Berk Ustun

Julian Skirzynski, Harry Cheon, Shreyas Kadekodi et al.

Concept bottleneck models predict outcomes from high-level concepts detected in inputs. Although concepts provide a simple way to reap benefits from interpretability, very few datasets include concept labels. This limits researchers' ability to determine which problems are suitable for these models, isolate the factors that drive their performance or lead to failures, or uncover which algorithms perform well. In this paper, we develop synthetic benchmarks for concept-bottleneck models, focusing on their two main use cases: decision support, in which models assist humans in making better decisions, and automation, in which models handle routine tasks without supervision. Our benchmarks can generate labeled datasets while controlling for properties that affect performance, including data modality, concept choice, annotation quality, and completeness. We demonstrate how the benchmarks can be used to evaluate representative classes of concept bottleneck models. Our demonstrations show how the benchmarks can diagnose failure modes and guide follow-up testing.

Jamelle Watson-Daniels, David C. Parkes, Berk Ustun

Machine learning models are often used to inform real world risk assessment tasks: predicting consumer default risk, predicting whether a person suffers from a serious illness, or predicting a person's risk to appear in court. Given multiple models that perform almost equally well for a prediction task, to what extent do predictions vary across these models? If predictions are relatively consistent for similar models, then the standard approach of choosing the model that optimizes a penalized loss suffices. But what if predictions vary significantly for similar models? In machine learning, this is referred to as predictive multiplicity i.e. the prevalence of conflicting predictions assigned by near-optimal competing models. In this paper, we present a framework for measuring predictive multiplicity in probabilistic classification (predicting the probability of a positive outcome). We introduce measures that capture the variation in risk estimates over the set of competing models, and develop optimization-based methods to compute these measures efficiently and reliably for convex empirical risk minimization problems. We demonstrate the incidence and prevalence of predictive multiplicity in real-world tasks. Further, we provide insight into how predictive multiplicity arises by analyzing the relationship between predictive multiplicity and data set characteristics (outliers, separability, and majority-minority structure). Our results emphasize the need to report predictive multiplicity more widely.

Vinith M. Suriyakumar, Marzyeh Ghassemi, Berk Ustun

Machine learning models are often personalized with categorical attributes that are protected, sensitive, self-reported, or costly to acquire. In this work, we show models that are personalized with group attributes can reduce performance at a group level. We propose formal conditions to ensure the "fair use" of group attributes in prediction tasks by training one additional model -- i.e., collective preference guarantees to ensure that each group who provides personal data will receive a tailored gain in performance in return. We present sufficient conditions to ensure fair use in empirical risk minimization and characterize failure modes that lead to fair use violations due to standard practices in model development and deployment. We present a comprehensive empirical study of fair use in clinical prediction tasks. Our results demonstrate the prevalence of fair use violations in practice and illustrate simple interventions to mitigate their harm.

Hailey Joren, Chirag Nagpal, Katherine Heller et al.

Machine learning models are often personalized with information that is protected, sensitive, self-reported, or costly to acquire. These models use information about people but do not facilitate nor inform their consent. Individuals cannot opt out of reporting personal information to a model, nor tell if they benefit from personalization in the first place. We introduce a family of classification models, called participatory systems, that let individuals opt into personalization at prediction time. We present a model-agnostic algorithm to learn participatory systems for personalization with categorical group attributes. We conduct a comprehensive empirical study of participatory systems in clinical prediction tasks, benchmarking them with common approaches for personalization and imputation. Our results demonstrate that participatory systems can facilitate and inform consent while improving performance and data use across all groups who report personal data.

Avni Kothari, Bogdan Kulynych, Tsui-Wei Weng et al.

