Satvik Golechha

Mihir Kulkarni, Satvik Golechha, Rishi Raj et al.

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.

Pragya Srivastava, Satvik Golechha, Amit Deshpande et al.

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 many 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 to help 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. Our code is available at https://github.com/microsoft/nice-icl.

Pragnya Ramjee, Bhuvan Sachdeva, Satvik Golechha et al.

The healthcare landscape is evolving, with patients seeking reliable information about their health conditions and available treatment options. Despite the abundance of information sources, the digital age overwhelms individuals with excess, often inaccurate information. Patients primarily trust medical professionals, highlighting the need for expert-endorsed health information. However, increased patient loads on experts has led to reduced communication time, impacting information sharing. To address this gap, we developed CataractBot. CataractBot answers cataract surgery related questions instantly using an LLM to query a curated knowledge base, and provides expert-verified responses asynchronously. It has multimodal and multilingual capabilities. In an in-the-wild deployment study with 49 patients and attendants, 4 doctors, and 2 patient coordinators, CataractBot demonstrated potential, providing anytime accessibility, saving time, accommodating diverse literacy levels, alleviating power differences, and adding a privacy layer between patients and doctors. Users reported that their trust in the system was established through expert verification. Broadly, our results could inform future work on expert-mediated LLM bots.

Satvik Golechha, James Dao

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 important for safety and trust are not that trivial, which advocates for the study of hidden representations inside these networks as the unit of analysis. We formalize representations for features and behaviors, highlight their importance and evaluation, and perform an exploratory study of dishonesty representations in `Mistral-7B-Instruct-v0.1'. We justify that studying representations is an important and under-studied field, and highlight several challenges that arise while attempting to do so through currently established methods in MI, showing their insufficiency and advocating work on new frameworks for the same.