Nutrition care services are an integral part of patient care services at Harborview Medical Center (HMC). Based on the assumption that the quality of nutrition care provided to patients is impacted positively when physicians are knowledgeable about nutrition, an examination was designed to survey the nutritional knowledge of residents. A total of 38 general surgery residents were tested, all of whom were in a general surgery training program First year residents (R1) totaled 14, second year residents (R2) totaled 11, and third, fourth and fifth year residents (R3,4,5) combined to total 13. The exam focused on topics thought to be important to the nutritional care of the patients at HMC, as determined by the department of clinical nutrition and a committee of health care personnel including two Registered Dietitians, a pharmacist, and two general surgeons. Topics included biochemical nutritional indices, enterostomies, early enteral nutrition support, enteral feeding complications, drug-nutrient interactions, nutrition and immunity, and assessment of caloric requirements. The exam consisted of 48 multiple choice questions and 2 true/false questions. Overall mean score was 31 correct out of 50 questions (62% correct). Mean for R1 =28 (56%). R2=30 (60%), and R3,4,5=33 (66%). Individual scores among the three groups were compared using the Kruskal-Wallis test. No significant differences were found between scores of different levels of residency. And as many as 93% of examinees incorrectly answered questions regarding nitrogen losses. post-operative feeding, and drug-nutrient interactions. The Department of Nutrition and Foodservices at HMC is interested in providing nutrition information to residents in an effort to maximize the quality of nutrition care. The results of this survey helped identify areas of nutrition on which to focus our educational efforts for residents during on-site training. One method that is used to provide information to residents is a newsletter. Articles in the newsletter will be focused on areas of concern as identified in the survey. The survey also helped strengthen lines of communication and improve visibility with the medical staff.