Bryan Wilder

Khurram Yamin, Jingjing Tang, Santiago Cortes-Gomez et al.

Large language models (LLMs) are increasingly deployed as agents in high-stakes domains where optimal actions depend on both uncertainty about the world and consideration of utilities of different outcomes, yet their decision logic remains difficult to interpret. We study whether LLMs are rational utility maximizers with coherent beliefs and stable preferences. We consider behaviors of models for diagnosis challenge problems. The results provide insights about the relationship of LLM inferences to ideal Bayesian utility maximization for elicited probabilities and observed actions. Our approach provides falsifiable conditions under which the reported probabilities \emph{cannot} correspond to the true beliefs of any rational agent. We apply this methodology to multiple medical diagnostic domains with evaluations across several LLMs. We discuss implications of the results and directions forward for uses of LLMs in guiding high-stakes decisions.

Ivaxi Sheth, Zhijing Jin, Bryan Wilder et al.

In the presence of confounding between an endogenous variable and the outcome, instrumental variables (IVs) are used to isolate the causal effect of the endogenous variable. Identifying valid instruments requires interdisciplinary knowledge, creativity, and contextual understanding, making it a non-trivial task. In this paper, we investigate whether large language models (LLMs) can aid in this task. We perform a two-stage evaluation framework. First, we test whether LLMs can recover well-established instruments from the literature, assessing their ability to replicate standard reasoning. Second, we evaluate whether LLMs can identify and avoid instruments that have been empirically or theoretically discredited. Building on these results, we introduce IV Co-Scientist, a multi-agent system that proposes, critiques, and refines IVs for a given treatment-outcome pair. We also introduce a statistical test to contextualize consistency in the absence of ground truth. Our results show the potential of LLMs to discover valid instrumental variables from a large observational database.