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Jean Feng

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7 papers
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7

AAAI Conference 2026 Conference Paper

When the Domain Expert Has No Time and the LLM Developer Has No Clinical Expertise: Real-World Lessons from LLM Co-Design in a Safety-Net Hospital

  • Avni Kothari
  • Patrick Vossler
  • Jean Digitale
  • Mohammad Forouzannia
  • Elise Rosenberg
  • Michele Lee
  • JenneĆ© Bryant
  • Melanie Molina

Large language models (LLMs) have the potential to address social and behavioral determinants of health by transforming labor intensive workflows in resource-constrained settings. Creating LLM-based applications that serve the needs of underserved communities requires a deep understanding of their local context, but it is often the case that neither LLMs nor their developers possess this local expertise, and the experts in these communities often face severe time/resource constraints. This creates a disconnect: how can one engage in meaningful co-design of an LLM-based application for an under-resourced community when the communication channel between the LLM developer and domain expert is constrained? We explored this question through a real-world case study, in which our data science team sought to partner with social workers at a safety net hospital to build an LLM application that summarizes patients' social needs. Whereas prior works focus on the challenge of prompt tuning, we found that the most critical challenge in this setting is the careful and precise specification of *what* information to surface to providers so that the LLM application is accurate, comprehensive, and verifiable. Here we present a novel co-design framework for settings with limited access to domain experts, in which the summary generation task is first decomposed into individually-optimizable attributes and then each attribute is efficiently refined and validated through a multi-tier cascading approach.

ICML Conference 2025 Conference Paper

"Who experiences large model decay and why? " A Hierarchical Framework for Diagnosing Heterogeneous Performance Drift

  • Harvineet Singh
  • Fan Xia
  • Alexej Gossmann
  • Andrew Chuang
  • Julian C. Hong
  • Jean Feng

Machine learning (ML) models frequently experience performance degradation when deployed in new contexts. Such degradation is rarely uniform: some subgroups may suffer large performance decay while others may not. Understanding where and how large differences in performance arise is critical for designing targeted corrective actions that mitigate decay for the most affected subgroups while minimizing any unintended effects. Current approaches do not provide such detailed insight, as they either (i) explain how average performance shifts arise or (ii) identify adversely affected subgroups without insight into how this occurred. To this end, we introduce a S ubgroup-scanning H ierarchical I nference F ramework for performance drif T (SHIFT). SHIFT first asks "Is there any subgroup with unacceptably large performance decay due to covariate/outcome shifts? " ( Where? ) and, if so, dives deeper to ask "Can we explain this using more detailed variable(subset)-specific shifts? " ( How? ). In real-world experiments, we find that SHIFT identifies interpretable subgroups affected by performance decay, and suggests targeted actions that effectively mitigate the decay.

NeurIPS Conference 2025 Conference Paper

Bayesian Concept Bottleneck Models with LLM Priors

  • Jean Feng
  • Avni Kothari
  • Lucas Zier
  • Chandan Singh
  • Yan Shuo Tan

Concept Bottleneck Models (CBMs) have been proposed as a compromise between white-box and black-box models, aiming to achieve interpretability without sacrificing accuracy. The standard training procedure for CBMs is to predefine a candidate set of human-interpretable concepts, extract their values from the training data, and identify a sparse subset as inputs to a transparent prediction model. However, such approaches are often hampered by the tradeoff between exploring a sufficiently large set of concepts versus controlling the cost of obtaining concept extractions, resulting in a large interpretability-accuracy tradeoff. This work investigates a novel approach that sidesteps these challenges: BC-LLM iteratively searches over a potentially infinite set of concepts within a Bayesian framework, in which Large Language Models (LLMs) serve as both a concept extraction mechanism and prior. Even though LLMs can be miscalibrated and hallucinate, we prove that BC-LLM can provide rigorous statistical inference and uncertainty quantification. Across image, text, and tabular datasets, BC-LLM outperforms interpretable baselines and even black-box models in certain settings, converges more rapidly towards relevant concepts, and is more robust to out-of-distribution samples.

