Health Center (MSNHC) is a hospital operated health center with a staff of 9 attendings, 8 RN's, 3 NP's, 32 med/peds residents, and 8 MA's. It serves 600 diabetic patients and employs a "staged diabetes management" guideline for care. MSNHC is challenged with keeping staff knowledgeable in the many facets of diabetes in order to improve care and teamwork. It must do so without a devoted diabetes educator to run such an effort. DESCRIPTION OF PROGRAM/INTERVENTION: The authors developed a monthly diabetes lunch conference for all health center staff. Drawing on the resources of the hospital, each conference centered on one diabetes related specialty and featured a guest presenter. Topic areas have included vascular disease, pharmacology, renal, nutrition, etc. The format is casebased with 15 minutes left at the end for prepared comments in the presenter's field. Attendees are asked to complete a feedback form highlighting what they have learned in the session and listing questions for the next month's presenter. FINDINGS TO DATE: Over 1/2 years, the average attendance has been 17 (3 attendings, 2 NP's; 4 residents, 2 RN's, 2MA's, 1 student). The most often cited key elements of the programs have been: lively discussion, a practical handout, good visual aids, and lunch. Most attendees have been able to specify 1 ± 2 practice process changes they would engage in as a result of attending the conference. At one conference the group developed quality improvement goals for lipid management in diabetics. KEY LESSONS LEARNED: ISSUES AND LESSONS FOR CONSIDERATION: 1) We have brought specialized knowledge to an interdisciplinary health center staff with a minimum investment of any one person's time.