Use when targeting JAMA Surgery or deciding whether a surgical-outcomes or surgical-trial study fits this venue. Encodes the journal's fit, the surgical-trial and perioperative evidence bar, surgical-reporting challenges, 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.
SkillScore91Maintained
Automatic
◆Writing & Editing pack
Last verified 9/1/2026
What it changes
Passed 21 of 23 test cases with the skill, and 9 of 23 without it.
Without skill39%
With skill91%
Checks it passed that the model alone missed
Rates fit as Low in the `[Fit]` field.
Recommends re-routing to JAMA Oncology.
Rates fit as High in the `[Fit]` field.
and 14 more in the full report
13 fixed8 passed either way1 still failing1 broke
Pass-rate lift
+52 pp
Tokens
+19%
Agent turns
0%
Response time
-25%
Model gemini-3.6-flashMeasured 9/1/2026v121 of 23 cases passed with skill
Tokens, turns and time describe resource use, not a dollar price.
See it in action
One of 13 test cases the skill fixed. Same model, same prompt, with and without the skill.
1 of 13
Prompt
We wrote a manuscript describing a 10-step novel suture technique for pancreatic anastomosis demonstrated in 12 non-randomized patients with no comparison control group. We argue the technical elegance warrants publication in JAMA Surgery. Evaluate fit and main rejection risk.
What was checked, without and with the skill
Checked
Without skill
With skill
Rates fit as Low in the `[Fit]` field.
Missed
Passed
Identifies lack of a comparative control group as the primary rejection risk.
Missed
Passed
case-21 · 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.md125 linessingle file
JAMA Surgery (jama-surgery)
Journal positioning
JAMA Surgery is a JAMA Network specialty journal for surgical clinical research across
general, vascular, thoracic, transplant, trauma, and surgical-subspecialty practice. It
favors rigorous, practice-relevant work — randomized and well-designed surgical trials,
large surgical-outcomes and registry analyses, perioperative and quality-improvement
research, and comparative-effectiveness studies — with JAMA's emphasis on patient-
centered outcomes, adequate risk adjustment, and direct relevance to surgical care.
Single-surgeon case series, descriptive technique reports without comparative outcomes,
and underpowered studies 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
Surgery author instructions.
When to trigger
The author names JAMA Surgery for a surgical trial, outcomes, or perioperative study
and wants a fit/framing check.
A surgical study must be re-framed around a comparative, patient-centered outcome with
appropriate risk adjustment for a practicing-surgery audience.
The author is choosing between JAMA Surgery, JAMA, and a surgical-subspecialty
journal.
The author needs the journal's surgical-trial reporting, registration, and
desk-reject expectations.
Scope & topic fit
Randomized and pragmatic surgical trials (operative vs. nonoperative, technique vs.
technique, or perioperative interventions) with patient-centered outcomes.
Large surgical-outcomes, registry, and claims analyses (e.g., NSQIP-style) with robust
risk adjustment for case mix.
Perioperative, enhanced-recovery, anesthesia-surgery interface, and surgical-safety
research.
Comparative-effectiveness and value-of-surgery studies, including de-implementation of
low-value operations.
Surgical quality, volume-outcome, disparities, and health-services research.
Systematic reviews and meta-analyses answering a focused surgical question.
Use when targeting JAMA Cardiology or deciding whether a cardiovascular-medicine study fits this venue. Encodes the journal's fit, the cardiovascular-trial and outcomes 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.