临床诊断思维 (临床诊断思维 / 临床推理 (Clinical Diagnostic Reasoning) — 医生『怎么想病』的元学科:从症状/体征/检查到诊断结论的认知操作系统,从业者(临床医生/住院医/规培生,尤其全科/急诊/大内科等以未分化主诉为生的科室)、医学生与医学教育者、诊断安全与质量改进研究者、以及做医疗 AI 辅助诊断产品的人的视角。覆盖: (a) 第一性张力 — **直觉模式识别 (System 1: illness scripts 疾病脚本 / pattern recognition / gestalt, 『资深人一眼认出 aunt Minnie』) ⇄ 分析性推理 (System 2: hypothetico-deductive 假设演绎 / Bayesian 概率更新)** 的 dual-process 双过程理论 (Kahneman→Croskerry/Norman 谱系), 资深≠更会分析而是『脚本库更大+校准更好』; 更深层论战 — **『认知去偏可教 (Croskerry: bias awareness / cognitive forcing strategies / diagnostic timeout) ⇄ 偏倚标签是马后炮、知识结构才是主因 (Norman/Sherbino/Monteiro: debiasing 干预 transfer 证据弱, bias 是 hindsight 标签)』** — 本行最核心学术对垒; 『概率思维 (验前概率 × 似然比 → 验后概率, Pauker-Kassirer test/treatment threshold 阈值模型) ⇄ 穷尽式排查 (rule-out everything / 防御性医疗 / VOMIT)』; 『临床 gestalt ⇄ 结构化临床决策规则 (Wells/PERC/HEART)』; 『诊断简约 Occam's razor ⇄ Hickam's dictum (病人可以同时得 N 个病)』; 『床旁体格检查复兴 (Verghese Stanford 25 / McGee 循证体检) ⇄ 影像检验替代床旁』; (b) 方法论正典 — illness script theory (Schmidt/Boshuizen: enabling conditions/fault/consequences 三段结构), problem representation + semantic qualifiers 问题表征与语义限定词 (Bowen NEJM 2006, 把病人翻成 one-liner), hypothetico-deductive model (Elstein 1978《Medical Problem Solving》: 早期假设生成+定向检验), Bayesian 工具箱 (sensitivity/specificity/LR/Fagan nomogram/SnNout-SpPin), threshold model (Pauker-Kassirer NEJM 1975/1980), 认知偏倚分类学 (anchoring/premature closure/availability/confirmation/base-rate neglect/search satisficing/diagnostic momentum — Croskerry 偏倚清单), 去偏与元认知策略 (diagnostic timeout/cognitive forcing/Ely checklist/calibration), schema-based reasoning (Clinical Problem Solvers schemas: 按 pivot 症状走分支), reflective practice 结构化反思 (Mamede/Schmidt), 诊断错误科学 (NAM 2015 报告定义 / Newman-Toker Big Three / Hardeep Singh e-triggers / SAFER Dx 框架); (c) 行业结构与角色 — 医学生→实习/住院医 (晨会 morning report/查房被 pimping/汇报训练)→主治 attending→master clinician (NEJM CPC discussant/晨会大师如 Dhaliwal); 配套生态: 医学教育者 (clinical reasoning curriculum + 评估: script concordance test/key features exam/OSCE), 诊断安全研究者 (SIDM/AHRQ), 诊断辅助与 CDS 工具开发者 (DDx generator/AI); (d) 核心工作流 — 数据采集 (病史为王 + 循证体检 + 针对性检验影像) → 问题表征 (one-liner + semantic qualifiers) → 鉴别诊断生成 (schema / 解剖定位法 / VINDICATE-M 病因筛, 按『常见可能 × 致命不能漏 can't-miss』双轴排序) → 假设定向检验 (按 LR 选检查 / 阈值决策) → working diagnosis + 安全网 (red flags 交代 / test of time / test of treatment) → 反馈校准 (follow-up / M&M / diagnostic timeout); 教学工作流: 晨会渐进披露汇报 / CPC / SNAPPS / one-minute preceptor / virtual morning report; AI 增强工作流 (2023-2026: LLM 鉴别诊断头脑风暴 / OpenEvidence 检索 / ambient scribe 释放认知带宽 + 自动化偏倚 guardrails); (e) 产出物 — one-liner, problem list, prioritized DDx, assessment & plan (按问题分层), 晨会/CPC 汇报, M&M 复盘, 诊断不确定性沟通 (『最可能是 X, 但出现 Y 红旗立刻回来』); (f) 教育与评估 — script concordance test / key feature exam / EPA / 里程碑; 中国语境: 人卫《诊断学》教材 / 执业医师考试 / 规培结业临床思维考核; (g) 