Overfitting, underfitting and general model overconfidence and under-performance pitfalls and best practices in machine learning and AI
Open accessAbstract
Avoiding over and under fitted analyses (OF, UF) and models is critical for ensuring as high generalization performance as possible and is of profound importance for the success of ML/AI modeling. In modern ML/AI practice OF/UF are typically interacting with error estimator procedures and model selection, as well as with sampling and reporting biases and thus need be considered together in context. The more general situations of over confidence (OC) about models and/or under-performing (UP) models can occur in many subtle and not so subtle ways especially in the presence of high-dimensional data, modest or small sample sizes, powerful learners and imperfect data designs. Because over/under confidence about models are closely related to model complexity, model selection, error estimation and sampling (as part of data design) we connect these concepts with the material of chapters “An Appraisal and Operating Characteristics of Major ML Methods Applicable in Healthcare and Health Science,” “Data Design,” and “Evaluation”. These concepts are also closely related to statistical significance and scientific reproducibility. We examine several common scenarios where over confidence in model performance and/or model under performance occur as well as detailed practices for preventing, testing and correcting them.
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Models often show high performance on training datasets but fail to generalize to independent cohorts, a pattern frequently reported in Alzheimer's disease multi-omics studies.
“Models often show high performance on training datasets but fail to generalize to independent cohorts, a pattern frequently reported in AD multi-omics studies410,411.”
From Artificial intelligence-driven multi-omics approaches in Alzheimer's disease: Progress, challenges, and future directions (2025) · cites this paper as [411]
Cites
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Ren, F., Wei, J., Chen, Q., Hu, M., Yu, L., Mi, J., Zhou, X., Qin, D., Wu, J., & Wu, A. (2025) · Acta Pharmaceutica Sinica B · doi:10.1016/j.apsb.2025.07.030 · Cited by 97 · see citing works
Agentic AI for Scientific Discovery: A Survey of Progress, Challenges, and Future Directions
Gridach, M., Nanavati, J., Abidine, K. Z. E., Mendes, L., & Mack, C. (2025) · arXiv · doi:10.48550/arxiv.2503.08979 · Cited by 18 · see citing works
- Authors
- Aliferis, C., & Simon, G.
- Affiliations
- University of Minnesota (US)
- Corresponding author
- Aliferis, Constantin
- ORCID
- Aliferis, Constantin
- Venue
- Health Informatics
- Publisher
- Springer International Publishing
- Published
- 2024
- Pages
- 477-524
- ISSN
- 2197-3733 (ISSN-L)
- 1431-1917
- 2197-3741
- OpenAlex
- W4392404623
- Cited by
- 212
- References
- 2
- Citations by year
- 2026: 86 · 2025: 105 · 2024: 20 · 2022: 1
- FWCI
- 138.86
- Type
- book chapter
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Health informatics (publishedVersion, cc-by)
- Topics
- Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning and Data Classification
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Physical Sciences › Computer Science › Artificial Intelligence › Imbalanced Data Classification Techniques
- Keywords
- overfitting, underfitting, generalization, model selection, error estimation, sampling bias, reporting bias, high-dimensional data, small sample size, model complexity, statistical significance, reproducibility, machine learning in healthcare
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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