Debodeep Banerjee

Debodeep Banerjee, Stefano Teso, Andrea Passerini

In learning to defer, a predictor identifies risky decisions and defers them to a human expert. One key issue with this setup is that the expert may end up over-relying on the machine's decisions, due to anchoring bias. At the same time, whenever the machine chooses the deferral option the expert has to take decisions entirely unassisted. As a remedy, we propose learning to guide (LTG), an alternative framework in which -- rather than suggesting ready-made decisions -- the machine provides guidance useful to guide decision-making, and the human is entirely responsible for coming up with a decision. We also introduce SLOG, an LTG implementation that leverages (a small amount of) human supervision to convert a generic large language model into a module capable of generating textual guidance, and present preliminary but promising results on a medical diagnosis task.

Debodeep Banerjee, Burcu Sayin, Stefano Teso et al.

Building on recent advances in AI, hybrid decision making (HDM) holds the promise of improving human decision quality and reducing cognitive load. We work in the context of learning to guide (LtG), a recently proposed HDM framework in which the human is always responsible for the final decision: rather than suggesting decisions, in LtG the AI supplies (textual) guidance useful for facilitating decision making. One limiting factor of existing approaches is that their guidance compounds information about all possible outcomes, and as a result it can be difficult to digest. We address this issue by introducing ConfGuide, a novel LtG approach that generates more succinct and targeted guidance. To this end, it employs conformal risk control to select a set of outcomes, ensuring a cap on the false negative rate. We demonstrate our approach on a real-world multi-label medical diagnosis task. Our empirical evaluation highlights the promise of ConfGuide.

Debodeep Banerjee, Stefano Teso, Burcu Sayin et al.

There is increasing interest in developing AIs for assisting human decision-making in high-stakes tasks, such as medical diagnosis, for the purpose of improving decision quality and reducing cognitive strain. Mainstream approaches team up an expert with a machine learning model to which safer decisions are offloaded, thus letting the former focus on cases that demand their attention. his separation of responsibilities setup, however, is inadequate for high-stakes scenarios. On the one hand, the expert may end up over-relying on the machine's decisions due to anchoring bias, thus losing the human oversight that is increasingly being required by regulatory agencies to ensure trustworthy AI. On the other hand, the expert is left entirely unassisted on the (typically hardest) decisions on which the model abstained. As a remedy, we introduce learning to guide (LTG), an alternative framework in which - rather than taking control from the human expert - the machine provides guidance useful for decision making, and the human is entirely responsible for coming up with a decision. In order to ensure guidance is interpretable} and task-specific, we develop SLOG, an approach for turning any vision-language model into a capable generator of textual guidance by leveraging a modicum of human feedback. Our empirical evaluation highlights the promise of \method on a challenging, real-world medical diagnosis task.

Debodeep Banerjee, Burcu Sayin, Stefano Teso et al.

Medical decision-making is a critical task, where errors can result in serious, potentially life-threatening consequences. While full automation remains challenging, hybrid frameworks that combine machine intelligence with human oversight offer a practical alternative. In this paper, we present MedGellan, a lightweight, annotation-free framework that uses a Large Language Model (LLM) to generate clinical guidance from raw medical records, which is then used by a physician to predict diagnoses. MedGellan uses a Bayesian-inspired prompting strategy that respects the temporal order of clinical data. Preliminary experiments show that the guidance generated by the LLM with MedGellan improves diagnostic performance, particularly in recall and $F_1$ score.