Use when targeting JAMA Internal Medicine or deciding whether an internal-medicine clinical study fits this venue. Encodes the journal's fit, the clinical-evidence and methodological-rigor bar, reporting-guideline and trial-registration requirements, JAMA Network house style, official-submission re-check, and desk-reject heuristics. Venue-fit aid only, not clinical advice.
NewMaintained
Automatic
◆Research pack
Last verified 9/1/2026
What it changes
Passed 21 of 22 test cases with the skill, and 21 of 22 without it.
Without skill95%
With skill95%
Checks it passed that the model alone missed
The response rates the venue fit as High.
1 fixed20 passed either way0 still failing1 broke
Pass-rate lift
0 pp
Tokens
+8%
Agent turns
0%
Response time
-37%
Model gemini-3.6-flashMeasured 9/1/2026v121 of 22 cases passed with skill
Tokens, turns and time describe resource use, not a dollar price.
See it in action
A test case the skill fixed. Same model, same prompt, with and without the skill.
Prompt
We performed a cohort study using national Veterans Affairs database records (N=120,000) comparing stroke risk between two direct oral anticoagulants in non-valvular atrial fibrillation, controlling for comorbidities using propensity matching (STROBE guidelines). Evaluate fit for JAMA Internal Medicine using structured output fields: fit assessment, target journal, domain tags, design/guideline, evidence check, top rejection risk, official checklist, and alternative venue.
What was checked, without and with the skill
Checked
Without skill
With skill
The response rates the venue fit as High.
Missed
Passed
case-18 · gemini-3.6-flash · 9/1/2026 · answers are capped and redacted
What's inside
The instructions your model reads when the skill loads.
SKILL.md115 linessingle file
JAMA Internal Medicine (jama-internal-medicine)
Journal positioning
JAMA Internal Medicine is a JAMA Network specialty journal for clinical research,
evidence synthesis, and health-policy scholarship relevant to the practice of adult
internal medicine. It favors rigorous, clinically important work — randomized trials,
high-quality comparative-effectiveness and observational studies, and analyses that
challenge low-value care or inform practice and policy — with a strong emphasis on
methodological soundness and direct relevance to patient care and clinical decision
making. Underpowered single-center studies, descriptive case series, and analyses
with no clear practice implication are a weak fit. 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 JAMA Internal Medicine author instructions.
When to trigger
The author names JAMA Internal Medicine for an internal-medicine clinical or
health-services study and wants a fit/framing check.
A clinical study must be re-framed around a clear practice-changing or
policy-relevant question for a general internal-medicine readership.
The author is choosing between JAMA Internal Medicine, JAMA, and a subspecialty
journal.
The author needs the journal's reporting-guideline, registration, and desk-reject
expectations.
Scope & topic fit
Randomized clinical trials in adult internal medicine, including pragmatic and
de-implementation ("less is more") trials.
Comparative-effectiveness, cohort, and large database studies with rigorous design
and confounding control.
Diagnostic, screening, and prognostic studies with clinically meaningful endpoints.
Health-policy, quality, value-of-care, and health-services research relevant to
internal medicine.
Systematic reviews and meta-analyses that answer a focused clinical question.
Use when targeting JAMA Neurology or deciding whether a clinical-neurology study fits this venue. Encodes the journal's fit, the neurological-trial and observational evidence bar, reporting-guideline and trial-registration requirements, JAMA Network house style, official-submission re-check, and desk-reject heuristics. Venue-fit aid only, not clinical advice.