Objectives: To measure the perceived ability and level of confidence among doctors in performing the different tasks involved in conducting an online search for clinical decision making. Methods: A large-scale cross-sectional survey was conducted in 36 District Headquarter Hospitals (DHQs), 89 Tehsil Headquarter Hospitals (THQs), 293 Rural Health Centers (RHCs) and 2455 Basic Health Units (BHUs) in Punjab, Pakistan. Using a quota sampling, data were collected from 517 doctors on a set of 11 statements. The collected data were analysed statistically. Results: Of the 517 doctors, 73 (14.1%) had 'never accessed health care information online' for clinical decision making. Mean values of the doctors' response to the 11 statements ranged from 1.66 to 2.30 indicating that most of the doctors were 'not confident' in their ability to perform the tasks. Conclusion: The majority of doctors perceived themselves able to perform the different tasks involved in conducting an online search. Age and working experience were significant factors in the perception of their ability in performing the tasks. The study recommends promotional and educational activities to motivate interest, increase awareness, develop knowledge and skills for doctors to access information that would help in their clinical decision making.• The majority of the doctors in primary and secondary health care have never used any medical databases for clinical decision making and some of them have never accessed health care information online.• Doctors' age and clinical experience were significant factors to their perceived ability in performing the different tasks involved in conducting online searches.• The doctors from DHQs and THQs rated themselves as having higher level of confidence at each stage of the search process compared to doctors from other types of health care facilities.• There is a need to launch promotional and educational activities to motivate interest, increase awareness and develop knowledge and skills towards effective information access.• A thoughtful information literacy programme is key to influence the behavioural outcomes of doctors in performing the different tasks involved in conducting an online search. *Questions relating to perceived level of ability and level of confidence were not asked to those respondents who had never accessed the health care information online.