A survey of 262 physicians found that only 2/5 were satisfied with how they managed test results. It is noteworthy that efforts to facilitate communication with patients included: 1) the system automatically generating a patient notification letter, 2) the doc acknowledging receipt of the result and documenting that "communication will be made at a later time," or 3) they actually make a call to the patient.  Guess what happens most of the time? And: #1 and #2.