Integrating Clinical Priorities into the Technical Validation of Machine Learning Classifiers: A Generalizable Framework Demonstrated on Opioid Misuse Screening

Jacob Washton, Milan Toma · 2026

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Description

Jacob Washton and Milan Toma argue in 2026 that machine learning tools for medicine should be graded by clinical stakes, not just by tidy accuracy scores. A screening model can look strong on paper while taking shortcuts that fail on real patients, and in high-stakes screening those failures hurt people.

The authors present a general validation framework that folds clinical priorities into the technical checks. They demonstrate it on classifiers meant to flag prescription opioid misuse. The framework is meant to travel: any team building a medical classifier can use it to test whether good numbers mean good medicine.

Catalog record

CREATORJacob Washton, Milan Toma
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE159 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13607108

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