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.
npx skills add x3allamerican/skills --skill medical-certificationgit clone --depth 1 https://github.com/x3allamerican/skillsWrote 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.
[](https://agentmods.dev/skills/x3allamerican/skills/medical-certification)<a href="https://agentmods.dev/skills/x3allamerican/skills/medical-certification"><img src="https://agentmods.dev/badge/skills/x3allamerican/skills/medical-certification/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.
<a href="https://agentmods.dev/skills/x3allamerican/skills/medical-certification"><img src="https://agentmods.dev/badge/skills/x3allamerican/skills/medical-certification.svg" alt="Reviewed on agentmods" width="80" height="20"></a>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.
| Model | Per session | Once invoked |
|---|---|---|
| Fable 5.1 | $0.00108 | $0.01870 |
| Opus 5.5 | $0.00043 | $0.00748 |
| Sonnet 5.5 | $0.00022 | $0.00374 |
| Haiku 4.5 | $0.00011 | $0.00187 |
Grade A, and why
medical-certification 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 1mo 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.
How it starts
The opening of the file, as written. The whole thing — 129 lines — stays where its author put it; the contents beside it link to each section on GitHub.
Medical Certification — 49 CFR 391.41-49
Every interstate CDL driver must hold a current valid Medical Examiner's Certificate, issued by an NRCME-certified medical examiner after a Department of Transportation (DOT) physical examination.
How long is a certificate valid?
Up to 24 months. The examiner can issue for shorter periods (3, 6, 12 months) if conditions warrant monitoring. The expiration date is on the certificate; check it.
Who can issue a certificate?
Only an examiner listed on the National Registry of Certified Medical Examiners (NRCME). Verify at nationalregistry.fmcsa.dot.gov. Drivers should be advised to verify their examiner is currently registered BEFORE the exam (some examiners have been delisted; certs from delisted examiners are invalid).
Common federal disqualifying conditions (49 CFR 391.41(b))
A driver is medically unqualified if they have:
- Loss of foot, leg, hand, or arm — interferes with safe operation (a Skill Performance Evaluation can grant exemption).
- Impairment of the limbs — same; SPE exemption available.
- Diabetes requiring insulin for control — exemption via Diabetes Exemption Program possible (proves stable control + endocrinologist letter).
- Cardiovascular disease — MI, angina, syncope, dyspnea, collapse, congestive cardiac failure. Conditional on cardiologist clearance + ECG/stress test.
- Respiratory dysfunction — likely to interfere with safe driving.
- Hypertension — uncontrolled. Stage 1: 1-year cert; Stage 2: 3-month cert with treatment; Stage 3: disqualified until controlled.
- Musculoskeletal limitations — interferes with safe operation.
- Mental disorders — clinical diagnosis of psychiatric illness likely to interfere with safe driving.
- Vision impairment — corrected visual acuity worse than 20/40 in each eye; field of vision < 70° in horizontal meridian; inability to recognize colors of traffic signals. Vision Exemption Program possible.
- Hearing loss — perception of a forced whisper voice at no less than 5 feet OR hearing test with average loss ≥ 40 dB in better ear at 500 Hz, 1000 Hz, 2000 Hz. Hearing Exemption Program possible.
- Substance abuse (drug or alcohol) — current diagnosis or evidence of habitual use. Disqualifying.
- Epilepsy or convulsive disorder — disqualifying unless seizure-free off medication for 10+ years (with specific neurological clearance).
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.
- 1mo ago First seen · 129 lines · 108 tokens per session scan A ff09047ead51
medical-certification is a skill published in the GitHub repository x3allamerican/skills (3 stars, last pushed 5mo ago), licensed Apache-2.0. It adds 108 tokens to every session and 1,870 once invoked, about $0.0004 per session on Opus 5.5. 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.
Other skills, from other repositories
disclosure-page-generator
Deprecated compatibility entry for Disclosure Page construction. This page is now maintained in Pagina; install and use page-builder to build a new Disclosure Page.
email-lifecycle-send-check
Checks a drafted email flow or broadcast before it is loaded: flow logic and exits, overlaps, offer depth and codes, stock, claims, consent and legal footer, SMS rules, rendering, voice and AI-copy tells, and the goal metric. Returns a pass / fixed / open-question table. Use alone when you already have the finished…
lov-china-website-filing
A workflow for preparing and launching websites in mainland China, including ICP filing and public-security filing. ICP filing is the registration required for many mainland websites, while public-security filing is a separate police registration.
healthcare-providers-verify
Validates practitioner credentials and license status against the NPI registry. Cross-references specialties, credentials, and practice addresses against official records. Returns Verified / Partially Verified / Unverified / Flagged per practitioner with mismatch details and source URLs. Triggers: "verify these…
performing-soc2-type2-audit-preparation
Automates SOC 2 Type II audit preparation including gap assessment against AICPA Trust Services Criteria (CC1-CC9), evidence collection from cloud providers and identity systems, control testing validation, remediation tracking, and continuous compliance monitoring. Covers all five TSC categories (Security…
python-packaging-license-finder
Use this skill to deterministically find license information for Python packages by checking PyPI metadata first, then falling back to Git repository LICENSE files using shallow cloning.