NeurIPS Conference 2024 Conference Paper

A hierarchical decomposition for explaining ML performance discrepancies

  • Harvineet Singh
  • Fan Xia
  • Adarsh Subbaswamy
  • Alexej Gossmann
  • Jean Feng

Machine learning (ML) algorithms can often differ in performance across domains. Understanding why their performance differs is crucial for determining what types of interventions (e. g. , algorithmic or operational) are most effective at closing the performance gaps. Aggregate decompositions express the total performance gap as the gap due to a shift in the feature distribution $p(X)$ plus the gap due to a shift in the outcome's conditional distribution $p(Y|X)$. While this coarse explanation is helpful for guiding root cause analyses, it provides limited details and can only suggest coarse fixes involving all variables in an ML system. Detailed decompositions quantify the importance of each variable to each term in the aggregate decomposition, which can provide a deeper understanding and suggest more targeted interventions. Although parametric methods exist for conducting a full hierarchical decomposition of an algorithm's performance gap at the aggregate and detailed levels, current nonparametric methods only cover parts of the hierarchy; many also require knowledge of the entire causal graph. We introduce a nonparametric hierarchical framework for explaining why the performance of an ML algorithm differs across domains, without requiring causal knowledge. Furthermore, we derive debiased, computationally-efficient estimators and statistical inference procedures to construct confidence intervals for the explanations.

UAI Conference 2022 Conference Paper

Sequential algorithmic modification with test data reuse

  • Jean Feng
  • Gene Pennello
  • Nicholas Petrick
  • Berkman Sahiner
  • Romain Pirracchio
  • Alexej Gossmann

After initial release of a machine learning algorithm, the model can be fine-tuned by retraining on subsequently gathered data, adding newly discovered features, or more. Each modification introduces a risk of deteriorating performance and must be validated on a test dataset. It may not always be practical to assemble a new dataset for testing each modification, especially when most modifications are minor or are implemented in rapid succession. Recent work has shown how one can repeatedly test modifications on the same dataset and protect against overfitting by (i) discretizing test results along a grid and (ii) applying a Bonferroni correction to adjust for the total number of modifications considered by an adaptive developer. However, the standard Bonferroni correction is overly conservative when most modifications are beneficial and/or highly correlated. This work investigates more powerful approaches using alpha-recycling and sequentially-rejective graphical procedures (SRGPs). We introduce two novel extensions that account for correlation between adaptively chosen algorithmic modifications: the first leverages the correlation between consecutive modifications using flexible fixed sequence tests, and the second leverages the correlation between the proposed modifications and those generated by a hypothetical prespecified model updating procedure. In empirical analyses, both SRGPs control the error rate of approving deleterious modifications and approve significantly more beneficial modifications than previous approaches.

ICML Conference 2020 Conference Paper

Efficient nonparametric statistical inference on population feature importance using Shapley values

  • Brian D. Williamson
  • Jean Feng

The true population-level importance of a variable in a prediction task provides useful knowledge about the underlying data-generating mechanism and can help in deciding which measurements to collect in subsequent experiments. Valid statistical inference on this importance is a key component in understanding the population of interest. We present a computationally efficient procedure for estimating and obtaining valid statistical inference on the \textbf{S}hapley \textbf{P}opulation \textbf{V}ariable \textbf{I}mportance \textbf{M}easure (SPVIM). Although the computational complexity of the true SPVIM scales exponentially with the number of variables, we propose an estimator based on randomly sampling only $\Theta(n)$ feature subsets given $n$ observations. We prove that our estimator converges at an asymptotically optimal rate. Moreover, by deriving the asymptotic distribution of our estimator, we construct valid confidence intervals and hypothesis tests. Our procedure has good finite-sample performance in simulations, and for an in-hospital mortality prediction task produces similar variable importance estimates when different machine learning algorithms are applied.

ICML Conference 2018 Conference Paper

Nonparametric variable importance using an augmented neural network with multi-task learning

  • Jean Feng
  • Brian D. Williamson
  • Marco Carone
  • Noah Simon

In predictive modeling applications, it is often of interest to determine the relative contribution of subsets of features in explaining the variability of an outcome. It is useful to consider this variable importance as a function of the unknown, underlying data-generating mechanism rather than the specific predictive algorithm used to fit the data. In this paper, we connect these ideas in nonparametric variable importance to machine learning, and provide a method for efficient estimation of variable importance when building a predictive model using a neural network. We show how a single augmented neural network with multi-task learning simultaneously estimates the importance of many feature subsets, improving on previous procedures for estimating importance. We demonstrate on simulated data that our method is both accurate and computationally efficient, and apply our method to both a study of heart disease and for predicting mortality in ICU patients.

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