
# Medical Resident Capabilities and Mastery

The implementation-generated levels are Basic → Intermediate → Advanced → AI Agent Orchestration Master. The exact 17 domains × four levels plus nine capstone criteria appear in `config/MR-Capability-Mastery-Criteria.v1.json`.

This measures governed AI use, not clinical knowledge, competence, a Milestone/EPA, procedure authorization, licensure, privilege, promotion, employment, duty compliance, or institutional approval. Badges unlock no permission.

Eligible evidence has an artifact hash, data class, workflow/power ID, source/date, resident contribution, AI contribution, review state, expiry, and deletion route. Named scope-matched human review applies at every level. A failed critical boundary cannot be averaged away.

Preloaded starters, clicks, time-in-app, AI praise, and system-generated outputs never count. Resident-authored fictional exercises may count only for AI-stewardship process skills; they never prove clinical reasoning or competence. PHI, real cases, event/peer-review data, formal evaluations, restricted exams, private health/fatigue/family/finance/relationship data, and employer/program analytics are excluded.

The orchestration capstone requires all 14 current Advanced safety-domain criteria, two new distinct capstone missions, at least two independent evidence items, two frozen agents or one agent plus an independent verifier at P1/P2, injection and failure testing, cancellation/Kill/rollback-or-purge proof, complete ORBIT receipts, and all nine capstone checks. Capstone evidence cannot reuse prerequisite evidence, and a generating agent cannot be its own independent reviewer.
