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/contribute

Use when sending local changes back to the project (an added journal profile, a fixed checklist item, an adapted skill) or reporting a false positive or bug. Finds what changed, scans it for patient data, shows every line and sends nothing until you confirm.

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medsci-skills
34462 skills
Install
$ npx -y skills add Aperivue/medsci-skills --skill contribute --agent claude-code

How it fires

How this skill gets triggered: by you, by Claude, or both.

  • Fires itselfAuto-invocation. Claude auto-loads it when your prompt matches the work.Auto-invocation is when the right skill fires by itself at the right moment, driven by a FLOW.md router and a hook, instead of you invoking it by name. It is the difference between a skill being installed and a skill actually getting used.Read the full definition →
  • You can call itInvoke it directly when you want it.
  • Slash command/contribute

Context preview

The summary Claude sees to decide when to auto-load this skill.

Use when sending local changes back to the project (an added journal profile, a fixed checklist item, an adapted skill) or reporting a false positive or bug. Finds what changed, scans it for patient data, shows every line and sends nothing until you confirm.

SKILL.md

contribute.SKILL.md
name: contribute
description: Use when sending local changes back to the project (an added journal profile, a fixed checklist item, an adapted skill) or reporting a false positive or bug. Finds what changed, scans it for patient data, shows every line and sends nothing until you confirm.
model: sonnet
metadata:
  triggers: "contribute, 기여, send my changes, share my edit, report a false positive, feedback, my journal is missing, open a PR, pull request, 오탐 신고, report a bug"

Contribute

The user is a **clinician** who has probably never opened a pull request. Do the git work for them: never make them type a git command, and never use the words "rebase", "upstream", or "HEAD" in anything they read. Their local edits sit next to real patients and real manuscripts, so the safety steps below, not the git mechanics, are why this is a skill.

The one rule that cannot bend

**Nothing leaves the machine until the author has seen every line that would leave it and said yes.** Until something has been sent, say explicitly, every time, that nothing has been sent.

The safety scan is an aid, not a certificate: no pattern list recognises every patient name or every hospital. Say so out loud, because a user who believes the scanner is complete stops reading the diff, and that is exactly when the leak happens.

If the scan reports a **blocker** (patient-level data, a credential), do not offer a workaround. The line gets deleted. A contribution never needs patient data to make its point.

Phase 0: What did they change?

python3 "${CLAUDE_SKILL_DIR}/scripts/find_local_changes.py" --target claude --json \
  --out qc/local_changes.json

This compares the installed skills against the hashes of what was shipped. It reads only.

  • **Nothing changed** → say so plainly and stop; that is normal, not a failure. Offer the

feedback path (Phase 4) instead.

  • **Something changed** → show it, grouped by skill:
  • **A new file** (a journal profile, a citation style, a reporting exemplar) — usually the most

valuable kind of contribution, because it is domain knowledge nobody in the project has. Say that.

  • **An edited file** — ask what was wrong for their specialty; the answer is the pull-request

description. Never guess at the reason for an edit.

  • **A deleted file** — usually not a contribution. Ask before including it.

A change that only makes sense in one hospital (internal rules, a template with the department's letterhead) is a local adaptation, not a contribution: say so, leave it out, and tell them keeping it is fine.

Phase 1: The safety scan (blocking)

python3 "${CLAUDE_SKILL_DIR}/scripts/check_contribution_safety.py" \
  --changes qc/local_changes.json --out qc/safety.json

This gate **fails closed**: finding anything at all is a non-zero exit, unlike every other detector in the repository — deliberately, because a tool that returns success while printing a hospital name will eventually be trusted to have said nothing.

Verdicts: `PHI_SUSPECTED`, `SECRET` (**blockers — the line is deleted, not argued with**), `IDENTITY`, `INSTITUTION`, `APPROVAL_ID`, `MANUSCRIPT_ID`, `LOCAL_PATH`. Fix each finding *with* them, following the `do` line the scan prints for it (a name → a role, a hospital → a generic descriptor, an IRB or manuscript ID → removed, a home path → `~`). A manuscript ID matters because a paper under review is confidential and its ID identifies it.

A file that is not UTF-8 text (an image, a binary) cannot be scanned or read, so it is listed as `NOT SCANNED` and the scan fails until it is taken out of the contribution. `qc/safety.json` records the sha256 of every file it scanned; the submit step refuses unless the files it is about to send are exactly those, unchanged. **After any edit, re-run the scan** — an older report, or one made with `--text` on a different file, clears nothing.

Then **print the full text of every file that would be sent** and ask them to read it. Not a summary — the text. This is the step that actually protects them.

Phase 2: Does it meet the project's own bar?

Run the repository's validator against the change if the repo is available locally; otherwise check by eye:

  • A journal profile cites the journal's **public author guidelines**: word limits, abstract

structure and AI policy are quoted from them or left out. No impact factors or numbers from memory.

  • A citation style is the **official** CSL from the Zotero repository.
  • A skill edit still says what it does, and the change is general — it would help someone at

another hospital. If not, it is a local adaptation; keep it local.

If it does not pass, say what to change, in their words. Do not send a contribution that will be rejected — that is a worse experience than not contributing at all.

Phase 3: Send it

python3 "${CLAUDE_SKILL_DIR}/scripts/submit_contribution.py" \
  --changes qc/local_changes.json --safety qc/safety.json \
  --title "Add a journal profile for <journal>" --dry-run

**Always `--dry-run` first**, and show them the plan. Then, on their explicit yes, run it again without `--dry-run`. The script takes the highest rung available:

1. **GitHub tool installed and signed in** → it forks, copies the files, and opens the pull request. They type nothing. 2. **Installed but not signed in** → it prints the single command (`gh auth login`) and stops. Walk them through it: GitHub.com → HTTPS → log in through the browser. 3. **Not installed** → it writes the change to a file and opens a pre-filled issue in their browser. Do not make installing a developer tool a condition of helping.

Tell them what happens next: a maintainer reads it, and if something needs changing they can reply **in plain language on that page**. They will not be asked to do any git work.

Phase 4: Feedback that is not a code change

A false positive or a failed step is often the most useful thing a clinician has: it is the only evidence of how a detect

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Ships withmedsci-skills

Created & maintained by Yoojin Nam, MD Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea MedSci Skills is a set of Agent Skills for clinical research: literature

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