zhang-jianzhong-tongren-perspective SKILL.md skillA

zhang-jianzhong-tongren-perspective from swaylq/master-skill is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.

Install it, pinned
mdr add swaylq/master-skill/zhang-jianzhong-tongren-perspective@git:20260503.4c886e1

Pins git:20260503.4c886e1 in mdr.lock. Pin the fingerprint instead.

Audit grade
A, 17 of 17 checks passed
Kind
SKILL.md skill
Repository
swaylq/master-skill
Path
prototypes/foot-ankle-surgery-master/sub-skills/zhang-jianzhong-tongren/SKILL.md
Versions recorded
1
Latest version
git:20260503.4c886e1, committed May 3, 2026
Size
11,819 bytes
Repository stars
178
License
MIT

张建中 (首都医科大学附属北京同仁医院足踝外科矫形中心) 视角. 国内足踝外科教父级代表. 拇外翻 + 平足 + 踝关节置换 + 中文圈本土化派. 调用此 skill 时, 用张建中框架做拇外翻 / 国内患者 / 中文圈实操决策.

Collected from public GitHub. Every version is saved exactly as it was and never changes. Install it at an exact version with the mdr tool, and every file is checked before it reaches your agent. The main file is checked against the SHA-256 fingerprint recorded here, and the others against the fingerprints GitHub keeps for its source commit. The automatic checks below grade the latest version, and the same checks always give the same file the same grade.

What the file says

# 张建中 视角 · Sub-skill (足踝外科 — 国内代表)

> **来源声明**: 本 skill 基于张建中 (北京同仁医院) 在公开学术活动 / 学会指南 / 媒体专访 / 培训课程的发声蒸馏. 不编造他没说过的话.

## 角色背景

- **职位**: 主任医师 / 教授, 首都医科大学附属北京同仁医院足踝外科矫形中心主任
- **核心事件**:
  - 1999 年从美国 Baltimore Union Memorial Hospital 进修归国, 在北京同仁医院骨科建立国内首家足踝外科专科门诊
  - 2026 年累计治疗 4 万+ 足踝疾病患者
  - 全国性足踝外科 / 骨科学习班授课 200+ 次
  - 培养 400+ 名足踝外科 / 骨科医生 (国内主要力量)
  - 自主开发 + 引进 50+ 项新诊断 / 治疗技术
  - 中华医学会骨科分会足踝外科学组组长 (历史)
- **研究领域**: 拇外翻 / 足趾畸形 / 创伤后遗症 / 神经肌肉性畸形 / 复杂运动损伤 / 踝关节置换
- **特色**: 中文圈本土化 + 学科建设 + 培养梯队 + 临床家底厚

---

## 心智模型 (4 个 PASS)

### 1. 拇外翻治疗目的是疼痛 + 功能, 美观是副产品

**一句话**: 拇外翻治疗目的是解除疼痛 + 改善功能 — 不是为了好看. 美观是副产品, 不是适应症.

**它说的是**: 国内拇外翻患者很大比例期望「漂亮的脚」, 但单纯美观不是手术适应症. 张建中一贯强调: 没有疼痛 / 没有功能影响的拇外翻不需要手术. 手术的目标是 — 减痛 + 改善穿鞋 + 改善行走 + 防止进展. 美观是这些目标达成后的副产品, 不能保证「跟正常脚一样」, 更不能保证「能穿原来高跟鞋」.

**应用方式**:
- 术前花时间跟患者讲清: 「目的是减痛 + 功能, 不保证美观, 不保证回到原来鞋」
- 知情同意书写明 — 美观不是主要目标
- 患者执着「漂亮的脚」时, 慎重 — 期望管理失败 → 投诉 + 满意度低
- 推送中文资料 / 视频给患者看, 提前管理期望

**局限**:
- 部分患者文化背景 + 教育水平差异大, 期望管理难度高
- 国内门诊时间紧, 期望管理时间不够
- 部分患者执着, 期望管理不动 — 不接受手术或选择更激进医生

**证据来源**:
- [Primary] 张建中 多次学术 keynote + 媒体专访 + 中华足踝学组指南
- [Primary] 北京同仁医院足踝中心患教资料

---

### 2. 中国患者足型 / 患者人群 跟欧美差异 — 不能完全照搬国际指南

**一句话**: 中国人足型 / 鞋具 / 文化 / 患者期望跟欧美不同, 国际指南需要本土化, 不是照搬.
…

Read the whole file at its exact version.

How to install

The exact contents, by fingerprint
mdr add swaylq/master-skill/zhang-jianzhong-tongren-perspective@sha256:62cc48c362aa157d

The line at the top of this page pins the label git:20260503.4c886e1, which is what most people want. This one pins the sha256 fingerprint of the contents instead, so it survives a label being moved. Either way the exact version is written to mdr.lock, and mdr install downloads and checks those contents again, so it installs them exactly or stops with an error.

Badge

mdr badge

[![mdr](https://markdownregistry.com/badge/art_3eksjcgjik7f4jme.svg)](https://markdownregistry.com/a/art_3eksjcgjik7f4jme)

2 badge image fetches in 30 days. What the badge shows.

Versions

The registry has recorded 1 version of this file, committed on May 3, 2026.

versioncommittedcommitsizeaudit
git:20260503.4c886e1 latest2026-05-03 4c886e1 11,819 BA view

Audit of the latest version

A  17 of 17 checks passed. Fixed automatic checks with no AI involved, so the same checks give the same answer every run.
  • pass: Frontmatter block present
  • pass: Frontmatter declares a name
  • pass: Frontmatter declares a description
  • pass: Size between 200 bytes and 200 KB (11819 bytes)
  • pass: No zero-width or bidi control characters
  • pass: No instruction hidden inside an HTML comment
  • pass: No link to an exfiltration or paste host
  • pass: No credential-shaped string
  • pass: No instruction to send local credentials anywhere
  • pass: No text hidden with inline styles
  • pass: No prompt-injection phrasing
  • pass: No curl or wget piped into a shell
  • pass: No recursive delete of root, home or parent
  • pass: No instruction to read or print local credentials
  • pass: No base64 blob over 200 characters
  • pass: No link to a raw IP address
  • pass: No script tag

Source

GitHub

swaylq/master-skill · 178 stars · license MIT · pushed 2026-09-06 · branch main

API

GET https://markdownregistry.com/api/v1/artifacts/art_3eksjcgjik7f4jme
GET https://markdownregistry.com/api/v1/resolve?ref=swaylq/master-skill/zhang-jianzhong-tongren-perspective
GET https://markdownregistry.com/api/v1/blob/62cc48c362aa157db79513350fc84f3186a5917e5b384f02d1ddfbd52b08b917

Your AI assistant does the legwork. You hear about the deals worth your word. Hand yours the standing instructions at modelranch.com and it joins the network that reads files like this one.

Guides: the SKILL.md format and its required fields · what to check before you install a skill · how to pin a skill to an exact version · where to find agent skills · keeping a team on the same skills · which agent file does what.

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swaylq/master-skill · prototypes/foot-ankle-surgery-master/output/sub-skills/zhang-jianzhong-tongren/SKILL.md · 张建中 (首都医科大学附属北京同仁医院足踝外科矫形中心) 视角. 国内足踝外科教父级代表. 拇外翻 + 平足 + 踝关节置换 + 中文圈本土化派. 调用此 skill 时, 用张建中框架做拇外翻 / 国内患者 / 中文圈实操决策.
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