Machine learning models are often used to decide who receives a loan, a job interview, or a public benefit. Models in such settings use features without considering their actionability. As a result, they can assign predictions that are fixed $-$ meaning that individuals who are denied loans and interviews are, in fact, precluded from access to credit and employment. In this work, we introduce a procedure called recourse verification to test if a model assigns fixed predictions to its decision subjects. We propose a model-agnostic approach for recourse verification with reachable sets $-$ i.e., the set of all points that a person can reach through their actions in feature space. We develop methods to construct reachable sets for discrete feature spaces, which can certify the responsiveness of any model by simply querying its predictions. We conduct a comprehensive empirical study on the infeasibility of recourse on datasets from consumer finance. Our results highlight how models can inadvertently preclude access by assigning fixed predictions and underscore the need to account for actionability in model development.

Chung-En Sun, Tuomas Oikarinen, Berk Ustun et al.

We introduce Concept Bottleneck Large Language Models (CB-LLMs), a novel framework for building inherently interpretable Large Language Models (LLMs). In contrast to traditional black-box LLMs that rely on limited post-hoc interpretations, CB-LLMs integrate intrinsic interpretability directly into the LLMs -- allowing accurate explanations with scalability and transparency. We build CB-LLMs for two essential NLP tasks: text classification and text generation. In text classification, CB-LLMs is competitive with, and at times outperforms, traditional black-box models while providing explicit and interpretable reasoning. For the more challenging task of text generation, interpretable neurons in CB-LLMs enable precise concept detection, controlled generation, and safer outputs. The embedded interpretability empowers users to transparently identify harmful content, steer model behavior, and unlearn undesired concepts -- significantly enhancing the safety, reliability, and trustworthiness of LLMs, which are critical capabilities notably absent in existing models. Our code is available at https://github.com/Trustworthy-ML-Lab/CB-LLMs.

Jamelle Watson-Daniels, Flavio du Pin Calmon, Alexander D'Amour et al.

Issues can arise when research focused on fairness, transparency, or safety is conducted separately from research driven by practical deployment concerns and vice versa. This separation creates a growing need for translational work that bridges the gap between independently studied concepts that may be fundamentally related. This paper explores connections between two seemingly unrelated concepts of predictive inconsistency that share intriguing parallels. The first, known as predictive multiplicity, occurs when models that perform similarly (e.g., nearly equivalent training loss) produce conflicting predictions for individual samples. This concept is often emphasized in algorithmic fairness research as a means of promoting transparency in ML model development. The second concept, predictive churn, examines the differences in individual predictions before and after model updates, a key challenge in deploying ML models in consumer-facing applications. We present theoretical and empirical results that uncover links between these previously disconnected concepts.

Seung Hyun Cheon, Anneke Wernerfelt, Sorelle A. Friedler et al.

Machine learning models routinely automate decisions in applications like lending and hiring. In such settings, consumer protection rules require companies that deploy models to explain predictions to decision subjects. These rules are motivated, in part, by the belief that explanations can promote recourse by revealing information that individuals can use to contest or improve their outcomes. In practice, many companies comply with these rules by providing individuals with a list of the most important features for their prediction, which they identify based on feature importance scores from feature attribution methods such as SHAP or LIME. In this work, we show how these practices can undermine consumers by highlighting features that would not lead to an improved outcome and by explaining predictions that cannot be changed. We propose to address these issues by highlighting features based on their responsiveness score -- i.e., the probability that an individual can attain a target prediction by changing a specific feature. We develop efficient methods to compute responsiveness scores for any model and any dataset. We conduct an extensive empirical study on the responsiveness of explanations in lending. Our results show that standard practices in consumer finance can backfire by presenting consumers with reasons without recourse, and demonstrate how our approach improves consumer protection by highlighting responsive features and identifying fixed predictions.