争议/批判 — debiasing 之争 (Croskerry vs Norman-Sherbino『knowledge is the cure』, 去偏 RCT 效果弱 / bias 标签不可证伪), 诊断错误率数字之争 (『10-15%』经典估计 / Newman-Toker 79.5 万美国年严重伤害外推方法被质疑 / 尸检符合率), dual-process 二分被批过度简化 (连续谱 / 难以实证分离), 决策规则 vs gestalt (资深 gestalt 常不输 Wells 类规则 / 算法厌恶), vignette 研究外推性 + context/case specificity (推理高度内容绑定不可通用迁移 [Norman/Eva] — 对『教推理通用课』产业的根本批判), AI 辅助诊断 2023-2026 (GPT-4 在 NEJM CPC/vignette 追平或超医生 [Kanjee 2023 JAMA / Goh 2024 JAMA Netw Open『AI alone > physician+AI』悖论] / Google AMIE / OpenEvidence 爆发 vs 自动化偏倚 / 去技能化 / 真实环境验证缺失), 防御性医疗与过度检查 (incidentaloma 瀑布 / VOMIT), 体检衰亡之争, pimping 教学法争议; (h) 流派/思想谱系 — 决策科学/Bayesian 派 (Ledley-Lusted 1959 → Elstein/Kassirer/Sox/Pauker/Eddy → Brush) vs 认知心理/双过程派 (Kahneman-Tversky → Croskerry/Graber) vs 教育认知派 (Schmidt/Boshuizen illness scripts → Norman/Eva/Mamede/Durning 情境认知) vs 诊断安全/系统派 (NAM 2015 / Newman-Toker / Hardeep Singh / Graber-SIDM: 错误=系统×认知共因) vs 床旁临床派 (Osler 传统 → Tierney aphorisms / Verghese / McGee / Dhaliwal / Saint: 病史体检为王 + 刻意练习) vs AI/计算派 (INTERNIST-1/DXplain 专家系统 → Isabel → LLM 世代 Rodman/Topol)。不含: 具体专科治疗方案与手术决策深度 (足踝外科/种植牙等另有 skill), 中医辨证 (另有 skill), EBM 文献批判性评价方法学 (相关但本 skill 聚焦诊断推理本身), 护理诊断体系 (NANDA), 影像/病理知觉型读片训练 (相邻但独立), 精神科 DSM 结构化访谈细节, 医患沟通技巧全集 (只覆盖诊断不确定性沟通), 患者自查/自我诊断指
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swaylq/master-skill☆ 1622026년 9월 6일 업데이트
Transforms Claude into a CFA-level financial analyst for specialty finance, regulatory compliance, and industry-specific analysis. Use when performing private credit pricing, insurance reserving, FP&A variance analysis, wealth planning, restructuring recovery analysis, real estate valuation, venture capital analysis, ESG assessment, regulatory capital analysis (Basel III), compliance reporting (MiFID II, GIPS), credit derivatives (CDS, CVA), convertible bond analysis, lease accounting (ASC 842/IFRS 16), pension funding/LDI, sovereign risk assessment, real option valuation, equity research (SOTP, target price), commodity spread trading, treasury operations, PPP infrastructure modelling, onshore fund structuring, offshore fund structuring, transfer pricing analysis (BEPS, Pillar Two), tax treaty optimisation, FATCA/CRS compliance, economic substance analysis, regulatory reporting (AIFMD, Form PF), AML/KYC compliance, crypto/DeFi analysis, municipal bond analysis, structured products, trade finance, fund of funds (J-curve, commitment pacing, manager selection, secondaries), bank analytics (NIM, CAMELS, CECL, deposit beta, loan book), carbon markets (credit pricing, ETS, CBAM, offsets, shadow carbon price), or private wealth (concentrated stock, philanthropic vehicles, wealth transfer, direct indexing, family governance) analysis is required. Pairs with corp-finance-mcp tools for computation.
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FDU-INS/Insurance-Skills☆ 772026년 7월 12일 업데이트
Use the corp-finance-mcp server tools for specialty finance, regulatory, and compliance calculations. Invoke when performing private credit (unitranche, direct lending, syndication), insurance (loss reserving, premium pricing, Solvency II SCR), FP&A (variance analysis, break-even, working capital, rolling forecast), wealth management (retirement planning, tax-loss harvesting, estate planning), restructuring (recovery analysis, distressed debt), real assets (property valuation, project finance), venture capital (dilution, convertible instruments, fund returns), ESG (scoring, climate/carbon, green bonds, SLL), regulatory capital (Basel III, LCR/NSFR, ALM), compliance (MiFID II best execution, GIPS reporting), credit derivatives (CDS pricing, CVA/DVA), convertible bonds (binomial tree pricing, scenario analysis), lease accounting (ASC 842/IFRS 16, sale-leaseback), pension & LDI (funding analysis, liability-driven investing), sovereign risk (bond analysis, country risk), real options (binomial valuation, decision trees), equity research (SOTP, target price), commodity trading (spread analysis, storage economics), treasury management (cash management, hedge effectiveness), infrastructure finance (PPP models, concession valuation), crypto (token valuation, DeFi analysis), municipal bonds (pricing, credit analysis), structured products (notes, exotic), trade finance (LC, supply chain), fund structuring (US onshore, UK/EU, Cayman/BVI offshore, Luxembourg/Ireland), transfer pricing (BEPS/Pillar Two, intercompany pricing), tax treaty (treaty network optimization, holding structures), FATCA/CRS (reporting, entity classification), economic substance (multi-jurisdiction testing), regulatory reporting (AIFMD Annex IV, SEC Form PF, CFTC CPO-PQR), AML compliance (KYC risk scoring, sanctions screening), fund of funds (J-curve, commitment pacing, manager selection, secondaries pricing), bank analytics (NIM analysis, CAMELS rating, CECL provisioning, deposit beta, loan book), carbon markets (credit pricing, ETS compliance, CBAM, offset valuation, shadow carbon price), private wealth (concentrated stock, philanthropic vehicles, wealth transfer, direct indexing, family governance). All computation uses 128-bit decimal precision.
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FDU-INS/Insurance-Skills☆ 772026년 7월 12일 업데이트
"Apply the Knowledge-Based View (Grant, 1996) and Nonaka and Takeuchi's SECI model to analyze how organizations create, transfer, and integrate knowledge for competitive advantage. Use this skill when the user needs to design knowledge management systems, understand why knowledge transfer fails across teams, evaluate knowledge creation processes, or when they ask 'how do we capture tacit knowledge', 'why does knowledge stay siloed', or 'how can we turn individual expertise into organizational capability'.".
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charlieviettq/awesome-agent-skill☆ 262026년 7월 20일 업데이트
Use when admins are governing the Chatter group lifecycle — creation policy, public/private/unlisted visibility decisions, group ownership transfer when owners leave, archived vs inactive vs deleted state changes, auto-archive behavior, naming conventions, group templates (Information Templates), and orphan-group cleanup after user terminations. Triggers: 'we have 800 dead chatter groups', 'group owner left the company who owns it now', 'should this group be public private or unlisted', 'when does a chatter group auto-archive', 'how do I delete vs archive a chatter group', 'we need a chatter group naming convention'. NOT for Chatter notification / digest / feed-noise tuning (use admin/chatter-notification-tuning), NOT for Chatter REST API integration patterns (use apex/apex-connect-api-chatter), NOT for Custom Notifications API (use apex/apex-custom-notifications-from-apex), NOT for Experience Cloud / Customer Community group access (different sharing model).
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PranavNagrecha/AwesomeSalesforceSkills☆ 192026년 10월 4일 업데이트
Deep analysis of knowledge distillation techniques for compressing large models into smaller efficient ones
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curiositech/windags-skills☆ 162026년 10월 14일 업데이트
Modelo de fundação para segmentação de imagens com transferência zero-shot. Use quando precisar segmentar qualquer objeto em imagens usando pontos, caixas ou máscaras como prompts, ou gerar automaticamente todas as máscaras de objetos em uma imagem.
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artubss/SKILLS-CLAUDE-CODE☆ 112026년 5월 17일 업데이트
Foundation model for image segmentation with zero-shot transfer. Use when you need to segment any object in images using points, boxes, or masks as prompts, or automatically generate all object masks in an image.
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ibragimov-oasis/vibe-coder☆ 32026년 6월 24일 업데이트
Design and build an OpenMAIC lesson series using a spiral curriculum: core ideas return with deeper explanations, new representations, and unfamiliar applications. It maps conceptual growth across lessons and checks that revisits add understanding.
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- Designing a Bruner-style spiral curriculum
- Moving from concrete examples to general models across lessons
- Revisiting concepts through unfamiliar applications and counterexamples
THU-MAIC/OpenMAIC☆ 4.1만2026년 10월 19일 업데이트
Review an AI tool deployment with six checks covering prompt protection, dangerous commands, malicious inputs, sensitive data transfers, Chinese compliance requirements, and audit records. The result summarizes protection status, risks, and proposed hardening actions.
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- Check whether system prompts can leak through logs or outputs
- Review blocking rules for dangerous commands and malicious inputs
- Identify sensitive data sent to overseas model endpoints
TencentCloud/Octop☆ 1만2026년 10월 19일 업데이트
Compare running models or tasks on a device, nearby edge infrastructure, or in the cloud. Break down interaction delays, data transfers, energy use, costs, and failure recovery to assess deployment choices for multimodal and real-time agents.
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- Comparing device, edge, and cloud execution
- Estimating interaction delays on unstable networks
- Assessing battery use and sustainable processing speed
bojieli/ai-infra-book☆ 6.7천2026년 10월 1일 업데이트
Seedance 2.0 video & image generation via LibTV Gateway - AI text-to-video, image-to-video, video continuation, style transfer, and text-to-image using Seedance 2.0 model. Also supports Kling 3.0, Wan 2.6, Midjourney, Seedream 5.0. Trigger phrases: seedance, generate video, make a video, generate image, make an image, draw, libtv, liblib.
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nexu-io/nexu☆ 3.3천2026년 4월 26일 업데이트
Worked qupai-system (曲牌体) opera scripts, act by act. Guan Hanqing's three surviving zaju (窦娥冤/救风尘/金线池 — twelve acts, 126 tunes, one mode and one rhyme per act, sung/spoken ratios); Tang Xianzu's 牡丹亭 (55 scenes, ~420 tunes, 集唐 closing quatrains, the 圆驾 south-north composite suite); Kong Shangren's 桃花扇 (44 scenes plus four unnumbered, the 副末 frame line, upper/lower halves, a fan's seven transformations, his sixteen 凡例); 长生殿 (Wang Jilie's fifty-scene staging table); Wei Minglun's 巴山秀才 (1983 Sichuan 高腔, 43 tunes, nine 帮腔 passages). Every case states its edition and collation status, then structure, tunes, stage conventions and transferable devices. Method is in sw-chinese-opera-qupai; this skill holds the worked scripts. Use when you want a real example of how a 传奇 or 杂剧 is assembled, need actual scene counts and tune counts to imitate, are judging where a famous script breaks prosody, or need models for 副末开场, 集唐下场诗, 南北合套 or 帮腔 (曲牌体全本/牡丹亭/桃花扇/窦娥冤/救风尘/长生殿/巴山秀才/唱段表/结构表).
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jtydhr88/screenwriting-skills☆ 1.7천2026년 10월 3일 업데이트
Runs JACKS (Joint Analysis of CRISPR/Cas9 Knockout Screens; Allen et al 2019 Genome Research) which models per-sgRNA log-fold-change as the product of a treatment-dependent gene-essentiality term and a treatment-independent guide-efficacy term. Covers the Bayesian decomposition math, the hierarchical efficacy prior shared across screens performed with the same library, when JACKS outperforms MAGeCK (multi-screen joint analysis, libraries with broad efficacy variance) and when it does not (single screen, novel libraries with no prior efficacy), library-reuse efficacy transfer, downstream essentiality interpretation, and the 2.5x sample-size reduction enabled by efficacy-aware testing. Use when running multiple screens with the same library, when guide-level noise is suspected to dominate per-gene signal, when reusing published essentiality reference screens for efficacy priors, or when comparing screens performed across cell lines that share library but differ biologically.
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GPTomics/bioSkills☆ 1.2천2026년 8월 15일 업데이트
Use when generating or editing video with Wan models on Scenario via MCP: text-to-video, image-to-video from a still, first and last frame brackets, extending a clip, instruction-based video editing, character motion transfer or person replacement (Animate), aspect ratio reframing, video outpainting, uploaded-audio sync or auto-generated audio, or multi-shot prompts with timing brackets. Keywords: Wan 2.7, 2.6, 2.5, 2.2, Alibaba, VACE, T2V, I2V, V2V, lip-sync, multiShots.
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scenario-labs/skills☆ 1.1천2026년 10월 19일 업데이트
Use when generating or editing images with Google's Gemini image models (Nano Banana) on Scenario via MCP: text-to-image, natural-language instruction editing, identity locking or style transfer from reference images, multi-image fusion, pulling stills from a video clip, Google Search grounding, thinking level tuning, 512 to 4K output, or choosing between Flash, Pro, and Lite. Keywords: Gemini 3.1 Flash, Gemini 3.0 Pro, Gemini 3.1 Lite, Nano Banana 2, Nano Banana Pro, txt2img, img2img.
