Install Design AI Benchmarking
Pick your agent. Every command is ready to paste.
npx skills add Aperivue/medsci-skills --skill design-ai-benchmarkingThe open skills CLI detects your agents (Claude Code, Cursor, Codex and 70+ more) and installs to the right folder. Add -g to install globally.
01
Install it
Run the command above, or upload the folder in Claude.
02
Ask naturally
Describe the task. Your agent loads design-ai-benchmarking when the request matches its description.
03
Name it if needed
If it does not trigger, say “use the design-ai-benchmarking skill”. In Codex, type $design-ai-benchmarking.
Design-AI-Benchmarking Skill
Standard Output
## AI-Benchmark Design Review
Evaluation question: ...
Arms / systems compared: ...
Reference (human-expert panel): ...
Unit of rating: (item / case / output)
### Rubric (decoupled dimensions)
- dimension -> construct -> anchors (1..k)
### Calibration probes (blinded, randomized)
- positive-control / known-bad / instability / mechanism-contradiction
### Reviewer panel
- n reviewers, metadata captured, per-reviewer randomized order
### Reliability plan
- IRR target on the anchor set of real items (ICC form + 95% CI) + control-item hit rate (a competence check, reported separately)
### Judge strategy
- human-as-judge / LLM-as-judge / both + adjudication rule
### Validity risks
1. ...
### Minimal fixes
- ...
### Decision
- Ready to collect / Needs rubric revision / Needs arm or judge redesign
Reviewer ratings, reference labels, probe outcomes and agreement statistics come only from collected
rating records. Never invent them: a reported ICC, kappa or score with no underlying rating record is
the failure this skill exists to prevent. Cite a reference only with a /search-lit-confirmed DOI or
PMID; mark any other [UNVERIFIED - NEEDS MANUAL CHECK]. Flag an unconfirmed clinical definition,
diagnostic criterion or guideline recommendation [VERIFY] and ask the user.
Workflow
Phase 1: Define the evaluation question and arms
Pin down, in writing:
- the exact claim the benchmark must support (e.g., "system A's outputs are perceptually indistinguishable from expert outputs", not "system A is deployment-ready")
- every arm/system and what each receives as input (same items, same information access, same output format), so no arm has a hidden advantage
- the human-expert reference: who they are, and whether they set ground truth, form a comparison arm, or both
- the unit of rating (item, case, output) and how many units each reviewer sees
Gate: Present the reconstructed evaluation question, arms, and reference to the user and confirm before designing the rubric. A wrong reconstruction misdirects the entire benchmark.
Phase 2: Design a decoupled multi-dimensional rubric
- Decouple the axes. Each rated dimension measures one construct. Keep "is the output valid/correct" separate from "is it novel", "is it feasible/measurable", "does it add value over current tools", and "would it change action". A candidate can be high-validity yet low-added-value ("real but redundant"); a single blended score hides this.
- Anchor every scale point with a short verbal descriptor; pilot the anchors with at least one reviewer before locking.
- Pre-specify discriminant validity: hypothesize which dimensions should correlate vs be orthogonal, then report the full inter-dimension correlation matrix.
- Start from
${CLAUDE_SKILL_DIR}/references/elicitation_rubric_template.md(dimensions, anchors, probe flavors).
Phase 3: Insert and randomize calibration probes
Plant a few deliberate control items, blinded and randomized across raters (record who received which
via a probe_arm flag), to anchor the scale, measure rater drift/fatigue, and audit the rubric and
pipeline. Four flavors:
- Positive control / "too-good" item — near-tautological; tests whether raters equate "largest effect" with "best", and whether the construct-independence gate (Phase 7) works.
- Known-bad negative control — an engineered defect (fabricated reference, missing key statistic).
- Instability item — an estimate that reverses or fails to replicate on a holdout.
- Mechanism-contradiction item — an empirical direction that opposes the proposed mechanism.
Probes are planted or adjudicated, never fabricated to fit a hypothesis.
Phase 4: Construct the reviewer panel
- Recruit reviewers spanning the intended expertise gradient; pre-specify any stratification.
- Capture reviewer metadata (years of experience, prior AI-evaluation experience, subspecialty).
- Randomize item order per reviewer (not one global seed), record the order, and plan to analyze order and fatigue effects.
- Require each item to be judged standalone; cross-item references in free text signal non-independent rating.
Gate: Present the panel composition, stratification, and randomization plan for user review before recruitment is finalized.
Phase 5: Set inter-rater reliability targets
- Pre-specify the reliability statistic and its form — for several raters, an ICC with the model stated (e.g. ICC(2,1): two-way random, absolute agreement, single rater) or Krippendorff's α (ordinal); weighted (Cohen's) kappa is a two-rater statistic — and a justified target. Size the number of items for the CI width you need: ICC precision is driven mainly by the item count (Koo & Li, J Chiropr Med 2016).
