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Alyssa H. Smith

Publications and source records attributed to Alyssa H. Smith.

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A Consequentialist Critique of Binary Classification Evaluation: Theory, Practice, and Tools

Machine learning-supported decisions, such as ordering diagnostic tests or determining preventive custody, often require converting probabilistic forecasts into binary classifications. We adopt a consequentialist perspective from decision theory to argue that evaluation methods should prioritize forecast quality across thresholds and base rates. This motivates the use of proper scoring rules such as the Brier score and log loss. However, our empirical review of practices at major ML venues (ICML, FAccT, CHIL) reveals a dominant reliance on top-K metrics or fixed-threshold evaluations. To bridge this disconnect, we introduce a decision-theoretic framework that maps evaluation metrics to their appropriate use cases, accompanied by a practical Python package, \texttt{briertools}, which lowers the barrier to applying proper scoring rules in practice. Methodologically, we derive and implement a clipped Brier score variant that avoids full integration and better reflects bounded, interpretable threshold ranges. Theoretically, we reconcile the Brier score with decision curve analysis, directly addressing the critique of (Assel, et al. 2017) regarding the clinical utility of proper scoring rules.

cs.LG

Aligning Evaluation with Clinical Priorities: Calibration, Label Shift, and Error Costs

Machine learning-based decision support systems are increasingly deployed in clinical settings, where probabilistic scoring functions are used to inform and prioritize patient management decisions. However, widely used scoring rules, such as accuracy and AUC-ROC, fail to adequately reflect key clinical priorities, including calibration, robustness to distributional shifts, and sensitivity to asymmetric error costs. In this work, we propose a principled yet practical evaluation framework for selecting calibrated thresholded classifiers that explicitly accounts for the uncertainty in class prevalences and domain-specific cost asymmetries often found in clinical settings. Building on the theory of proper scoring rules, particularly the Schervish representation, we derive an adjusted variant of cross-entropy (log score) that averages cost-weighted performance over clinically relevant ranges of class balance. The resulting evaluation is simple to apply, sensitive to clinical deployment conditions, and designed to prioritize models that are both calibrated and robust to real-world variations.

cs.LG