Hyewon Jeong, Sarah Jabbour, Yuzhe Yang et al. · uw

The third ML4H symposium was held in person on December 10, 2023, in New Orleans, Louisiana, USA. The symposium included research roundtable sessions to foster discussions between participants and senior researchers on timely and relevant topics for the \ac{ML4H} community. Encouraged by the successful virtual roundtables in the previous year, we organized eleven in-person roundtables and four virtual roundtables at ML4H 2022. The organization of the research roundtables at the conference involved 17 Senior Chairs and 19 Junior Chairs across 11 tables. Each roundtable session included invited senior chairs (with substantial experience in the field), junior chairs (responsible for facilitating the discussion), and attendees from diverse backgrounds with interest in the session's topic. Herein we detail the organization process and compile takeaways from these roundtable discussions, including recent advances, applications, and open challenges for each topic. We conclude with a summary and lessons learned across all roundtables. This document serves as a comprehensive review paper, summarizing the recent advancements in machine learning for healthcare as contributed by foremost researchers in the field.

Sujay Nagaraj, Yang Liu, Flavio P. Calmon et al.

Machine learning models are routinely used to support decisions that affect individuals -- be it to screen a patient for a serious illness or to gauge their response to treatment. In these tasks, we are limited to learning models from datasets with noisy labels. In this paper, we study the instance-level impact of learning under label noise. We introduce a notion of regret for this regime, which measures the number of unforeseen mistakes due to noisy labels. We show that standard approaches to learning under label noise can return models that perform well at a population-level while subjecting individuals to a lottery of mistakes. We present a versatile approach to estimate the likelihood of mistakes at the individual-level from a noisy dataset by training models over plausible realizations of datasets without label noise. This is supported by a comprehensive empirical study of label noise in clinical prediction tasks. Our results reveal how failure to anticipate mistakes can compromise model reliability and adoption -- we demonstrate how we can address these challenges by anticipating and avoiding regretful decisions.

Lydia T. Liu, Inioluwa Deborah Raji, Angela Zhou et al.

Many automated decision systems (ADS) are designed to solve prediction problems -- where the goal is to learn patterns from a sample of the population and apply them to individuals from the same population. In reality, these prediction systems operationalize holistic policy interventions in deployment. Once deployed, ADS can shape impacted population outcomes through an effective policy change in how decision-makers operate, while also being defined by past and present interactions between stakeholders and the limitations of existing organizational, as well as societal, infrastructure and context. In this work, we consider the ways in which we must shift from a prediction-focused paradigm to an interventionist paradigm when considering the impact of ADS within social systems. We argue this requires a new default problem setup for ADS beyond prediction, to instead consider predictions as decision support, final decisions, and outcomes. We highlight how this perspective unifies modern statistical frameworks and other tools to study the design, implementation, and evaluation of ADS systems, and point to the research directions necessary to operationalize this paradigm shift. Using these tools, we characterize the limitations of focusing on isolated prediction tasks, and lay the foundation for a more intervention-oriented approach to developing and deploying ADS.

Hailey Joren, Charles Marx, Berk Ustun

We propose a new approach to promote safety in classification tasks with established concepts. Our approach -- called a conceptual safeguard -- acts as a verification layer for models that predict a target outcome by first predicting the presence of intermediate concepts. Given this architecture, a safeguard ensures that a model meets a minimal level of accuracy by abstaining from uncertain predictions. In contrast to a standard selective classifier, a safeguard provides an avenue to improve coverage by allowing a human to confirm the presence of uncertain concepts on instances on which it abstains. We develop methods to build safeguards that maximize coverage without compromising safety, namely techniques to propagate the uncertainty in concept predictions and to flag salient concepts for human review. We benchmark our approach on a collection of real-world and synthetic datasets, showing that it can improve performance and coverage in deep learning tasks.

Sejoon Oh, Berk Ustun, Julian McAuley et al.

