medsci-skills 4.1.0

package/skills/present-paper/references/medical_presentation_templates.md

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+# Medical Presentation Templates
+
+Section structure, slide counts, and design tone for the four medical presentation
+contexts handled by this skill. Each template is a starting outline — not a rigid
+template. Adapt to specific paper, audience, and time slot.
+
+> **Sources**: RadioGraphics 2025 ("Winning at the Radiology Podium," DOI 10.1148/rg.250003);
+> RSNA Refresher Course Committee guidelines; UAB Physician Scientist Development Office
+> journal club framework; ASHP journal club template; medsci-skills internal patterns from
+> 2026-04 grand rounds and journal club decks.
+>
+> **Triggered from**: SKILL.md Phase 0 (Outline) — pick the template matching the
+> presentation context, then customize. Cross-reference `slide_design_principles.md` (§2
+> reading-time budget table) and `critic_rubrics/slide.md` Section G.
+
+---
+
+## 1. Journal club (paper-driven, peer trainees)
+
+**Audience**: residents / fellows + 1–2 faculty. Same-specialty cohort.
+**Time**: 20–30 min total (10–15 min present + remainder discussion).
+**Tone**: Methodologically rigorous, critical, peer-collegial.
+**Slide count**: ~20–25 (1 slide / 30–60 s).
+
+### Section structure
+
+| # | Section | Slides | Purpose |
+|---|---|---|---|
+| 1 | Title + COI | 1 | Paper citation, presenter, date, disclosure |
+| 2 | Why this paper | 1 | Clinical question that led to selection |
+| 3 | Background | 1–2 | Existing evidence, what's known vs unknown |
+| 4 | Research question (PICO) | 1 | Population / Intervention / Comparison / Outcome |
+| 5 | Study design | 1–2 | Schema diagram of arms, randomization, follow-up |
+| 6 | Methods | 1–2 | Cohort, eligibility, primary outcome, statistical plan |
+| 7 | Results | 3–5 | Primary outcome figure, key tables, subgroup if relevant |
+| 8 | Strengths / Weaknesses | 1 | 2-column slide (per `critic_rubrics/slide.md` G.30) |
+| 9 | Limitations | 1 | Author-acknowledged + presenter-identified |
+| 10 | Statistical vs clinical significance | 1 | Effect size + NNT / absolute risk reduction |
+| 11 | Clinical implications | 1 | How this changes (or doesn't change) practice |
+| 12 | Take-home messages | 1 | 3 bullet points, no more |
+| 13 | References / Q&A | 1 | Inline citations + key supporting refs |
+
+### Design seed
+- **Color**: Institutional accent (1) + neutral grays (2). No 3-D, no decorative animation.
+- **Typography**: Sans-serif (Helvetica / Calibri / Pretendard for KR). 28 pt title /
+  18–20 pt body.
+- **Figures**: Use figures from the paper directly (cite slide-corner). Do not re-render
+  unless adding emphasis annotations.
+- **Speaker note density**: 5–10 s of spoken content per slide.
+
+### Pre-presentation checklist
+- [ ] Faculty review of paper selection (per UAB framework — verify educational
+      significance, relevance for practice, validity).
+- [ ] Read paper independently before reading the abstract (avoid author-framing bias).
+- [ ] Allocate ~50% of total time to discussion, not lecture.
+- [ ] Verify `submission_safe: true` is not needed (journal club ≠ submission).
+
+---
+
+## 2. Grand rounds (mixed specialty / mixed seniority)
+
+**Audience**: Multi-specialty, mixed trainee + attending. May include non-radiologists for
+imaging-themed rounds.
+**Time**: 45–60 min total (35–45 min present + remainder Q&A).
+**Tone**: Educational, broadly accessible, single-take-home framing.
+**Slide count**: ~30–45 (1 slide / 60–90 s, with worked examples).
+
+### Section structure
+
+| # | Section | Slides | Purpose |
+|---|---|---|---|
+| 1 | Title + COI + Acknowledgments | 1–2 | Title, presenter affiliation, disclosure, mentor credit |
+| 2 | Learning objectives | 1 | 3–4 specific objectives (verb + noun pattern) |
+| 3 | Hook / clinical case | 1–2 | A real (de-identified) case that motivates the topic |
+| 4 | Why this matters now | 1 | Burden / incidence / unmet clinical need |
+| 5 | Background (concept review) | 2–3 | Pathophysiology / imaging principles, accessible level |
+| 6 | Current standard of care | 1–2 | Where the field is today, what the gap is |
+| 7 | Recent evidence | 5–8 | 2–3 key papers; one slide per take-home |
+| 8 | Worked imaging examples | 4–8 | Side-by-side cases illustrating each teaching point |
+| 9 | Practice algorithm / decision tree | 1–2 | Synthesis: how to apply in daily practice |
+| 10 | Limitations of current evidence | 1 | Honest framing of what we still don't know |
+| 11 | Future directions | 1 | Trials in progress, AI/computational angles if relevant |
+| 12 | Take-home messages | 1 | Map back to learning objectives |
+| 13 | Return to opening case | 1 | Show how the talk's content alters the case management |
+| 14 | Q&A / References | 1 | Inline cites throughout; reference handout if requested |
+
+### Design seed
+- **Color**: Institutional palette + 1 accent for highlights. Avoid >3 colors per slide.