- Planted control items are a rater-competence check, not reliability evidence. Report the hit rate on known-good vs known-bad controls. Do not present an ICC computed on the controls as evidence of rubric or scale validity: ICC scales with the spread between items, controls are extreme by construction, so their ICC is high whatever the raters' reliability on real items (same five raters, same noise: ICC(2,1) 0.89 on four planted controls, 0.16 on 40 real items), and it rests on a handful of items.
- Report reliability on the representative anchor set of real items — ICC with its 95% CI and stated form — with an agreement measure alongside (exact agreement, SEM), since reliability depends on how heterogeneous the rated items are (de Vet et al., J Clin Epidemiol 2006). A low ICC on real items with a good control hit rate points to little true spread among the items or a rubric that does not separate them, not to careless raters.
- Plan the minimum ratings-per-item for a stable agreement estimate (the math goes to
/analyze-stats).
Phase 5b: Reader allocation under burden constraints (anchor-and-rotate)
When the item pool exceeds what one reader can rate in a session, do not make every reader rate
every item (that caps the pool at the per-reader limit). Use anchor-and-rotate (an anchor set
plus rotating incomplete blocks — not a balanced incomplete block design, since reader pairs are
not co-rated equally often): all readers rate a shared anchor set of real items (which carries
the inter-rater reliability; the planted controls carry only the competence check) plus a
rotating unique block each. The binding
constraint is usually the number of available expert readers, so solve the reverse problem (largest
pool for R readers) to size the must-rate set. Pre-specify anchor membership, raters-per-item, and the
rotation seed before rating. Read ${CLAUDE_SKILL_DIR}/references/anchor_rotate_reader_allocation.md
for the formulas, trade-offs, and a stdlib implementation.
Phase 6: Choose the judge strategy and adjudication
- Decide human-as-judge, LLM-as-judge, or both. An LLM judge is one more arm whose ratings must be validated against the human panel on the anchor set of real items, not only on the extreme control items.
- Pre-specify the adjudication rule for disagreement (majority, a third senior reviewer, consensus discussion) and who adjudicates.
- Blind judges to arm identity wherever feasible; record any unavoidable unblinding.
Phase 7: Construct-independence and leakage guards
- Exclude any predictor or input that is a definitional component of the outcome, and flag near-tautological composites built from the outcome's defining components — they produce an inflated, near-circular result and belong as labeled probes, not discoveries.
- Verify no arm sees post-decision or outcome-derived information the others do not.
- Confirm the reference labels were not derived from the same model output being evaluated.
Phase 8: Lock a structured export schema
Write the machine-readable rating record as a JSON schema, starting from
${CLAUDE_SKILL_DIR}/references/benchmark_export_schema.json: per-item ratings on every rubric
dimension, free-text justifications, follow-up flags, the probe_arm flag, reviewer id and metadata,
item order, and timing.
Gate: Present the final rubric, probe set, panel plan, judge strategy, and export schema together; collect explicit user approval before any rating begins, because changes after collection starts compromise the comparison.
Handoff Rules
- route to
/analyze-statsfor ICC (stated form) / Krippendorff's α / kappa (two raters) / DeLong, agreement sample size, and effect-size real-world translation of the benchmark results - route to
/check-reportingfor STARD-AI, CLAIM, or TRIPOD+AI item-level reporting once the design is locked - route to
/design-studywhen the broader study around the benchmark (cohort logic, analysis unit, comparator) also needs review - route to
/peer-reviewor/self-reviewonly after ratings exist and a manuscript is being assessed
Tips for Design AI Benchmarking
- • Start a fresh session after installing so your agent picks up the new skill.
- • This skill ships scripts. Read them before the first run, and run it in a project without secrets first.
- • It bundles reference files. The agent reads them only when needed, so they cost no context until then.
- • It is part of a pack with 30 skills. Install only the ones you need with --skill to keep triggers precise.
- • If two skills overlap, mention the one you want by name.
Questions about Design AI Benchmarking
What does the Design AI Benchmarking skill do?
Use when designing a study that benchmarks AI systems against a human-expert panel, before data collection. Plans the arms, decoupled rubrics with anchors, planted calibration probes, reviewer panel, inter-rater reliability targets and LLM-as-judge versus human adjudication.
How do I install Design AI Benchmarking?
Run "npx skills add Aperivue/medsci-skills --skill design-ai-benchmarking" in your project. The skills CLI installs it for Claude Code, Cursor, Codex and 70+ other agents. In Claude on the web, upload the skill folder as a ZIP under Customize > Skills.
Does Design AI Benchmarking work in Cursor and Codex?
Yes. Design AI Benchmarking uses the open SKILL.md format, so it works in Claude Code, Claude, Cursor, OpenAI Codex, Gemini CLI, GitHub Copilot and other agents that support agent skills.
Is Design AI Benchmarking free?
Design AI Benchmarking is open source on GitHub under the MIT license. It is free to install; check the license before commercial use.
Who made Design AI Benchmarking?
Design AI Benchmarking is published by Aperivue in the Aperivue/medsci-skills repository, together with 29 other skills.