Modern recommender systems may output considerably different recommendations due to small perturbations in the training data. Changes in the data from a single user will alter the recommendations as well as the recommendations of other users. In applications like healthcare, housing, and finance, this sensitivity can have adverse effects on user experience. We propose a method to stabilize a given recommender system against such perturbations. This is a challenging task due to (1) the lack of a ``reference'' rank list that can be used to anchor the outputs; and (2) the computational challenges in ensuring the stability of rank lists with respect to all possible perturbations of training data. Our method, FINEST, overcomes these challenges by obtaining reference rank lists from a given recommendation model and then fine-tuning the model under simulated perturbation scenarios with rank-preserving regularization on sampled items. Our experiments on real-world datasets demonstrate that FINEST can ensure that recommender models output stable recommendations under a wide range of different perturbations without compromising next-item prediction accuracy.

Jessica Hullman, Ziyang Guo, Berk Ustun

Modern methods for explainable machine learning are designed to describe how models map inputs to outputs--without deep consideration of how these explanations will be used in practice. This paper argues that explanations should be designed and evaluated with a specific end in mind. We describe how to formalize this end in a framework based in statistical decision theory. We show how this functionally-grounded approach can be applied across diverse use cases, such as clinical decision support, providing recourse, or debugging. We demonstrate its use to characterize the maximum "boost" in performance on a particular task that an explanation could provide an idealized decision-maker, preventing misuse due to ambiguity by forcing researchers to specify concrete use cases that can be analyzed in light of models of expected explanation use. We argue that evaluation should meld theoretical and empirical perspectives on the value of explanation, and contribute definitions that span these perspectives.

Connor Lawless, Tsui-Wei Weng, Berk Ustun et al.

Machine learning models can assign fixed predictions that preclude individuals from changing their outcome. Existing approaches to audit fixed predictions do so on a pointwise basis, which requires access to an existing dataset of individuals and may fail to anticipate fixed predictions in out-of-sample data. This work presents a new paradigm to identify fixed predictions by finding confined regions of the feature space in which all individuals receive fixed predictions. This paradigm enables the certification of recourse for out-of-sample data, works in settings without representative datasets, and provides interpretable descriptions of individuals with fixed predictions. We develop a fast method to discover confined regions for linear classifiers using mixed-integer quadratically constrained programming. We conduct a comprehensive empirical study of confined regions across diverse applications. Our results highlight that existing pointwise verification methods fail to anticipate future individuals with fixed predictions, while our method both identifies them and provides an interpretable description.

Erin George, Deanna Needell, Berk Ustun

Many prediction tasks can admit multiple models that can perform almost equally well. This phenomenon can can undermine interpretability and safety when competing models assign conflicting predictions to individuals. In this work, we study how arbitrariness can arise in probabilistic classification tasks as a result of an effect that we call \emph{observational multiplicity}. We discuss how this effect arises in a broad class of practical applications where we learn a classifier to predict probabilities $p_i \in [0,1]$ but are given a dataset of observations $y_i \in \{0,1\}$. We propose to evaluate the arbitrariness of individual probability predictions through the lens of \emph{regret}. We introduce a measure of regret for probabilistic classification tasks, which measures how the predictions of a model could change as a result of different training labels change. We present a general-purpose method to estimate the regret in a probabilistic classification task. We use our measure to show that regret is higher for certain groups in the dataset and discuss potential applications of regret. We demonstrate how estimating regret promote safety in real-world applications by abstention and data collection.

Seung Hyun Cheon, Meredith Stewart, Bogdan Kulynych et al.

Many safety failures in machine learning arise when models are used to assign predictions to people (often in settings like lending, hiring, or content moderation) without accounting for how individuals can change their inputs. In this work, we introduce a formal validation procedure for the responsiveness of predictions with respect to interventions on their features. Our procedure frames responsiveness as a type of sensitivity analysis in which practitioners control a set of changes by specifying constraints over interventions and distributions over downstream effects. We describe how to estimate responsiveness for the predictions of any model and any dataset using only black-box access, and how to use these estimates to support tasks such as falsification and failure probability estimation. We develop algorithms that construct these estimates by generating a uniform sample of reachable points, and demonstrate how they can promote safety in real-world applications such as recidivism prediction, organ transplant prioritization, and content moderation.

