Dermatology artificial intelligence (AI) models are predominantly trained on light-skinned, cancer-focused image collections, yet they are increasingly proposed for deployment in resource-constrained settings where patients differ from training populations along two confounded axes: skin tone and disease distribution. We investigate whether poor generalization is primarily caused by skin-tone underrepresentation or disease-distribution shift. We evaluate a cancer-trained baseline (ResNet-50 fine-tuned on HAM10000 and ISIC 2019), two dermatology foundation models (DermLIP and MONET), and a general-purpose vision model (DINOv3) as frozen feature extractors. Models are evaluated on a tone-stratified disease-matched dataset (Diverse Dermatology Images, DDI) and a disease-shifted tone-diverse dataset (Skin Condition Image Network, SCIN). Our results show that disease-distribution shift contributes more than skin tone in the evaluated settings. The cancer baseline decreases from 0.62 to 0.21 balanced accuracy when transferred to unfamiliar clinical conditions, while the within-disease skin-tone gap is smaller (0.10-0.18) and inconsistent. Label-free representation analysis shows that this failure reflects a representational limitation rather than only missing output labels: cancer-specialized features poorly cluster unfamiliar conditions (kNN purity lift +0.06 over chance), whereas dermatology-pretrained features retain stronger transferable structure (+0.23). Finally, we show that representation quality predicts recoverable performance under lightweight adaptation. Starting from dermatology foundation models, approximately ten labeled examples per clinical category recover most attainable performance. We release the evaluation protocol and code to support reproducible auditing of dermatology AI generalization.
Utkarsh A. Mishra, Yongxin Chen, Danfei Xu +3cs.CV cs.RO
Generative video foundation models exhibit strong compositional priors, yet world-action models (WAMs) and video-action models (VAMs) often lose these priors after finetuning on robotic action data. We refer to this discrepancy as the video-action generalization gap. In this paper, we systematically investigate this gap by evaluating a comprehensive design space of VAMs, demonstrating that standard design choices yield no emergent explanation pattern. To explain this behavior, we introduce the Temporal Ratio (TR), an attention-based measure of how strongly the action head relies on future latent rollouts relative to the anchored current frame. TR has two key properties: first, a model's structural reliance on future-predictive latents, measured via TR, acts as a predictor of its compositional generalization capacity; second, it natively fluctuates based on task phase, shifting attention to future frames during planning and reverting to the present frame for precise manipulation. Finally, based on these findings, we propose an inference-time adaptive guidance method, which exploits this intrinsic feature attention pattern to dynamically amplify compositional video conditioning signals precisely when the policy relies on future rollouts. Evaluated on the LIBERO benchmark and real-world tasks, our approach mitigates the OOD-ID compositional generalization gap. More details: https://umishra.me/temporal-ratio/
In modern parametric model training, full-batch gradient descent (and its variants) suffers due to progressively stronger biasing towards the exact realization of training data; this drives the systematic ``generalization gap'', where the train error becomes an unreliable proxy for test error. Existing approaches either argue this gap is benign through complex analysis or sacrifice data to a validation set. In contrast, we introduce decoupled descent (DD), a novel theory-based training algorithm that satisfies a train-test identity -- enforcing the train error to asymptotically track the test error for stylized Gaussian mixture models. Within this specific regime, leveraging approximate message passing theory, DD iteratively cancels the biases due to data reuse, rigorously demonstrating the feasibility of zero-cost validation and $100\%$ data utilization. Moreover, DD is governed by a low-dimensional state evolution recursion, rendering the dynamics of the algorithm transparent and tractable. We validate DD on XOR classification, yielding superior performance compared to GD; additionally, we implement noisy MNIST and non-linear probing of CIFAR-10, demonstrating that even when our stylized assumptions are relaxed, DD narrows the generalization gap compared to GD.