Buxin Su
Publications
Supervised Fine-tuning with Synthetic Rationale Data Hurts Real-World Disease Prediction
Supervised fine-tuning with synthetic rationale data is widely assumed to improve language model performance on clinical prediction tasks by teaching models not just what to predict but why. We test this assumption on five-year Alzheimer's disease and related dementias (ADRD) prediction from longitudinal health histories. Across a large-scale controlled experiment of 504 configurations, we find that rationale-based SFT consistently and substantially hurts prediction performance relative to label-only fine-tuning. The degradation persists across model families and data scales, and is not resolved by using a reasoning-oriented base model. Crucially, the failure is not explained by poor rationale quality: human expert annotation confirms that the generated rationales are medically accurate and faithfully grounded in patient-specific evidence, and few-shot experiments show that the same rationales improve performance when used as inference-time demonstrations rather than training targets. We identify the root cause as a structural conflict between narrative plausibility and discriminative optimization. We hope our work paves the path toward a more precise understanding of when and how rationale-based supervision helps and when it does not, guiding the responsible development of language models for high-stakes clinical prediction.
Recommending Best Paper Awards for ML/AI Conferences via the Isotonic Mechanism
Machine learning and artificial intelligence conferences such as NeurIPS and ICML now regularly receive tens of thousands of submissions, posing significant challenges to maintaining the quality and consistency of the peer review process. This challenge is particularly acute for best paper awards, which are an important part of the peer review process, yet whose selection has increasingly become a subject of debate in recent years. In this paper, we introduce an author-assisted mechanism to facilitate the selection of best paper awards. Our method employs the Isotonic Mechanism for eliciting authors' assessments of their own submissions in the form of a ranking, which is subsequently utilized to adjust the raw review scores for optimal estimation of the submissions' ground-truth quality. We demonstrate that authors are incentivized to report truthfully when their utility is a convex additive function of the adjusted scores, and we validate this convexity assumption for best paper awards using publicly accessible review data of ICLR from 2019 to 2023 and NeurIPS from 2021 to 2023. Crucially, in the special case where an author has a single quota -- that is, may nominate only one paper -- we prove that truthfulness holds even when the utility function is merely nondecreasing and additive. This finding represents a substantial relaxation of the assumptions required in prior work. For practical implementation, we extend our mechanism to accommodate the common scenario of overlapping authorship. Finally, simulation results demonstrate that our mechanism significantly improves the quality of papers selected for awards.