title: Unanswered clinical questions: a survey of specialists and primary care providers.
abstract: OBJECTIVE
  With the myriad of cases presented to clinicians every day at our integrated academic health system, clinical questions are bound to arise. Clinicians need to recognize these knowledge gaps and act on them. However, for many reasons, clinicians might not seek answers to these questions. Our goal was to investigate the rationale and process behind these unanswered clinical questions. Subsequently, we explored the use of biomedical information resources among specialists and primary care providers and identified ways to promote more informed clinical decision making.
  
  
  METHODS
  We conducted a survey to assess how practitioners identify and respond to information gaps, their background knowledge of search tools and strategies, and their usage of and comfort level with technology.
  
  
  RESULTS
  Most of the 292 respondents encountered clinical questions at least a few times per week. While the vast majority often or always pursued answers, time was the biggest barrier for not following through on questions. Most respondents did not have any formal training in searching databases, were unaware of many digital resources, and indicated a need for resources and services that could be provided at the point of care.
  
  
  CONCLUSIONS
  While the reasons for unanswered clinical questions varied, thoughtful review of the responses suggested that a combination of educational strategies, embedded librarian services, and technology applications could help providers pursue answers to their clinical questions, enhance patient safety, and contribute to patient-based, self-directed learning.
authors.forename: Ellen
authors.initials: E
authors.lastname: Brassil
authors.forename: Bridget
authors.initials: B
authors.lastname: Gunn
authors.forename: Anant M
authors.initials: AM
authors.lastname: Shenoy
authors.forename: Rebecca
authors.initials: R
authors.lastname: Blanchard
mesh_terms: D002983:Clinical Competence; D006801:Humans; D057226:Information Seeking Behavior; D007396:Internship and Residency / Q000706:statistics & numerical data; D008490:Medical Informatics; D008511:Medicine / Q000706:statistics & numerical data; D058007:Physicians, Primary Care / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires