Language Model Classifier Aligns Better with Physician Word Sensitivity than XGBoost on Readmission Prediction

Traditional evaluation metrics for classification in natural language processing such as accuracy and area under the curve fail to differentiate between models with different predictive behaviors despite their similar performance metrics. We introduce sensitivity score, a metric that scrutinizes models' behaviors at the vocabulary level to provide insights into disparities in their decision-making logic. We assess the sensitivity score on a set of representative words in the test set using two classifiers trained for hospital readmission classification with similar performance statistics. Our experiments compare the decision-making logic of clinicians and classifiers based on rank correlations of sensitivity scores. The results indicate that the language model's sensitivity score aligns better with the professionals than the xgboost classifier on tf-idf embeddings, which suggests that xgboost uses some spurious features. Overall, this metric offers a novel perspective on assessing models' robustness by quantifying their discrepancy with professional opinions. Our code is available on GitHub (https://github.com/nyuolab/Model_Sensitivity).