+- **Typography**: Title 32 pt / body 20–22 pt (room may seat ≥ 100).
+- **Figures**: Mix of paper figures, original imaging, and SMART Servier anatomical icons.
+  AI-image disclosure if anything is AI-generated.
+- **Worked examples**: Build-up animations acceptable (sequential reveal of imaging
+  findings) — but only when the build encodes a teaching step.
+
+### Pre-presentation checklist
+- [ ] Learning objectives written with measurable verbs (avoid "understand"; prefer
+      "identify," "differentiate," "recommend").
+- [ ] Imaging consent / de-identification verified for all cases.
+- [ ] Disclosure slide includes industry relationships, advisory roles, prior publications
+      cited.
+- [ ] Mentor pre-review completed (typical 1–2 weeks before).
+
+---
+
+## 3. Conference talk (RSNA / ECR / KCR / society meeting)
+
+**Audience**: Specialist peers; high domain expertise.
+**Time**: 7–12 min present + 2–3 min Q&A (oral session standard).
+**Tone**: Tight, data-dense, focused on contribution.
+**Slide count**: ~10–14 for 10-min talk; ~14–18 for 12-min (1 slide / 45–60 s).
+
+### Section structure
+
+| # | Section | Slides | Purpose |
+|---|---|---|---|
+| 1 | Title + Disclosure | 1 | Title, authors, affiliation, COI in 1 slide |
+| 2 | Background + Gap | 1–2 | Tight: 1 sentence on context, 1 on gap |
+| 3 | Hypothesis / Aim | 1 | Stated as a sentence-headline |
+| 4 | Methods | 1–2 | Cohort flow diagram + key methodological choice |
+| 5 | Primary results | 2–3 | One figure per result; sentence-headline title |
+| 6 | Subgroup / sensitivity | 1 | Only if it's the most defensible secondary finding |
+| 7 | Limitations | 1 | Brief — acknowledge top 2–3 |
+| 8 | Conclusions | 1 | 1 sentence; mirrors abstract conclusion |
+| 9 | Acknowledgments | 1 | Funding, collaborators, departmental support |
+
+### Design seed
+- **Color**: One accent for primary result; everything else neutral.
+- **Typography**: ≥ 24 pt body throughout (auditorium projection).
+- **Figures**: Re-render journal figures for slide context (drop methodological detail,
+  enlarge axis labels, direct-label series). RSNA / ECR projection rooms project at 1080p
+  — vector PDFs preferred.
+- **Speaker pace**: 130–150 words/min for academic delivery; rehearse to ensure last
+  slide arrives at 9:30 of a 10-min slot.
+
+### Pre-presentation checklist
+- [ ] Abstract was accepted for oral (not poster) — confirm slot type and time.
+- [ ] Audience response system not used (oral sessions don't typically include ARS).
+- [ ] Submitted disclosure to society (society disclosures often separate from manuscript
+      COI).
+- [ ] Backup slide stack for top-3 anticipated questions ready.
+
+---
+
+## 4. Lecture / didactic (residents, course material)
+
+**Audience**: Trainees in structured curriculum (radiology residents, fellows, medical
+students).
+**Time**: 50–60 min (full lecture slot).
+**Tone**: Pedagogical, build-up, recap-friendly.
+**Slide count**: ~30–40 (1 slide / 90–120 s, with worked examples and recap slides).
+
+### Section structure
+
+| # | Section | Slides | Purpose |
+|---|---|---|---|
+| 1 | Title + Lecture position in curriculum | 1 | "Lecture 4 of 12: Body MRI series" |
+| 2 | Learning objectives | 1 | Mapped to curriculum competencies |
+| 3 | Recap of prior lecture | 1–2 | Where we were last time |
+| 4 | Today's roadmap | 1 | 3–5 sections previewed |
+| 5 | Section 1: Concept | 3–5 | Build-up + worked example + check-for-understanding |
+| 6 | Section 2: Concept | 3–5 | Same pattern |
+| 7 | ... | | |
+| 8 | Synthesis / decision algorithm | 2–3 | How sections connect into clinical workflow |
+| 9 | Self-assessment questions | 2–3 | 3–5 multiple-choice with answer reveal |
+| 10 | Take-home messages | 1 | Map back to learning objectives |
+| 11 | Pre-reading for next lecture | 1 | Specific paper / textbook chapter |
+| 12 | References + further reading | 1 | Curated list, not exhaustive |
+
+### Design seed
+- **Color**: Course palette consistent across all lectures in series.
+- **Typography**: Title 28 pt / body 20 pt. Build-up animations acceptable for stepwise
+  concept introduction.
+- **Figures**: Mix of textbook diagrams, original imaging, SMART Servier icons. Reusable
+  asset library across lecture series (per `pptx-mac-compatibility` rule — single asset
+  source).
+- **Recap pattern**: At each section end, a 1-slide recap before moving on. Helps
+  trainees with weaker prior knowledge.
+- **Self-assessment**: Use audience-response polling if classroom supports it; otherwise
+  show MCQ → pause → reveal answer + explanation slide.
+
+### Pre-presentation checklist
+- [ ] Lecture position in curriculum confirmed (not duplicating prior lecture content).
+- [ ] Self-assessment questions mapped to learning objectives.
+- [ ] Pre-reading assignment matches the lecture's prerequisites.
+- [ ] Course-level branding consistent (logo, color, font).
+
+---
+
+## 5. Academic lecture — multi-paper survey (graduate course)
+
+**Audience**: Graduate students from mixed disciplines (basic science, clinical,
+imaging, AI). Cross-disciplinary background; a single specialty's jargon will not
+land for everyone.
+**Time**: 30–45 min present + 5–10 min Q&A.
+**Tone**: Narrative arc across multiple papers; one *lighthouse* paper per section
+anchors the discussion, surrounding papers add nuance.
+**Slide count**: ~35–50 (1 slide / 45–75 s, with section dividers + transitions).
+
+### Section structure — 4-act narrative
+
+| # | Section | Slides | Purpose |
+|---|---|---|---|
+| 1 | Title slide | 1 | Course position, instructor, date, presenter, affiliation |
+| 2 | Outline (TOC) | 1 | 4 sections with time budgets visible |
+| 3 | Glossary (optional) | 1 | Tier 1: disease/concept · Tier 2: method/stats abbreviations |
+| 4 | Section 1 divider | 1 | "History" / "Background" — full-bleed deep navy |
+| 5 | Section 1 content | 4–6 | Founding papers, original observations, classical concepts |
+| 6 | Transition slide | 1 | Large coral quotes + one-sentence question motivating next act |
+| 7 | Section 2 divider | 1 | "Concept" / "Classification" |
+| 8 | Section 2 content | 5–8 | Modern framework, definitions, what we now know |
+| 9 | Transition slide | 1 | Bridge to mechanism |
+| 10 | Section 3 divider | 1 | "Mechanism" — typically the longest, anchored by 1–2 lighthouse papers |
+| 11 | Section 3 content | 10–14 | Lighthouse paper figures, mechanistic details, 2024–2026 updates |
+| 12 | Transition slide | 1 | Bridge to clinical translation |
+| 13 | Section 4 divider | 1 | "Clinical translation" |
+| 14 | Section 4 content | 6–10 | Diagnostic application, therapy, ongoing trials |
+| 15 | Wrap-up / Take-home | 1–2 | 3 bullets max, mirrored to outline |
+| 16 | Acknowledgments / Q&A | 1 | Funding, mentor thanks, contact |
+
+### Design seed
+
+- **Visual style**: Nature/Lancet — see `slide_visual_styles/nature_lancet.md`
+- **Body language**: English only (per `~/.claude/rules/academic-lecture-style.md` §1)
+- **Speaker notes**: narrative, in the user's preferred language (English by default; a Korean narrative register is supported for Korean presenters), 150–300 chars / slide
+- **Section dividers**: full-bleed `#121D36` background + coral accent strip + `{N} MIN`
+  badge bottom-right
+- **Transition slides**: large coral curly quotes (72pt) flanking a 36pt white question
+- **Lighthouse paper anchor**: each section names one anchor paper in the divider
+  subtitle; section content slides reference it in eyebrow text
+
+### Pre-presentation checklist
+
+- [ ] All `--` em-dashes verified rendering correctly on Mac PowerPoint
+- [ ] TIFF images converted to PNG (per `pptx-mac-compatibility.md` §1)
+- [ ] `<a:sp3d>` 3D bevel = 0 (per `pptx-mac-compatibility.md`)
+- [ ] `app.xml` Slides/Notes counts patched (per `pptx-mac-compatibility.md` §5)
+- [ ] Speaker notes parsed for `**bold**` / `*italic*` markdown (per §4)
+- [ ] 40-min timing rehearsal completed (longest section flagged)
+- [ ] Glossary slide present if audience is multidisciplinary
+- [ ] Each section has ≥1 lighthouse paper figure (not text-only)
+- [ ] PDF export visually verified (figure positions, font fallback)
+- [ ] Mac PowerPoint actual-rendering check (PDF alone misses some defects)
+
+### Reference implementation
+
+- Build script: `templates/build_pptx_nature_lancet.py` (this skill) — `add_title_slide`,
+  `add_toc_slide`, `add_glossary_slide`, `add_section_divider`, `add_transition_slide`,
+  `add_content_slide`, `add_closing_slide` + `fix_app_xml` helper
+- Style spec: `slide_visual_styles/nature_lancet.md`
+- Example deck: 47-slide academic lecture (4-section narrative across 17 lighthouse papers
+  + supporting references), Mac PowerPoint verified
+
+---
+
+## Mapping to SKILL.md phases
+
+| Template element | SKILL.md phase | Notes |
+|---|---|---|
+| Audience definition | Phase 0 | Required input — controls template choice |
+| Time slot | Phase 0 | Determines slide count target |
+| Section structure | Phase 0 → outline | Use template as starting outline; customize |
+| Speaker script density | Phase 2 | 130–150 wpm for academic talks |
+| Slide design tokens | Phase 3 | See `slide_design_principles.md` §4 |
+| Q&A backup slides | Phase 4 | Per template's anticipated-question profile |
+| Pre-presentation checklist | Phase 4 | Run before final delivery |
+
+## Cross-references
+- `slide_design_principles.md` — design foundations (Reynolds, Duarte, Knaflic, Tufte)
+- `slide_visual_styles/nature_lancet.md` — Nature/Lancet color/typography/layout spec
+- `templates/build_pptx_nature_lancet.py` — generic builder for Template #5
+- `critic_rubrics/slide.md` — per-slide quality scoring
+- `workflow-checklist.md` — end-to-end Phase 0 → 4 production checklist
+- `~/.claude/rules/academic-lecture-style.md` — English body + Korean notes + Nature/Lancet (global default)
+- `~/.claude/rules/pptx-mac-compatibility.md` — TIFF / sp3d / app.xml / srcRect / Inches EMU / markdown notes
+- `~/.claude/rules/multidisciplinary-presentation.md` — glossary slide + intuition box pattern
+- `~/.claude/rules/journal-ai-image-policies.md` — AI-image policy (visual abstract /
+  Central Illustration cases)

package/skills/present-paper/references/slide_design_principles.md

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+# Effective Slide Design for Medical Presentations
+
+> **Primary sources** (cite when invoking specific principles):
+> - Reynolds G., *Presentation Zen: Simple Ideas on Presentation Design and Delivery*, 3rd ed.
+>   New Riders, 2019. — Simplicity / Clarity / Restraint / Harmony.
+> - Duarte N., *Slide:ology: The Art and Science of Creating Great Presentations*. O'Reilly, 2008.
+>   — Glance Test™ (3-second rule); slides as "glance media."
+> - Knaflic CN., *Storytelling with Data: A Data Visualization Guide for Business Professionals*.
+>   Wiley, 2015. — Preattentive attributes (size, color, position).
+> - Tufte ER., *The Cognitive Style of PowerPoint: Pitching Out Corrupts Within*, 2nd ed.
+>   Graphics Press, 2006. — Chartjunk; data-ink ratio; bullet-point critique.
+>
+> **Medical-presentation specific**:
+> - Bhargava R, et al. "Winning at the Radiology Podium: First-timer's Guide to Crafting and
+>   Delivering a Memorable Conference Presentation." *RadioGraphics* 2025; DOI 10.1148/rg.250003.
+> - RSNA Refresher Course Committee guidelines (case-based, audience-response interactive format).
+>
+> **Triggered from**: SKILL.md Phase 0 (Outline) and Phase 3 (Slides). Read this file **before**
+> sketching the slide outline — it shifts focus from "what content fits" to "what should the
+> audience remember 10 seconds after each slide."
+
+Most slide-design guidance focuses on aesthetic templates (color, font, layout). This file
+adds a communication-first layer: how the audience parses a slide under time pressure, what
+they retain, and how the slide supports the speaker rather than replacing them.
+
+---
+
+## The 5 design principles (read in order)
+
+### 1. Identify the key message *(most important)*
+
+Before opening PowerPoint or python-pptx, write **one sentence** describing what the slide
+must convey. If you cannot, the slide is premature. Examples:
+
+- "Adjuvant RFA reduces local recurrence vs. surgery alone (HR 0.62)."
+- "FLAIR sequence highlights the lesion that T2 missed."
+- "The proposed CAD model maintains AUC across three external sites."
+
+Pin that sentence at the top of the slide outline (Phase 0 of SKILL.md). Every bullet,
+figure, color, and animation exists to support that one sentence; anything that does not
+should be removed or moved to a separate slide.
+
+A slide with **two key messages is two slides**.
+
+### 2. Audience-aware reading-time budget
+
+Different presentation contexts allow different inspection time per slide. Set the
+**reading-time budget** in Phase 0, then design backwards.
+
+| Context | Reading time | Implication |
+|---|---|---|
+| Journal club (peer trainees) | 30–60 s/slide narrated | Methodology detail acceptable; figures from paper allowed |
+| Grand rounds (mixed audience) | 20–40 s/slide narrated | Plain-language framing; one teaching point per slide |
+| Conference talk (RSNA / ECR) | 15–30 s/slide narrated | Direct labels mandatory; data visuals over text |
+| Lecture / didactic (residents) | 60–120 s/slide narrated | Worked examples; build-ups acceptable; recap slides |
+| Visual abstract (no narration) | 5–10 s total | One panel; minimal text; readable thumbnail |
+
+The same paper presented at journal club and at RSNA needs **two different decks** — the
+RSNA version usually drops half of what the journal-club version contains.
+
+### 3. The Glance Test (Duarte) — 3-second rule
+
+After each slide is drafted, perform the Glance Test™:
+
+> *Can the audience grasp the slide's meaning within 3 seconds, then return their attention
+> to the speaker?*
+
+If a slide fails the test, the audience is **reading the slide** instead of **listening to
+the speaker**. People cannot read and listen simultaneously; one channel wins, and on slides
+the reading channel wins. Slides are *glance media*, not reading documents.
+
+Failure modes that break the Glance Test:
+- ≥ 6 lines of body text (audience starts reading paragraph-style).
+- Two competing visuals (eye does not know where to land).
+- A title that does not state the conclusion (forces reading the body to find the point).
+
+**Fix patterns**:
+- Convert the slide title from a topic ("Methods") to a sentence-summary ("Inclusion required
+  ≥ 1 cm tumor on MRI").
+- Split into 2 slides if the message is genuinely two-part.
+- Replace bullets with one annotated figure.
+
+### 4. Reduce cognitive load (Reynolds + Tufte)
+
+Working memory holds ~7 items, and a slide must compete with the speaker's voice. Design
+under that ceiling.
+
+| Element | Slide ceiling | Reason |
+|---|---|---|
+| Body text lines | ≤ 6 | Beyond 6, audience reads instead of listening |
+| Distinct colors | ≤ 3 + 1 accent | More colors fragment attention |
+| Fonts | ≤ 2 (title + body) | Mixed fonts break institutional brand and look unfinished |
+| Bullet levels | ≤ 2 | Deep nesting (3 indents) signals reading-document |
+| Chart types per slide | 1 | Two charts compete for attention |
+| Animations | only purposeful | Decorative motion = noise |
+
+Tufte's data-ink ratio applies: every pixel should encode either content or essential
+context. 3-D bars, drop shadows, gradient fills, and rotated axis labels add ink without
+data — remove them. The Columbia Space Shuttle disaster slide is the canonical
+counterexample: the O-ring failure data was buried in small type on a crowded slide.
+
+### 5. Native objects, not images
+
+Charts, tables, and diagrams must be **editable native PowerPoint objects**, not exported
+images. This is non-negotiable in academic medicine because:
+
+- Co-authors edit numbers in revision rounds.
+- Mac PowerPoint renders TIFF/SVG inconsistently (see `pptx-mac-compatibility` rule).
+- Reviewers / session chairs may project the deck on lower-resolution displays where
+  rasterized charts pixelate.
+
+Specifically:
+- Excel-linked charts → double-click opens the data table.
+- Tables → native PowerPoint tables, not screenshots.
+- Flow diagrams → grouped shapes, not a `make-figures` PNG export embedded as image.
+- Single fonts (Pretendard / Apple SD Gothic Neo for Korean decks; Helvetica/Calibri for
+  English-only) — declared once at the deck level, not per-slide.
+
+Allowed exceptions: photographs, anatomical illustrations (SMART Servier, NIAID BioArt),
+medical imaging frames (CT/MRI slices) — all rasterized by nature.
+
+---
+
+## Preattentive attributes (Knaflic) — directing audience attention
+
+Preattentive attributes are visual properties the brain processes automatically (in <250 ms,
+before conscious attention). Use them to guide the audience to the part of the slide that
+matters.
