update

update is a command for Claude Code from aipoch/medical-research-skills. It costs 0 tokens per session (553 once invoked), scanned A, original, MIT.

A command for changing the recorded direction, methods, theory, scope, or clinical focus of a research project.

In plain words
What is it for?
Use it when narrowing a research question, changing study methods, adding a theoretical framework, or changing the disease area or setting.
Why use it?
It keeps the project's saved research configuration aligned with decisions made during the work.

Command for Claude Code

Written for Claude Code: a Claude Code command (commands/*.md).

Good fit Use it when narrowing a research question, changing study methods, adding a theoretical framework, or changing the disease area or setting.

Compare 6 commands from other repositories ↓
Install with agentmods
npx agentmods add commands/aipoch/medical-research-skills/update
About the project

Medical Research Agent Skills is a library of agent instructions for medical and biomedical research, covering evidence analysis, study protocol design, data analysis, and academic writing. Researchers use it to guide compatible coding agents through common scientific workflows. The catalogue contains many of the library's skills and commands.

aipoch/medical-research-skills · 1,848 stars · on GitHub · aipoch.com

Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Clone the repo
git clone --depth 1 https://github.com/aipoch/medical-research-skills

Made for: Claude Code.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for update

README.md
[![agentmods](https://agentmods.dev/badge/commands/aipoch/medical-research-skills/update/github.svg)](https://agentmods.dev/commands/aipoch/medical-research-skills/update)
Your own site
<a href="https://agentmods.dev/commands/aipoch/medical-research-skills/update"><img src="https://agentmods.dev/badge/commands/aipoch/medical-research-skills/update/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for update

Your own site · 80×15
<a href="https://agentmods.dev/commands/aipoch/medical-research-skills/update"><img src="https://agentmods.dev/badge/commands/aipoch/medical-research-skills/update.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 0 Only the description is in the session, so the agent can decide to use it. The body loads when it is invoked.
When invoked 553 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00000 $0.00553
Opus 5 $0.00000 $0.00277
Sonnet 5 $0.00000 $0.00111
Haiku 4.5 $0.00000 $0.00055

Measured 7d ago against content hash 657d7b6d09f3, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-10, from the pricing page.

Security

Grade A, and why

update scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 7d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

awesome-med-research-skills/Evidence Insight/litbase/commands/update.md · 72 lines

How it starts

The opening of the file, as written. The whole thing — 72 lines — stays where its author put it; the contents beside it link to each section on GitHub.

/update — Update Research Direction

Run when the research direction, methodology, or theoretical framework has changed. Collects the change through conversation and syncs all relevant configuration.


When to Use

  • A new research method has been decided (e.g., shifting from qualitative to mixed methods)
  • The research question has been narrowed to a more specific focus
  • A new theoretical framework has been added
  • The research scope has expanded or contracted
  • The disease focus or clinical setting has shifted

Steps

1. Show Current Configuration

[Tier C / B] Read memory/MEMORY.md. Show the user a summary of the currently recorded research direction, and confirm this is the baseline they want to modify.

[Tier A] Ask the user to paste their Session Card if not already provided.


2. Understand the Change

Ask:

What aspects have changed? Describe it directly — no formal language needed. For example: "I have now confirmed I am using a retrospective cohort design" or "I am narrowing the focus to only ferroptosis-related lncRNAs in glioblastoma" or "I am adding survival prediction modeling as a second aim."

If the description is vague, ask one follow-up question to clarify. Do not ask multiple questions at once.


3. Update memory/MEMORY.md

Make precise edits to the changed fields only. Do not rewrite the entire document.

  • If a new theoretical framework was added, incorporate it into the Key Variables / Framework section or Key Decisions
  • If Relevant Journals need adjustment, update them accordingly
  • Keep all unchanged sections intact

4. Regenerate search_config.json Search Terms

Based on the updated research direction, regenerate Tier 1 / 2 / 3 search terms:

  • Keep terms that are still relevant
  • Replace terms that no longer apply
  • Add terms reflecting the new direction
  • Update last_updated and update_reason (note that this update was triggered by a research direction change)
  • Leave based_on_notes unchanged

Read the full file on GitHub · 72 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 7d ago First seen · 72 lines · 0 tokens per session scan A 657d7b6d09f3

Subscribe to this mod's changes

update is a command published in the GitHub repository aipoch/medical-research-skills (1,848 stars, last pushed 1mo ago), licensed MIT. It costs nothing until one of its globs matches a file; then it loads 553 tokens. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-09-03.