Use when targeting The Lancet Respiratory Medicine or deciding whether a respiratory or critical-care study fits this venue. Encodes the journal's fit, the practice-changing trial and major-cohort evidence bar, reporting-guideline and registration requirements, Lancet specialty house style, official-submission re-check, and desk-reject heuristics. Venue-fit aid only, not clinical advice.
SkillScore86Maintained
Automatic
◆Research pack
Last verified 9/1/2026
What it changes
Passed 19 of 22 test cases with the skill, and 13 of 22 without it.
Without skill59%
With skill86%
Checks it passed that the model alone missed
The response evaluates the fit as '[Fit] Low'.
The response classifies the fit as '[Fit] High'.
The response lists '[Fit] High' as the fit level.
and 6 more in the full report
8 fixed11 passed either way1 still failing2 broke
Pass-rate lift
+27 pp
Tokens
+16%
Agent turns
0%
Response time
-40%
Model gemini-3.6-flashMeasured 9/1/2026v119 of 22 cases passed with skill
Tokens, turns and time describe resource use, not a dollar price.
See it in action
One of 8 test cases the skill fixed. Same model, same prompt, with and without the skill.
1 of 8
Prompt
We finished an international phase 3 randomized double-blind trial evaluating an antifibrotic compound in 800 patients with idiopathic pulmonary fibrosis measuring forced vital capacity decline and all-cause mortality over 52 weeks. Evaluate fit for The Lancet Respiratory Medicine using the structured format.
What was checked, without and with the skill
Checked
Without skill
With skill
The response lists '[Fit] High' as the fit level.
Missed
Passed
case-20 · 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.md128 linessingle file
The Lancet Respiratory Medicine (the-lancet-respiratory-medicine)
Journal positioning
The Lancet Respiratory Medicine is a Lancet specialty journal for high-impact clinical
and population research across respiratory medicine and critical care — asthma, COPD,
interstitial and pulmonary vascular disease, respiratory infection, sleep and
ventilation, lung cancer screening, and intensive-care/critical-care medicine. It
favors practice-changing randomized trials, major prospective cohorts, and analyses
with clear international clinical or policy consequence, with a strong emphasis on
methodological rigor, generalizable populations, and patient-important outcomes. Small
single-center series, mechanistic/basic-science work without a clinical endpoint, and
incremental subgroup re-analyses are a weak fit and belong in a translational or
broader-scope respiratory journal. 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 The
Lancet Respiratory Medicine author instructions.
When to trigger
The author names The Lancet Respiratory Medicine for a respiratory or critical-care
clinical/population study and wants a fit/framing check.
A trial or large cohort must be re-framed around an international, practice-changing
respiratory or critical-care question.
The author is choosing between The Lancet Respiratory Medicine, the ATS "Blue
Journal", and general medicine.
The author needs the journal's reporting-guideline, registration, and desk-reject
expectations for respiratory/critical-care evidence.
Scope & topic fit
Randomized trials in airways disease (asthma, COPD), pulmonary vascular and
interstitial lung disease, respiratory infection, and sleep/ventilation.
Critical-care and intensive-care trials and cohorts (ARDS, mechanical ventilation,
sepsis-related respiratory failure) with patient-important outcomes.
Large prospective cohorts and high-quality observational studies addressing
respiratory disease burden, prognosis, or treatment effect at scale.
Lung-cancer screening, diagnosis, and prevention studies with population-level or
practice-changing implications.
Pragmatic and implementation trials, and well-powered diagnostic studies, relevant to