Sujay Nagaraj, Walter Gerych, Sana Tonekaboni et al.

Many time series classification tasks, where labels vary over time, are affected by label noise that also varies over time. Such noise can cause label quality to improve, worsen, or periodically change over time. We first propose and formalize temporal label noise, an unstudied problem for sequential classification of time series. In this setting, multiple labels are recorded over time while being corrupted by a time-dependent noise function. We first demonstrate the importance of modeling the temporal nature of the label noise function and how existing methods will consistently underperform. We then propose methods to train noise-tolerant classifiers by estimating the temporal label noise function directly from data. We show that our methods lead to state-of-the-art performance under diverse types of temporal label noise on real-world datasets

Jennifer Chien, Margaret Roberts, Berk Ustun

Dynamic learning systems subject to selective labeling exhibit censoring, i.e. persistent negative predictions assigned to one or more subgroups of points. In applications like consumer finance, this results in groups of applicants that are persistently denied and thus never enter into the training data. In this work, we formalize censoring, demonstrate how it can arise, and highlight difficulties in detection. We consider safeguards against censoring - recourse and randomized-exploration - both of which ensure we collect labels for points that would otherwise go unobserved. The resulting techniques allow examples from censored groups to enter into the training data and correct the model. Our results highlight the otherwise unmeasured harms of censoring and demonstrate the effectiveness of mitigation strategies across a range of data generating processes.

Sejoon Oh, Berk Ustun, Julian McAuley et al.

Prediction models can exhibit sensitivity with respect to training data: small changes in the training data can produce models that assign conflicting predictions to individual data points during test time. In this work, we study this sensitivity in recommender systems, where users' recommendations are drastically altered by minor perturbations in other unrelated users' interactions. We introduce a measure of stability for recommender systems, called Rank List Sensitivity (RLS), which measures how rank lists generated by a given recommender system at test time change as a result of a perturbation in the training data. We develop a method, CASPER, which uses cascading effect to identify the minimal and systematical perturbation to induce higher instability in a recommender system. Experiments on four datasets show that recommender models are overly sensitive to minor perturbations introduced randomly or via CASPER - even perturbing one random interaction of one user drastically changes the recommendation lists of all users. Importantly, with CASPER perturbation, the models generate more unstable recommendations for low-accuracy users (i.e., those who receive low-quality recommendations) than high-accuracy ones.

Haoran Zhang, Quaid Morris, Berk Ustun et al.

Checklists are simple decision aids that are often used to promote safety and reliability in clinical applications. In this paper, we present a method to learn checklists for clinical decision support. We represent predictive checklists as discrete linear classifiers with binary features and unit weights. We then learn globally optimal predictive checklists from data by solving an integer programming problem. Our method allows users to customize checklists to obey complex constraints, including constraints to enforce group fairness and to binarize real-valued features at training time. In addition, it pairs models with an optimality gap that can inform model development and determine the feasibility of learning sufficiently accurate checklists on a given dataset. We pair our method with specialized techniques that speed up its ability to train a predictive checklist that performs well and has a small optimality gap. We benchmark the performance of our method on seven clinical classification problems, and demonstrate its practical benefits by training a short-form checklist for PTSD screening. Our results show that our method can fit simple predictive checklists that perform well and that can easily be customized to obey a rich class of custom constraints.

Charles T. Marx, Flavio du Pin Calmon, Berk Ustun

Prediction problems often admit competing models that perform almost equally well. This effect challenges key assumptions in machine learning when competing models assign conflicting predictions. In this paper, we define predictive multiplicity as the ability of a prediction problem to admit competing models with conflicting predictions. We introduce formal measures to evaluate the severity of predictive multiplicity and develop integer programming tools to compute them exactly for linear classification problems. We apply our tools to measure predictive multiplicity in recidivism prediction problems. Our results show that real-world datasets may admit competing models that assign wildly conflicting predictions, and motivate the need to measure and report predictive multiplicity in model development.

