Research

Initiates a 6‑month trial of DHEA replacement in women with primary adrenal insufficiency (PAI) who have persistent low libido, depressive symptoms, or low energy despite otherwise optimized glucocorticoid and mineralocorticoid therapy. If the patient does not report a sustained beneficial effect after 6 months, discontinue DHEA.

Recommends confirmatory testing with corticotropin stimulation test in patients presenting with clinical symptoms or signs suggesting PAI (e.g., fatigue, hypotension, hyponatremia, hyperpigmentation) when the patient's condition permits safe testing. Use when a clinician identifies suggestive features and circumstances allow outpatient stimulation testing without imminent need for emergency glucocorticoids.

This skill guides annual evaluation of patients with primary adrenal insufficiency (PAI) for symptoms and signs of glucocorticoid and mineralocorticoid over- or under-replacement. Use during annual follow-up when assessing for weight changes, blood pressure abnormalities, edema, or symptoms such as fatigue, insomnia, or salt craving.

This skill suggests using prednisolone as an alternative glucocorticoid when hydrocortisone is unavailable for emergency treatment of adrenal crisis. Dexamethasone is the least-preferred option and should only be administered if no other glucocorticoid is available.

Suggests adjusting glucocorticoid dose according to severity of illness or magnitude of the stressor in patients with primary adrenal insufficiency. Use when patient with PAI has intercurrent illness, fever, or stress.

The Endocrine Society guideline recommends against routine hormonal monitoring of glucocorticoid replacement in primary adrenal insufficiency and advises adjusting therapy solely based on clinical response. Use when evaluating glucocorticoid dose adequacy, such as when patients report fatigue, weight loss, hypotension, or signs of Cushingoid over-replacement.

In patients with normal preoperative adrenal function, suggests an individualized clinical approach for postoperative glucocorticoid administration until HPA axis evaluation can be performed. Triggers include managing postoperative patient with normal preoperative adrenal function needing glucocorticoid management.

Recommends against using fludrocortisone for mineralocorticoid replacement in patients with secondary adrenal insufficiency. Trigger phrases include: considering mineralocorticoid replacement for secondary adrenal insufficiency and secondary adrenal insufficiency patient needing mineralocorticoid replacement.

Applies serum cortisol cutoffs (<3 μg/dL indicates central adrenal insufficiency; >15 μg/dL likely excludes it) when evaluating morning cortisol for suspected adrenal insufficiency. Triggers include morning cortisol measurement in suspected AI and use when interpreting morning cortisol levels for adrenal insufficiency workup.

Clinicians educate adrenal insufficiency patients taking nondexamethasone glucocorticoids who initiate enzyme-inducing antiepileptic drugs about early signs of adrenal insufficiency. Trigger when an AI patient on nondexamethasone GC starts an enzyme-inducing AED such as phenytoin, carbamazepine, or oxcarbazepine.

Administers immediate parenteral injection of 50–100 mg hydrocortisone for suspected adrenal crisis secondary to adrenal insufficiency. Triggers include hypotension, hypoglycemia, or acute illness in a patient with known adrenal insufficiency.

Bedside prescribing reference for Bemdec (bempedoic acid / NEXLETOL) — indication check, dose, statin co-prescribing safety caps, monitoring plan, warnings for hyperuricemia and tendon rupture, and special population guidance. Use when a clinician asks "can I start bempedoic acid", "Bemdec indication", "is bempedoic acid safe with my statin", "patient on Nexletol has joint pain or high uric acid", "bempedoic acid in CKD or liver disease or pregnancy", or any prescribing or monitoring question...

This skill should be used when the user asks about "technical decision", "what to use", "A vs B", "comparison analysis", "library selection", "architecture decision", "which one to use", "tradeoffs", "tech selection", "implementation approach", or needs deep analysis for technical decisions. Provides systematic multi-source research and synthesized recommendations.

"/discuss", "discuss this", "think with me", "is this a good idea?", "what do you think about", "problem definition", "explore this idea", "/discuss --scored", "interview me", "clarify requirements", "요구사항 정리", "인터뷰", "딥 인터뷰", "뭘 만들어야 할지 모르겠어", Korean triggers: "같이 생각해보자", "이거 어떻게 생각해?", "문제 정의", "이게 좋은 아이디어야?", "이거 맞아?", "요구사항이 불명확", "아이디어 구체화"

Deep web research skill using parallel subagents + chromux browser-explorer + Gemini. Spawns multiple WebSearch research agents AND browser-explorer agents (via chromux for JS-heavy/dynamic sites), plus a Gemini CLI deep research source, then synthesizes everything into a cited report. Uses WebSearch, WebFetch, chromux browser-explorer, and Gemini CLI. Invoke with /deep-research <topic>.

This skill should be used when the user says "/council", "council", "deliberate", "multi-perspective decision", "트레이드오프 분석", "위원회 소집", "여러 관점으로 검토", or wants deep multi-perspective deliberation with tradeoff mapping. Combines tribunal (structured adversarial review), agent-council (external LLM opinions), dev-scan (community sentiment), and step-back (meta-level review) into a unified decision-making committee. Uses Agent Teams for real peer-to-peer debate with iterative step-back moderation ...

On explicit /homework invocation, analyze the current and linked previous sessions, extract mistakes (찐빠), and report them via omcustom-feedback with a confirmation gate. Auto-activation on session cleanup/session-end signals is OPT-IN (default OFF) — requires an explicit project/user directive. Use when explicitly auditing recent work for harness gaps.

Research-validated planning — research → plan → verify cycle for high-confidence implementation plans

Use when encountering any bug, test failure, or unexpected behavior. Enforces a strict reproduce-first, root-cause-first, failing-test-first debugging workflow before fixing.

On explicit /homework invocation, analyze the current and linked previous sessions, extract mistakes (찐빠), and report them via omcustom-feedback with a confirmation gate. Auto-activation on session cleanup/session-end signals is OPT-IN (default OFF) — requires an explicit project/user directive. Use when explicitly auditing recent work for harness gaps.

Research-validated planning — research → plan → verify cycle for high-confidence implementation plans

Review an existing HLD against NFR reference and generate gap report

应用描述性统计、趋势分析、异常值检测和假设检验等统计方法。适用于分析分布、显著性检验、异常检测、相关性计算或统计结果解读。

Help hiring managers and interviewers create structured interview plans with competency-based questions and scorecards for evaluating candidates. Use when the user is an employer/recruiter preparing to interview job candidates, not for job seekers preparing for their own interviews. Trigger phrases include "interview plan for [role]", "interview questions for [role]", "how should we interview [role]", "scorecard for [role]", or when discussing structured hiring processes.