+
+| Attribute | Use for | Example |
+|---|---|---|
+| **Size** | Hierarchy: title > subtitle > body | Take-home line at 32 pt; body at 18 pt |
+| **Color saturation** | Highlight 1 element vs. background | Key result row in orange; comparators in gray |
+| **Position** | Left-to-right reading order; top = priority | Conclusion at top of slide, not bottom |
+| **Bold weight** | Emphasize the key number in a sentence | "AUC = **0.91** (95% CI 0.87–0.94)" |
+| **Enclosure** | Group related elements | Box around the "key finding" panel |
+| **Spatial separation** | Group vs. distinguish | Whitespace between Methods and Results panels |
+
+**Two purposes**: (1) draw immediate attention to a key element; (2) build a visual
+hierarchy that walks the eye through the content.
+
+**Anti-pattern**: applying preattentive emphasis to *everything* — when 5 things are bold,
+red, and boxed, none of them stand out.
+
+---
+
+## Slide-anti-patterns (cumulative — drawn from this skill's critic rubric)
+
+These compose with the more granular checks in `critic_rubrics/slide.md`:
+
+- **Topic-titled slide** — title says "Results" instead of stating the result. Fix: convert
+  to a sentence-headline ("RFA reduced local recurrence by 38%").
+- **Wall-of-text** — > 6 body lines, full sentences. Fix: replace with one annotated figure
+  + the take-home sentence at top.
+- **Bullet-cascade** — 3-level nested bullets. Fix: split into 2 slides or use a 2-column
+  layout.
+- **Chart junk** — 3-D bar, gradient fill, rotated axis label, secondary y-axis with no
+  shared scale. Fix: 2-D, single y-axis, direct labels.
+- **Image-of-table** — pasted screenshot of a table from the paper. Fix: rebuild as native
+  PowerPoint table; keep the paper-table image for backup slides only.
+- **Reference-flood** — citation list slide listing 15 references at 8 pt. Fix: cite
+  inline at point-of-use (`[Smith 2024]`); full bibliography in handout/supplementary.
+- **Logo-tax** — institutional logos on every slide masking content. Fix: title slide and
+  closing slide only; corner-only on intermediate slides if mandated.
+- **AI-image without disclosure** — AI-generated illustration on a slide destined for a
+  journal that prohibits AI imagery. Fix: see `journal-ai-image-policies` rule before
+  building visual abstract / Central Illustration.
+
+---
+
+## Cognitive load checklist (Phase 3 quick scan)
+
+Before exporting to PPTX, walk every slide:
+
+- [ ] One-sentence key message stated at slide top (sentence-headline).
+- [ ] Body text ≤ 6 lines.
+- [ ] Glance test ≤ 3 seconds.
+- [ ] Colors ≤ 3 + 1 accent; carry meaning, not decoration.
+- [ ] Fonts ≤ 2 throughout deck; ≥ 18 pt body for slides; ≥ 24 pt for posters.
+- [ ] Charts/tables are native objects (not images).
+- [ ] No 3-D / drop-shadow / gradient unless data-driven.
+- [ ] Direct labels on chart series; legends only when ≥ 4 series.
+- [ ] Same slide works in grayscale (run a `convert -colorspace Gray` test).
+- [ ] AI-image policy verified for target audience/journal context.
+
+If two or more boxes are unchecked, return to Phase 0 outline before continuing.
+
+---
+
+## Cross-references
+
+- `critic_rubrics/slide.md` — quantitative critic checks per slide
+- `medical_presentation_templates.md` — section structure for journal club, grand rounds,
+  conference, lecture
+- `workflow-checklist.md` — end-to-end Phase 0 → 4 production checklist
+- `make-figures/references/design_principles.md` — figure-level design (this skill is the
+  slide-level companion; both share Reynolds/Knaflic/Tufte foundations)
+- `~/.claude/rules/pptx-mac-compatibility.md` — TIFF, sp3d, app.xml, srcRect defects
+- `~/.claude/rules/journal-ai-image-policies.md` — AI-image policy (JACC prohibits, Radiology
+  allows with disclosure)
+- `~/.claude/rules/manuscript-style-classical.md` — heading style for slides paired with
+  manuscript submission

package/skills/present-paper/references/slide_visual_styles/nature_lancet.md

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+# Slide Visual Style — Nature / Lancet
+
+Design spec for academic lecture, journal club, and conference-talk slides modeled
+on the Nature / Lancet journal aesthetic. White background, navy primary, restrained
+coral accent, hairline dividers, two-font sans-serif system.
+
+> **Triggered from**: SKILL.md Phase 3 (Slides & Notes). Pair with
+> `references/medical_presentation_templates.md` Template #5 "Academic lecture
+> (multi-paper)". Reference build script: `templates/build_pptx_nature_lancet.py`.
