arXiv subjects

Abinitha Gourabathina

Publications and source records attributed to Abinitha Gourabathina.

5 recordsLinked to original sources

arXiv2026

Rank-Constrained Adaptation for Reliable Real-World Performance

Deep learning models trained to optimize average accuracy often exhibit systematic failures on particular subpopulations. In real-world settings like healthcare, the subpopulations most affected by such disparities are frequently unlabeled, partially observed, or not known in advance. Existing group-robust methods typically assume prior knowledge of the relevant subgroups, using group annotations for training, validation, or model selection. We propose Misclassification Aware Rank-Limited Adaptation (MARLA), a parameter-efficient method for improving worst group performance without explicit subgroup annotations. MARLA leverages an ERM-trained model by calculating the model's misclassification probability scores on a held-out adaptation set to identify a low-dimensional subspace where errors concentrate. We then learn a rank-restricted additive correction to the classifier logits within that subspace. Across seven real-world datasets, we evaluate group robustness under three settings: no knowledge of subgroup relevance, partial knowledge of subgroup relevance, and full knowledge of subgroup relevance. MARLA improves worst-group performance while remaining fast and parameter-efficient, with data-guided hyperparameter selection.

cs.LG↗

arXiv2026

Sense and Sensitivity: Benchmarking LLM Clinical Triage Recommendations with Physician Experts

As large language models (LLMs) are increasingly used in clinical settings, it is critical to evaluate their reliability under realistic variation in clinical text. We study this question in clinical triage, comparing LLMs to practicing physicians under text perturbations that preserve the underlying clinical setting. We introduce a benchmark of over 6,000 clinical scenarios, 7,000 physician annotations, and 225,000 model responses. Using this benchmark, we make two key observations. First, LLMs are more likely than physicians to recommend unnecessary care at baseline, and this tendency increases under perturbed inputs. Further, we find that LLM recommendations are more sensitive to gender and tone perturbations than human recommendations. Together, these results demonstrate that LLMs can vary under clinically irrelevant textual changes, highlighting the need for deployment-oriented evaluations grounded in expert physician behavior.

cs.AI↗

arXiv2026

MatrAIx: Simulating the World with 8.3 Billion Persona Agents

Human evaluation of AI systems and digital products is costly, slow, and difficult to scale. Offline evaluations are more scalable but often abstract away human diversity and interactive behavior. We therefore introduce MatrAIx, a population-scale simulated-user evaluation infrastructure for testing AI systems and digital products with heterogeneous users. MatrAIx has three core components: First, Persona 8B contains 8.3 billion persona records represented by 1,290 categorical dimensions. Records are either sampled from a dependency graph that preserves correlated attributes or derived from human-authored profiles. We release a quality-filtered coreset of approximately 1 million personas, comprising 599,847 human-grounded and 400,000 synthetic records. Second, the MatrAIx Playground provides four environments in which diverse users evaluate and interact with digital products: Survey, AI Chatbot, Web, and App. Third, MatrAIx provides 1,010 application tasks spanning more than 25 domains, including Commerce, Software, Finance, and Healthcare. We conducted 18,189 evaluation trials across eight representative tasks. Persona agents were powered by three LLMs: Claude Opus 4.8, GPT 5.5, and Claude Haiku 4.5. The resulting feedback captures how decisions and preferences vary across persona backgrounds, including hesitation after a price increase, willingness to continue after an AI assistant fails, and latency tolerance. We conducted two main validation studies: First, a 400-trial controlled study evaluated persona adherence across ten behavioral attributes and all four environments. The declared behavior was expressed or correctly suppressed in 366 trials (91.5%). Second, human and LLM judges evaluated the extraction quality of human-grounded personas. Overall, MatrAIx provides an end-to-end infrastructure for evaluating AI systems and digital products with diverse simulated human users.

cs.AI↗

arXiv2026

Answering the Wrong Question: Reasoning Trace Inversion for Abstention in LLMs

For Large Language Models (LLMs) to be reliably deployed, models must effectively know when not to answer: abstain. Reasoning models, in particular, have gained attention for impressive performance on complex tasks. However, reasoning models have been shown to have worse abstention abilities. Taking the vulnerabilities of reasoning models into account, we propose our Query Misalignment Framework. Hallucinations resulting in failed abstention can be reinterpreted as LLMs answering the wrong question (rather than answering a question incorrectly). Based on this framework, we develop a new class of state-of-the-art abstention methods called Trace Inversion. First, we generate the reasoning trace of a model. Based on only the trace, we then reconstruct the most likely query that the model responded to. Finally, we compare the initial query with the reconstructed query. Low similarity score between the initial query and reconstructed query suggests that the model likely answered the question incorrectly and is flagged to abstain. Extensive experiments demonstrate that Trace Inversion effectively boosts abstention performance in four frontier LLMs across nine abstention QA datasets, beating competitive baselines in 33 out of 36 settings.

cs.AI↗

arXiv2025

The MedPerturb Dataset: What Non-Content Perturbations Reveal About Human and Clinical LLM Decision Making

Clinical robustness is critical to the safe deployment of medical Large Language Models (LLMs), but key questions remain about how LLMs and humans may differ in response to the real-world variability typified by clinical settings. To address this, we introduce MedPerturb, a dataset designed to systematically evaluate medical LLMs under controlled perturbations of clinical input. MedPerturb consists of clinical vignettes spanning a range of pathologies, each transformed along three axes: (1) gender modifications (e.g., gender-swapping or gender-removal); (2) style variation (e.g., uncertain phrasing or colloquial tone); and (3) format changes (e.g., LLM-generated multi-turn conversations or summaries). With MedPerturb, we release a dataset of 800 clinical contexts grounded in realistic input variability, outputs from four LLMs, and three human expert reads per clinical context. We use MedPerturb in two case studies to reveal how shifts in gender identity cues, language style, or format reflect diverging treatment selections between humans and LLMs. We find that LLMs are more sensitive to gender and style perturbations while human annotators are more sensitive to LLM-generated format perturbations such as clinical summaries. Our results highlight the need for evaluation frameworks that go beyond static benchmarks to assess the similarity between human clinician and LLM decisions under the variability characteristic of clinical settings.

cs.AI↗