mllm-eval SKILL.md skillA

mllm-eval from aperivue/medsci-skills is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.

Install it, pinned
mdr add aperivue/medsci-skills/mllm-eval@git:20261004.2b37f5b

Pins git:20261004.2b37f5b in mdr.lock. Pin the fingerprint instead.

Audit grade
A, 17 of 17 checks passed
Kind
SKILL.md skill
Repository
aperivue/medsci-skills
Path
skills/mllm-eval/SKILL.md
Versions recorded
7
Latest version
git:20261004.2b37f5b, committed Oct 4, 2026
First version recorded
Jun 28, 2026
Size
7,865 bytes
Repository stars
366
License
MIT

Use when designing or auditing how an LLM or multimodal LLM is evaluated on a clinical task (report generation, VQA, text extraction). Covers reference standard, clinical-efficacy metrics beyond BLEU/ROUGE, hallucination, contamination and prompt sensitivity. Imaging models are /model-assessment.

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

# MLLM-Eval Skill

## Purpose

This skill makes an **LLM / MLLM clinical evaluation defensible**: a real adjudicated reference standard,
faithfulness measured not assumed, clinical-efficacy metrics beyond n-gram overlap, a pretraining-
contamination check, prompt-sensitivity disclosed, and a reader study where text is generated. It is
**model-agnostic** — every check applies to a closed API and to open weights — and **read-only** (an
advisory design/audit skill): it audits the evaluation design and **specifies and routes** the
clinical-efficacy metrics (RadGraph-F1 / CheXbert-F1 via their published extractors) rather than running
the model or computing the metrics itself.

It is the LLM/MLLM **evaluation-design counterpart** in the lane — an auditor that hands the specified
metrics to their extractors and `/analyze-stats`, parallel to how `/model-assessment` audits an imaging
model's design and computes its metrics. The reviewer-side
audit of a finished manuscript uses the `mllm_evaluation.md` (ME0–ME8) probe via `/self-review` and
`/peer-review`; this skill is the author-side harness design. It routes the reader study to
…

Read the whole file at its exact version.

How to install

The exact contents, by fingerprint
mdr add aperivue/medsci-skills/mllm-eval@sha256:148f033be25b3d68

The line at the top of this page pins the label git:20261004.2b37f5b, 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_wstovtcieg3rpkzu.svg)](https://markdownregistry.com/a/art_wstovtcieg3rpkzu)

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

Versions

The registry has recorded 7 versions of this file, between Jun 28, 2026 and Oct 4, 2026, about one every 16 days.

versioncommittedcommitsizeaudit
git:20261004.2b37f5b latest2026-10-04 2b37f5b 7,865 BA view · diff
git:20261003.5e119f62026-10-03 5e119f6 7,703 BA view · diff
git:20261003.e4248192026-10-03 e424819 7,492 BA view · diff
git:20261003.a4b19a82026-10-03 a4b19a8 6,987 BA view · diff
git:20260930.c8ed96c2026-09-30 c8ed96c 6,438 BA view · diff
git:20260629.657d6152026-06-29 657d615 6,720 BA view · diff
git:20260628.530cf752026-06-28 530cf75 6,288 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 (7865 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

aperivue/medsci-skills · 366 stars · license MIT · pushed 2026-11-02 · branch main

API

GET https://markdownregistry.com/api/v1/artifacts/art_wstovtcieg3rpkzu
GET https://markdownregistry.com/api/v1/resolve?ref=aperivue/medsci-skills/mllm-eval
GET https://markdownregistry.com/api/v1/blob/148f033be25b3d68a8936f9c485e07d522ed1499ee65a5d7d66709e96dd4172d

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.

More from aperivue/medsci-skills

AGENTS.md AGENTS.md file
aperivue/medsci-skills · AGENTS.md
git:20260930.fd8f1e2 · audit A · 366 stars
CLAUDE.md CLAUDE.md file
aperivue/medsci-skills · CLAUDE.md
git:20261016.e6f0589 · audit A · 366 stars
academic-aio SKILL.md skill
aperivue/medsci-skills · skills/academic-aio/SKILL.md · Use when a medical AI paper should be found and cited by AI search engines and RAG tools. Optimizes the title…
git:20261003.182e0ff · audit A · 366 stars
add-journal SKILL.md skill
aperivue/medsci-skills · skills/add-journal/SKILL.md · Use when a target journal has no profile yet. Reads the journal's author guidelines and writes a detailed /write-paper…
git:20260930.c8ed96c · audit A · 366 stars
analyze-stats SKILL.md skill
aperivue/medsci-skills · skills/analyze-stats/SKILL.md · Use when data needs statistical analysis. Runs reproducible Python/R code for Table 1, diagnostic accuracy, agreement…
git:20261004.a78d7a4 · audit A · 366 stars
architecture-zoo SKILL.md skill
aperivue/medsci-skills · skills/architecture-zoo/SKILL.md · Renamed to /model-selection in v6 (removed in v7).
git:20260930.e4f475f · audit A · 366 stars
author-strategy SKILL.md skill
aperivue/medsci-skills · skills/author-strategy/SKILL.md · Use when analyzing a researcher's publication record from PubMed. Fetches an author's papers, classifies study types…
git:20261002.a99bcb0 · audit A · 366 stars
batch-cohort SKILL.md skill
aperivue/medsci-skills · skills/batch-cohort/SKILL.md · Use when one validated cohort analysis must be repeated across many exposure/outcome pairs. Generates one R/Python…
git:20261004.5b44a65 · audit A · 366 stars
calc-sample-size SKILL.md skill
aperivue/medsci-skills · skills/calc-sample-size/SKILL.md · Use when planning how many patients or cases a study needs before data collection (power analysis, IRB justification)…
git:20260930.c8ed96c · audit A · 366 stars
check-reporting SKILL.md skill
aperivue/medsci-skills · skills/check-reporting/SKILL.md · Use when auditing a manuscript item by item against a reporting guideline or risk-of-bias tool. Covers 49 reporting…
git:20261004.5cd6db2 · audit A · 366 stars
clean-data SKILL.md skill
aperivue/medsci-skills · skills/clean-data/SKILL.md · Use when a clinical CSV/Excel dataset needs profiling and cleaning before analysis (missing values, outliers…
git:20260930.c8ed96c · audit A · 366 stars
contribute SKILL.md skill
aperivue/medsci-skills · skills/contribute/SKILL.md · Use when sending local changes back to the project (an added journal profile, a fixed checklist item, an adapted skill)…
git:20261002.0985a27 · audit A · 366 stars

Every file in aperivue/medsci-skills

Browse by kind, by grade A, or by owner.