This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

During surgical training, real-time feedback from trainers to trainees is important for preventing errors and enhancing long-term skill acquisition. Accurately predicting the effectiveness of this feedback, specifically whether it leads to a change in trainee behavior, is crucial for developing methods for improving surgical training and education. However, relying on human annotations to assess feedback effectiveness is laborious and prone to biases, underscoring the need for an automated, scalable, and objective method. Creating such an automated system poses challenges, as it requires an understanding of both the verbal feedback delivered by the trainer and the visual context of the real-time surgical scene. To address this, we propose a method that integrates information from transcribed verbal feedback and corresponding surgical video to predict feedback effectiveness. Our findings show that both transcribed feedback and surgical video are individually predictive of trainee behavior changes, and their combination achieves an AUROC of 0.70+/-0.02, improving prediction accuracy by up to 6.6%. Additionally, we introduce self-supervised fine-tuning as a strategy for enhancing surgical video representation learning, which is scalable and further enhances prediction performance. Our results demonstrate the potential of multi-modal learning to advance the automated assessment of surgical feedback.

We investigate robust model-free reinforcement learning algorithms designed for environments that may be dynamic or even adversarial. Traditional state-based policies often struggle to accommodate the challenges imposed by the presence of unmodeled disturbances in such settings. Moreover, optimizing linear state-based policies pose an obstacle for efficient optimization, leading to nonconvex objectives, even in benign environments like linear dynamical systems. Drawing inspiration from recent advancements in model-based control, we introduce a novel class of policies centered on disturbance signals. We define several categories of these signals, which we term pseudo-disturbances, and develop corresponding policy classes based on them. We provide efficient and practical algorithms for optimizing these policies. Next, we examine the task of online adaptation of reinforcement learning agents in the face of adversarial disturbances. Our methods seamlessly integrate with any black-box model-free approach, yielding provable regret guarantees when dealing with linear dynamics. These regret guarantees unconditionally improve the best-known results for bandit linear control in having no dependence on the state-space dimension. We evaluate our method over various standard RL benchmarks and demonstrate improved robustness.

With LLMs shifting their role from statistical modeling of language to serving as general-purpose AI agents, how should LLM evaluations change? Arguably, a key ability of an AI agent is to flexibly combine, as needed, the basic skills it has learned. The capability to combine skills plays an important role in (human) pedagogy and also in a paper on emergence phenomena (Arora & Goyal, 2023). This work introduces Skill-Mix, a new evaluation to measure ability to combine skills. Using a list of $N$ skills the evaluator repeatedly picks random subsets of $k$ skills and asks the LLM to produce text combining that subset of skills. Since the number of subsets grows like $N^k$, for even modest $k$ this evaluation will, with high probability, require the LLM to produce text significantly different from any text in the training set. The paper develops a methodology for (a) designing and administering such an evaluation, and (b) automatic grading (plus spot-checking by humans) of the results using GPT-4 as well as the open LLaMA-2 70B model. Administering a version of to popular chatbots gave results that, while generally in line with prior expectations, contained surprises. Sizeable differences exist among model capabilities that are not captured by their ranking on popular LLM leaderboards ("cramming for the leaderboard"). Furthermore, simple probability calculations indicate that GPT-4's reasonable performance on $k=5$ is suggestive of going beyond "stochastic parrot" behavior (Bender et al., 2021), i.e., it combines skills in ways that it had not seen during training. We sketch how the methodology can lead to a Skill-Mix based eco-system of open evaluations for AI capabilities of future models.

An effective approach in meta-learning is to utilize multiple "train tasks" to learn a good initialization for model parameters that can help solve unseen "test tasks" with very few samples by fine-tuning from this initialization. Although successful in practice, theoretical understanding of such methods is limited. This work studies an important aspect of these methods: splitting the data from each task into train (support) and validation (query) sets during meta-training. Inspired by recent work (Raghu et al., 2020), we view such meta-learning methods through the lens of representation learning and argue that the train-validation split encourages the learned representation to be low-rank without compromising on expressivity, as opposed to the non-splitting variant that encourages high-rank representations. Since sample efficiency benefits from low-rankness, the splitting strategy will require very few samples to solve unseen test tasks. We present theoretical results that formalize this idea for linear representation learning on a subspace meta-learning instance, and experimentally verify this practical benefit of splitting in simulations and on standard meta-learning benchmarks.

Previous work has examined the ability of larger capacity neural networks to generalize better than smaller ones, even without explicit regularizers, by analyzing gradient based algorithms such as GD and SGD. The presence of noise and its effect on robustness to parameter perturbations has been linked to generalization. We examine a property of GD and SGD, namely that instead of iterating through all scalar weights in the network and updating them one by one, GD (and SGD) updates all the parameters at the same time. As a result, each parameter $w^i$ calculates its partial derivative at the stale parameter $\mathbf{w_t}$, but then suffers loss $\hat{L}(\mathbf{w_{t+1}})$. We show that this causes noise to be introduced into the optimization. We find that this noise penalizes models that are sensitive to perturbations in the weights. We find that penalties are most pronounced for batches that are currently being used to update, and are higher for larger models.

There is great interest in "saliency methods" (also called "attribution methods"), which give "explanations" for a deep net's decision, by assigning a "score" to each feature/pixel in the input. Their design usually involves credit-assignment via the gradient of the output with respect to input. Recently Adebayo et al. [arXiv:1810.03292] questioned the validity of many of these methods since they do not pass simple *sanity checks* which test whether the scores shift/vanish when layers of the trained net are randomized, or when the net is retrained using random labels for inputs. We propose a simple fix to existing saliency methods that helps them pass sanity checks, which we call "competition for pixels". This involves computing saliency maps for all possible labels in the classification task, and using a simple competition among them to identify and remove less relevant pixels from the map. The simplest variant of this is "Competitive Gradient $\odot$ Input (CGI)": it is efficient, requires no additional training, and uses only the input and gradient. Some theoretical justification is provided for it (especially for ReLU networks) and its performance is empirically demonstrated.

Weak lensing maps contain information beyond two-point statistics on small scales. Much recent work has tried to extract this information through a range of different observables or via nonlinear transformations of the lensing field. Here we train and apply a 2D convolutional neural network to simulated noiseless lensing maps covering 96 different cosmological models over a range of {$\Omega_m,\sigma_8$}. Using the area of the confidence contour in the {$\Omega_m,\sigma_8$} plane as a figure-of-merit, derived from simulated convergence maps smoothed on a scale of 1.0 arcmin, we show that the neural network yields $\approx 5 \times$ tighter constraints than the power spectrum, and $\approx 4 \times$ tighter than the lensing peaks. Such gains illustrate the extent to which weak lensing data encode cosmological information not accessible to the power spectrum or even non-Gaussian statistics such as lensing peaks.

This work studies the parameter identification problem for the Markov chain choice model of Blanchet, Gallego, and Goyal used in assortment planning. In this model, the product selected by a customer is determined by a Markov chain over the products, where the products in the offered assortment are absorbing states. The underlying parameters of the model were previously shown to be identifiable from the choice probabilities for the all-products assortment, together with choice probabilities for assortments of all-but-one products. Obtaining and estimating choice probabilities for such large assortments is not desirable in many settings. The main result of this work is that the parameters may be identified from assortments of sizes two and three, regardless of the total number of products. The result is obtained via a simple and efficient parameter recovery algorithm.