Create image on How You use Pubmed skill from your actuall skill.md

SKILL.md file. It covers every key section:| Section | What's Shown |
|---|---|
| Trigger Keywords | The exact phrases that activate the skill (evidence for, clinical trials, etc.) |
| 6-Step Workflow | Construct Query → Search → Triage → Deep Dive → Full Text → Supplement |
| Evidence Tier Pyramid | All 9 tiers from Systematic Review (highest) down to Editorial (lowest) |
| Tool Toolkit | All 5 allowed tools: pubmed_search, pubmed_detail, pubmed_fulltext, web_search, web_extract |
| Output Format | The exact citation format with Tier labels and PMIDs inline |
| Iteration Strategy | Broaden / Narrow / Pivot / Related — used when fewer than 3 relevant papers are found |