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scenario-labs/skills☆ 1.1천2026년 10월 19일 업데이트
Use when generating or editing video with Kling models on Scenario via MCP: text-to-video, image-to-video with first and last frames, multi-shot sequences with per-shot prompts, consistent characters via elements and reference images, prompt-based video editing, motion transfer from a driving video (motion control, mocap), lipsync to audio or text, talking avatars, native audio and dialogue, or picking 720p, 1080p, or 4K tiers. Keywords: Kling V3, O1, 2.6, Omni, Kuaishou, T2V, I2V, V2V.
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scenario-labs/skills☆ 1.1천2026년 10월 19일 업데이트
Use when the user mentions Marketing Studio, DTC Ads, ad video, UGC video, the marketing_studio_video MCP model, or wants to generate one of the 9 Marketing Studio ad presets (UGC, Tutorial, Unboxing, Hyper Motion, Product Review, TV Spot, Wild Card, UGC Virtual Try On, Pro Virtual Try On). Also triggers on hook+setting picklist questions, preset-avatar / custom-avatar / text-generated-avatar handling, 4–15s ad video questions, or any reference to Higgsfield's ad-video product surface. Cross-surface workflow handoffs (GPT Image 2.0 / Soul Cinema / Nano Banana Pro / ms_image image gen → Marketing Studio video) covered in the companion cross-surface-workflow.md. Also use for Ad Multiplier (`ad_multiplier` — 'multiply my ad', many independently edited versions of one supplied 4–30s ad) and for Genjutsu one-off edits of a finished ad (swap one object / product / garment → `hf_mult_replace_object`; transfer motion → `hf_mult_motion_control`).
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OSideMedia/higgsfield-ai-prompt-skill☆ 7642026년 9월 27일 업데이트
Generate or edit images using AI models (FLUX, Gemini). Use for scientific illustrations, diagrams, schematics, infographics, concept visualizations, and artistic images. Supports image editing to modify existing images (change colors, add/remove elements, style transfer). Useful for figures, posters, and visual explanations.
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Microck/ordinary-claude-skills☆ 4062026년 9월 7일 업데이트
Deep generative models for single-cell omics: probabilistic batch correction (scVI), semi-supervised annotation (scANVI), CITE-seq RNA+protein (totalVI), transfer learning (scARCHES), and DE with uncertainty. Unified setup→train→extract API on AnnData. Use harmony-batch-correction for fast linear correction without deep learning; muon for multi-modal MuData workflows.
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jaechang-hits/SciAgent-Skills☆ 3812026년 10월 16일 업데이트
Deep learning for drug discovery. 60+ models (GCN, GAT, AttentiveFP, MPNN, ChemBERTa, GROVER), 50+ featurizers, MoleculeNet benchmarks, HPO, transfer learning. Unified load-featurize-split-train-evaluate API. For fingerprints use rdkit-cheminformatics; for featurization-only use molfeat.
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jaechang-hits/SciAgent-Skills☆ 3812026년 10월 16일 업데이트
Guides DPIA for migrating personal data to cloud infrastructure covering controller-processor analysis under Art. 28, international transfer assessment, encryption requirements, and shared responsibility model evaluation. Activate for cloud adoption, SaaS procurement, or data centre migration projects. Keywords: cloud migration, DPIA, Art. 28, processor, encryption, shared responsibility, SaaS, IaaS, PaaS.
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mukul975/Privacy-Data-Protection-Skills☆ 3132026년 3월 17일 업데이트
Use when the user wants a research-paper figure Skill Factory: build, patch, package, or use reusable specialized paper-figure-making skills from lawful literature/corpus evidence. Generated skills must use a specialized-skill-first workflow, full-feasible local PDF coverage where available, startup-plan-only first replies, target-paper candidate/final image isolation, mandatory image-embedded visual-structure explanation, mandatory non-target concept/modeling example display for abstract visual decisions, saved subtype/style illustration atlases, ChatGPT web Create image / ChatGPT Images 2.0 rendering, Codex $imagegen-first rendering, sample-image transfer rules, all-step/current-position state footers, and a mandatory first-round diverse candidate board followed by P6b/P6c paper-local best-practice optimization before final prompt construction.
한국어 요약은 준비 중입니다. 원문 설명을 표시하고 있습니다.
skillmds/skillmd☆ 2492026년 10월 14일 업데이트
Think and work like an expert Health Economist. Use when a task calls for Health Economist judgment. Reasons from QALY/ICER and NMB opportunity-cost framing, NICE reference case and WTP bands, cohort Markov/PSM models with PSA (CEAC/CEAF), ISPOR transferability and DCE conjoint checklists, CHEERS 2022 and trial-based RCT-CEA reporting.
한국어 요약은 준비 중입니다. 원문 설명을 표시하고 있습니다.
K-Dense-AI/scientific-agents☆ 2182026년 10월 3일 업데이트