+
+---
+
+## 1. Color palette
+
+| Token | Hex | Usage |
+|---|---|---|
+| `NAVY` | `#1B2A4E` | Primary text on white, section title, headline |
+| `NAVY_LIGHT` | `#3F5A8C` | Secondary navy (sub-headings, accents on dark bg) |
+| `TEXT` | `#21252B` | Body text |
+| `TEXT_SUB` | `#4A525C` | Sub-text, captions, subtitles |
+| `MUTED` | `#8A929E` | Footer, page brand, low-emphasis labels |
+| `HAIRLINE` | `#CCD0D6` | Thin dividers, image borders |
+| `HIGHLIGHT` | `#B83E3A` | Coral accent — reserved for 1–2 emphasis points per slide |
+| `WHITE` | `#FFFFFF` | Backgrounds, dark-bg text |
+| `BG_SOFT` | `#F8F9FB` | Subtle panel background (optional) |
+| `DIVIDER_BG` | `#121D36` | Section-divider slide background (deep navy) |
+
+**Rule of restraint**: a content slide uses **white + navy + 1 coral accent**. Three
+colors maximum. Avoid full-bleed bright bars, gradients, drop shadows beyond the
+single 6pt offset on figure tiles.
+
+## 2. Typography
+
+| Role | Font (Latin) | Font (EastAsia / Korean) | Size | Weight |
+|---|---|---|---|---|
+| Slide title | Inter | Pretendard | 28–32 pt | Bold |
+| Subtitle / sentence-headline | Inter | Pretendard | 15–18 pt | Italic |
+| Body bullet (main) | Inter | Pretendard | 18–20 pt | Regular |
+| Body bullet (sub) | Inter | Pretendard | 15–16 pt | Regular |
+| Eyebrow text | Inter | Pretendard | 10–14 pt | Bold, letter-spaced 300–400 |
+| Section title (divider) | Inter | Pretendard | 48–52 pt | Bold |
+| Transition quote | Inter | Pretendard | 36 pt | Bold |
+| Page-brand footer | Inter | Pretendard | 9 pt | Regular, letter-spaced 300 |
+| Speaker notes | Inter | Pretendard | 13 pt | Regular |
+
+**Font install** (macOS):
+```bash
+brew install --cask font-pretendard font-inter
+```
+
+EastAsia attribute **must** be set on every run that may contain Korean text — Mac
+PowerPoint falls back to Times New Roman otherwise. See
+`~/.claude/rules/pptx-mac-compatibility.md` §6.
+
+## 3. Layout grid (16:9, 13.333" × 7.5")
+
+| Region | Position | Content |
+|---|---|---|
+| Eyebrow | x=0.7", y=0.32", w=8", h=0.4" | All-caps topic label (10–14pt, coral or muted) |
+| Title | x=0.7", y=0.75", w=12.0", h=1.1" | Slide title + optional subtitle |
+| Hairline | x=0.7", y=2.05", w=0.6", h≈0.02" | Coral hairline (separator) |
+| Body (no figure) | x=0.7", y=2.4", w=12.0", h=4.6" | Bullets full width |
+| Body (with figure) | x=0.7", y=2.4", w=6.8", h=4.6" | Bullets left half |
+| Figure (right half) | x=7.9", y=2.4", w=5.0", h=4.0" | Centered within tile |
+| Figure caption | x=7.9", y=fig+0.10", w=5.0", h=0.6" | "Figure · {caption}" centered |
+| Footer (page brand) | x=0.7", y=7.05", w=4.0", h=0.35" | "2026 · NEUROGENETICS" pattern |
+| Footnote | x=0.7", y=7.05", w=12.0", h=0.35" | Right-aligned source ref |
+
+**Margins**: 0.7" left/right, 0.32" top eyebrow, 0.35" bottom footer. Title-body
+separation enforced by the **0.6" coral hairline** (never a 0.05"-tall bar).