Hao Wang, Berk Ustun, Flavio P. Calmon

When the performance of a machine learning model varies over groups defined by sensitive attributes (e.g., gender or ethnicity), the performance disparity can be expressed in terms of the probability distributions of the input and output variables over each group. In this paper, we exploit this fact to reduce the disparate impact of a fixed classification model over a population of interest. Given a black-box classifier, we aim to eliminate the performance gap by perturbing the distribution of input variables for the disadvantaged group. We refer to the perturbed distribution as a counterfactual distribution, and characterize its properties for common fairness criteria. We introduce a descent algorithm to learn a counterfactual distribution from data. We then discuss how the estimated distribution can be used to build a data preprocessor that can reduce disparate impact without training a new model. We validate our approach through experiments on real-world datasets, showing that it can repair different forms of disparity without a significant drop in accuracy.

Berk Ustun, Alexander Spangher, Yang Liu

Machine learning models are increasingly used to automate decisions that affect humans - deciding who should receive a loan, a job interview, or a social service. In such applications, a person should have the ability to change the decision of a model. When a person is denied a loan by a credit score, for example, they should be able to alter its input variables in a way that guarantees approval. Otherwise, they will be denied the loan as long as the model is deployed. More importantly, they will lack the ability to influence a decision that affects their livelihood. In this paper, we frame these issues in terms of recourse, which we define as the ability of a person to change the decision of a model by altering actionable input variables (e.g., income vs. age or marital status). We present integer programming tools to ensure recourse in linear classification problems without interfering in model development. We demonstrate how our tools can inform stakeholders through experiments on credit scoring problems. Our results show that recourse can be significantly affected by standard practices in model development, and motivate the need to evaluate recourse in practice.

Hao Wang, Berk Ustun, Flavio P. Calmon

In the context of machine learning, disparate impact refers to a form of systematic discrimination whereby the output distribution of a model depends on the value of a sensitive attribute (e.g., race or gender). In this paper, we propose an information-theoretic framework to analyze the disparate impact of a binary classification model. We view the model as a fixed channel, and quantify disparate impact as the divergence in output distributions over two groups. Our aim is to find a correction function that can perturb the input distributions of each group to align their output distributions. We present an optimization problem that can be solved to obtain a correction function that will make the output distributions statistically indistinguishable. We derive closed-form expressions to efficiently compute the correction function, and demonstrate the benefits of our framework on a recidivism prediction problem based on the ProPublica COMPAS dataset.

Berk Ustun, Cynthia Rudin

Risk scores are simple classification models that let users make quick risk predictions by adding and subtracting a few small numbers. These models are widely used in medicine and criminal justice, but are difficult to learn from data because they need to be calibrated, sparse, use small integer coefficients, and obey application-specific operational constraints. In this paper, we present a new machine learning approach to learn risk scores. We formulate the risk score problem as a mixed integer nonlinear program, and present a cutting plane algorithm for non-convex settings to efficiently recover its optimal solution. We improve our algorithm with specialized techniques to generate feasible solutions, narrow the optimality gap, and reduce data-related computation. Our approach can fit risk scores in a way that scales linearly in the number of samples, provides a certificate of optimality, and obeys real-world constraints without parameter tuning or post-processing. We benchmark the performance benefits of this approach through an extensive set of numerical experiments, comparing to risk scores built using heuristic approaches. We also discuss its practical benefits through a real-world application where we build a customized risk score for ICU seizure prediction in collaboration with the Massachusetts General Hospital.

