nejm-fit
Use this first, before any writing, to stress-test whether a clinical study clears NEJM's bar — practice-changing clinical impact, methodological rigor, and generalizability. Decides NEJM vs Lancet/JAMA vs a specialty journal.
Profile →npx skills add brycewang-stanford/Awesome-Journal-Skills --skill nejm-fit --agent claude-code
Same command for any agent — swap --agent for codex, cursor, copilot.
Weekly change comes from our own snapshots, not the repository page — it measures attention, not adoption.
# Clinical Significance Fit (nejm-fit) ## Why this is skill #1 NEJM triages **the large majority of submissions to rejection without external review**. The gate is not "is the study sound" — it is **"would this change clinical practice, and is the evidence definitive enough to justify that change."** A well-conducted but narrow study is desk-rejected. Run this before investing in prose. ## When to trigger - Before drafting, to decide if NEJM is even the right venue. - When a co-author says "this is an NEJM paper" and you need a sober second opinion. - When choosing between NEJM, Lancet, JAMA, a specialty journal (e.g., Circulation, Blood, JCO), and NEJM Evidence. ## The three gates (all must hold) NEJM weighs three things together. A paper passes only if it clears all three: 1. **Clinical importance** — does it address a question clinicians and patients actually face, with an outcome that matters (mortality, major morbidity, function, quality of life — not just a surrogate)? 2. **Methodological rigor** — is the design strong enough that the result is believable and not likely to be overturned (adequately powered RCT, rigorous observational design with confounding addressed)? 3. **G
- Why this is skill #1
- When to trigger
- The three gates (all must hold)
- Significance ladder (weak → strong)
- Fatal desk-reject triggers
- Venue routing
- Output format
- Anti-patterns
What does the nejm-fit skill do?
Use this first, before any writing, to stress-test whether a clinical study clears NEJM's bar — practice-changing clinical impact, methodological rigor, and generalizability. Decides NEJM vs Lancet/JAMA vs a specialty journal.
How do I install it?
Run `npx skills add brycewang-stanford/Awesome-Journal-Skills --skill nejm-fit --agent claude-code` — it drops the skill into your project so the agent can pick it up. Swap the --agent value for codex, cursor or copilot if you use one of those.
Where does this skill come from?
From brycewang-stanford/Awesome-Journal-Skills, a repository with 909 stars. We read it straight from the repository tree rather than a submitted listing, so what you see here is what is actually published.
Is a popular skill a good skill?
Not necessarily. Stars measure attention, not adoption — a repository can trend for a week and be abandoned. That is why we show the weekly change from our own snapshots next to the total, instead of a single flattering number.