+
+## 4. Slide type templates
+
+### 4a. Title slide
+- Left navy bar (40k EMU wide × 3.5" tall) at x=0.7"
+- "REVIEW LECTURE" eyebrow (14pt, coral, letter-spaced 300)
+- 48pt navy bold title
+- 18pt italic subtitle (TEXT_SUB)
+- Bottom block: 16pt bold navy line ("Course · Professor · Date"), 13pt sub line
+  ("Presenter Name · Affiliation"), separated by 2" navy hairline above
+
+### 4b. Section divider
+- Full-bleed deep navy background (`DIVIDER_BG`)
+- 1.8"-tall coral accent strip at x=1.2", y=3.0", 15k EMU wide
+- "SECTION {N}" 18pt coral eyebrow letter-spaced 400
+- 52pt white bold section title
+- 20pt italic light-navy (`#C0CBDC`) subtitle
+- Bottom-right "{N} MIN" badge (13pt muted)
+
+### 4c. Transition slide
+- Full-bleed deep navy background
+- Large coral curly quotes (72pt) flanking a 36pt white bold single-sentence question
+- Center-anchored vertically
+
+### 4d. Content slide
+- Eyebrow (small caps topic label) → title + subtitle → coral hairline → bullets
+  (left if figure, full-width if no figure) → figure tile (shadow offset 0.06",
+  hairline border) → optional figure caption → footnote (right) + page brand (left)
+- Bullet markers:
+  - Main: `▪` (14pt coral bold) + 20pt body text
+  - Sub (lines prefixed with 2 spaces): `—` (15pt muted) + 16pt sub text
+- Inline `**bold**` and `*italic*` markdown is parsed into per-run styling (see
+  `pptx-mac-compatibility.md` §4 for the parser pattern)
+
+### 4e. TOC / outline slide
+- Eyebrow "OUTLINE"
+- Title "Outline" + sentence subtitle
+- Coral hairline
+- N rows, each: 22pt coral section number (or `·` for wrap-up), 22pt navy bold section
+  title, 13pt sub-text English summary, 12pt muted time badge (right-aligned). Hairline
+  divider between rows.
+
+### 4f. Glossary slide (optional, for multidisciplinary audiences)
+- Tier 1 (top, 4–7 items): disease/concept abbreviations with one-line context
+- Tier 2 (bottom, 2-column, 8–12): method/statistics abbreviations with short defs
+- See `~/.claude/rules/multidisciplinary-presentation.md` §1
+
+### 4g. Closing slide
+- Title "Take-home messages" or "Conclusions"
+- 3 bullet maximum
+- Optional contact / acknowledgments block at bottom
+
+## 5. Figure handling
+
+- Aspect-ratio preserving fit inside the figure tile (5.0" × 4.0" max)
+- Shadow rectangle (hairline gray) offset +0.06" / +0.06" before image
+- Image border: hairline gray (~6000 EMU)
+- Caption format: `Figure  ·  {caption}` (coral "Figure" eyebrow, italic muted caption)
+
+**EMU pitfall**: compute width/height in **inches** before wrapping in
+`Inches()`. Never `Inches(fig_w / aspect_ratio)` when `fig_w` is already a pixel
+value — see `pptx-mac-compatibility.md` §7.
+
+## 6. Speaker notes density
+
+- Narrative speaker notes in the user's preferred language (a Korean narrative register is supported for Korean presenters, per `~/.claude/rules/academic-lecture-style.md` §1)
+- About 150–300 characters per slide (30–60 seconds spoken)
+- Run-level markdown parser for `**bold**` / `*italic*` (see
+  `pptx-mac-compatibility.md` §4)
+- 13pt Pretendard
+
+## 7. Mac compatibility checklist (run before delivery)
+
+| Check | Command |
+|---|---|
+| TIFF images | `find ppt/media -iname '*.tif*'` → must be empty |
+| 3D bevel | `grep -l '<a:sp3d>' ppt/slides/*.xml` → must be empty |
+| app.xml count sync | `unzip -p out.pptx docProps/app.xml \| grep -oE '<Slides>[0-9]+</Slides>'` → ≠ 0 |
+| Raw markdown in notes | `unzip -p out.pptx ppt/notesSlides/notesSlide3.xml \| grep -oE '\*\*[^<*]+\*\*' \| wc -l` → 0 |
+| Korean glyph in notes | `unzip -p out.pptx ppt/notesSlides/notesSlide3.xml \| grep -oE '[가-힣]+' \| head -5` → renders |
+
+Always validate on **Mac PowerPoint** + PDF export. PDF alone misses some defects
+(see `pptx-mac-compatibility.md` §1–§3).
+
+## 8. Reference implementation
+
+Canonical build script: `templates/build_pptx_nature_lancet.py` (in this skill).
+
+Example output: 47-slide academic lecture deck (4-section narrative across multiple
+lighthouse papers + supporting references), Mac PowerPoint verified.
+
+## Cross-references
+
+- `~/.claude/rules/academic-lecture-style.md` — global style rule (English body + Korean notes + this design)
+- `~/.claude/rules/pptx-mac-compatibility.md` — Mac compatibility (TIFF / sp3d / app.xml / Inches EMU / markdown notes)
+- `~/.claude/rules/multidisciplinary-presentation.md` — glossary slide + intuition box pattern
+- `references/medical_presentation_templates.md` Template #5 — Academic lecture (multi-paper)
+- `references/slide_design_principles.md` — Reynolds / Duarte / Knaflic / Tufte foundations