Jiaming Zeng, Berk Ustun, Cynthia Rudin

We investigate a long-debated question, which is how to create predictive models of recidivism that are sufficiently accurate, transparent, and interpretable to use for decision-making. This question is complicated as these models are used to support different decisions, from sentencing, to determining release on probation, to allocating preventative social services. Each use case might have an objective other than classification accuracy, such as a desired true positive rate (TPR) or false positive rate (FPR). Each (TPR, FPR) pair is a point on the receiver operator characteristic (ROC) curve. We use popular machine learning methods to create models along the full ROC curve on a wide range of recidivism prediction problems. We show that many methods (SVM, Ridge Regression) produce equally accurate models along the full ROC curve. However, methods that designed for interpretability (CART, C5.0) cannot be tuned to produce models that are accurate and/or interpretable. To handle this shortcoming, we use a new method known as SLIM (Supersparse Linear Integer Models) to produce accurate, transparent, and interpretable models along the full ROC curve. These models can be used for decision-making for many different use cases, since they are just as accurate as the most powerful black-box machine learning models, but completely transparent, and highly interpretable.

Berk Ustun, Cynthia Rudin

Scoring systems are linear classification models that only require users to add, subtract and multiply a few small numbers in order to make a prediction. These models are in widespread use by the medical community, but are difficult to learn from data because they need to be accurate and sparse, have coprime integer coefficients, and satisfy multiple operational constraints. We present a new method for creating data-driven scoring systems called a Supersparse Linear Integer Model (SLIM). SLIM scoring systems are built by solving an integer program that directly encodes measures of accuracy (the 0-1 loss) and sparsity (the $\ell_0$-seminorm) while restricting coefficients to coprime integers. SLIM can seamlessly incorporate a wide range of operational constraints related to accuracy and sparsity, and can produce highly tailored models without parameter tuning. We provide bounds on the testing and training accuracy of SLIM scoring systems, and present a new data reduction technique that can improve scalability by eliminating a portion of the training data beforehand. Our paper includes results from a collaboration with the Massachusetts General Hospital Sleep Laboratory, where SLIM was used to create a highly tailored scoring system for sleep apnea screening

Berk Ustun, Cynthia Rudin

We present an integer programming framework to build accurate and interpretable discrete linear classification models. Unlike existing approaches, our framework is designed to provide practitioners with the control and flexibility they need to tailor accurate and interpretable models for a domain of choice. To this end, our framework can produce models that are fully optimized for accuracy, by minimizing the 0--1 classification loss, and that address multiple aspects of interpretability, by incorporating a range of discrete constraints and penalty functions. We use our framework to produce models that are difficult to create with existing methods, such as scoring systems and M-of-N rule tables. In addition, we propose specially designed optimization methods to improve the scalability of our framework through decomposition and data reduction. We show that discrete linear classifiers can attain the training accuracy of any other linear classifier, and provide an Occam's Razor type argument as to why the use of small discrete coefficients can provide better generalization. We demonstrate the performance and flexibility of our framework through numerical experiments and a case study in which we construct a highly tailored clinical tool for sleep apnea diagnosis.

Berk Ustun, Stefano Tracà, Cynthia Rudin

Scoring systems are classification models that only require users to add, subtract and multiply a few meaningful numbers to make a prediction. These models are often used because they are practical and interpretable. In this paper, we introduce an off-the-shelf tool to create scoring systems that both accurate and interpretable, known as a Supersparse Linear Integer Model (SLIM). SLIM is a discrete optimization problem that minimizes the 0-1 loss to encourage a high level of accuracy, regularizes the L0-norm to encourage a high level of sparsity, and constrains coefficients to a set of interpretable values. We illustrate the practical and interpretable nature of SLIM scoring systems through applications in medicine and criminology, and show that they are are accurate and sparse in comparison to state-of-the-art classification models using numerical experiments.

Berk Ustun, Stefano Traca, Cynthia Rudin

We introduce Supersparse Linear Integer Models (SLIM) as a tool to create scoring systems for binary classification. We derive theoretical bounds on the true risk of SLIM scoring systems, and present experimental results to show that SLIM scoring systems are accurate, sparse, and interpretable classification models.