NICE: To Optimize In-Context Examples or Not?

Recent work shows that in-context learning and optimization of in-context examples (ICE) can significantly improve the accuracy of large language models (LLMs) on a wide range of tasks, leading to an apparent consensus that ICE optimization is crucial for better performance. However, most of these studies assume a fixed or no instruction provided in the prompt. We challenge this consensus by investigating the necessity of optimizing ICE when task-specific instructions are provided and find that there are tasks for which it yields diminishing returns. In particular, using a diverse set of tasks and a systematically created instruction set with gradually added details, we find that as the prompt instruction becomes more detailed, the returns on ICE optimization diminish. To characterize this behavior, we introduce a task-specific metric called Normalized Invariability to Choice of Examples (NICE) that quantifies the learnability of tasks from a given instruction, and provides a heuristic that helps decide whether to optimize instructions or ICE for a new task. Given a task, the proposed metric can reliably predict the utility of optimizing ICE compared to using random ICE.

CataractBot: An LLM-Powered Expert-in-the-Loop Chatbot for Cataract Patients

The healthcare landscape is evolving, with patients seeking more reliable information about their health conditions, treatment options, and potential risks. Despite the abundance of information sources, the digital age overwhelms individuals with excess, often inaccurate information. Patients primarily trust doctors and hospital staff, highlighting the need for expert-endorsed health information. However, the pressure on experts has led to reduced communication time, impacting information sharing. To address this gap, we propose CataractBot, an experts-in-the-loop chatbot powered by large language models (LLMs). Developed in collaboration with a tertiary eye hospital in India, CataractBot answers cataract surgery related questions instantly by querying a curated knowledge base, and provides expert-verified responses asynchronously. CataractBot features multimodal support and multilingual capabilities. In an in-the-wild deployment study with 49 participants, CataractBot proved valuable, providing anytime accessibility, saving time, and accommodating diverse literacy levels. Trust was established through expert verification. Broadly, our results could inform future work on designing expert-mediated LLM bots.

Position Paper: Toward New Frameworks for Studying Model Representations

Mechanistic interpretability (MI) aims to understand AI models by reverse-engineering the exact algorithms neural networks learn. Most works in MI so far have studied behaviors and capabilities that are trivial and token-aligned. However, most capabilities are not that trivial, which advocates for the study of hidden representations inside these networks as the unit of analysis. We do a literature review, formalize representations for features and behaviors, highlight their importance and evaluation, and perform some basic exploration in the mechanistic interpretability of representations. With discussion and exploratory results, we justify our position that studying representations is an important and under-studied field, and that currently established methods in MI are not sufficient to understand representations, thus pushing for the research community to work toward new frameworks for studying representations.

Predicting Treatment Adherence of Tuberculosis Patients at Scale

Tuberculosis (TB), an infectious bacterial disease, is a significant cause of death, especially in low-income countries, with an estimated ten million new cases reported globally in $2020$. While TB is treatable, non-adherence to the medication regimen is a significant cause of morbidity and mortality. Thus, proactively identifying patients at risk of dropping off their medication regimen enables corrective measures to mitigate adverse outcomes. Using a proxy measure of extreme non-adherence and a dataset of nearly $700,000$ patients from four states in India, we formulate and solve the machine learning (ML) problem of early prediction of non-adherence based on a custom rank-based metric. We train ML models and evaluate against baselines, achieving a $\sim 100\%$ lift over rule-based baselines and $\sim 214\%$ over a random classifier, taking into account country-wide large-scale future deployment. We deal with various issues in the process, including data quality, high-cardinality categorical data, low target prevalence, distribution shift, variation across cohorts, algorithmic fairness, and the need for robustness and explainability. Our findings indicate that risk stratification of non-adherent patients is a viable, deployable-at-scale ML solution. As the official AI partner of India's Central TB Division, we are working on multiple city and state-level pilots with the goal of pan-India deployment.