baseline eosinophil counts and exacerbation frequency over one year without biomarker validation or mechanical experiments. Provide a structured manuscript assessment for AJRCCM.
What was checked, without and with the skill
Checked
Without skill
With skill
Flags desk rejection risk as High due to a single-center descriptive design lacking mechanistic insight or practice-changing yield.
Passed
Passed
Identifies STROBE as the relevant observational reporting guideline.
Missed
Passed
case-10 · gemini-3.6-flash · 9/2/2026 · answers are capped and redacted
What's inside
The instructions your model reads when the skill loads.
SKILL.md123 linessingle file
American Journal of Respiratory and Critical Care Medicine (american-journal-of-respiratory-and-critical-care-medicine)
Journal positioning
The American Journal of Respiratory and Critical Care Medicine (AJRCCM, the American
Thoracic Society "Blue Journal") is the ATS flagship, publishing high-impact research
across the full respiratory–critical-care–sleep spectrum and across the full evidence
spectrum: definitive clinical trials and cohorts, translational mechanism, and basic
pulmonary, vascular, and immunologic science. Its defining expectation is a
conceptually important advance in lung biology, respiratory/critical-illness
disease mechanism, or pulmonary/sleep clinical care — not an incremental
single-center series or a descriptive cohort with no mechanistic or practice-changing
yield. Because it spans bench to bedside, AJRCCM tolerates basic and translational work
that a purely clinical respiratory journal would not. This skill is a fit /
venue-selection / re-framing aid; it is not clinical or regulatory advice and does
not replace the journal's current instructions for authors. Before submitting, re-check
the live AJRCCM author instructions.
When to trigger
The author names AJRCCM or the "Blue Journal" for a respiratory, pulmonary-vascular,
critical-care, or sleep-medicine study and wants a fit/framing check.
A clinical, translational, or basic-science lung study must be re-framed around a
mechanism or a practice-changing pulmonary/critical-illness question.
The author is choosing between AJRCCM, The Lancet Respiratory Medicine (clinical/trial
high-impact), and Critical Care Medicine (ICU-focused).
The author needs the journal's reporting-guideline, registration, and basic/animal-study
expectations spanning bench-to-bedside work.
Scope & topic fit
Adult and pediatric pulmonary disease: asthma, COPD, ILD/pulmonary fibrosis, cystic
fibrosis, infection, and pulmonary vascular disease (PAH).
Critical-care and acute respiratory illness: ARDS, mechanical ventilation, acute lung
injury — with mechanistic or outcome rigor.
Sleep and circadian medicine: sleep-disordered breathing and its physiologic or
outcome consequences.
Translational and basic lung science: lung development, immunology, epithelial and
endothelial biology, and animal/cell models that illuminate human disease.
Clinical trials, large cohorts, and biomarker studies with respiratory or