Results: All residents present at morning conference were included in the study. Interestingly, 83% of residents reported on the pre-Journal Club survey that they prefer to use LR and the majority of residents indicated that LR is associated with a lower incidence of acute renal failure than other fluids. According to our data set, in July 2018, just prior to distribution of the survey, only 19% of the total fluids (LR plus NS) ordered in the ED were LR. The number of LR liters ordered in the ED increased from 1.4% of total fluid boluses ordered in January 2018 to 33.7% of the total in November 2018, a significant difference when comparing the number of liters both before and after the initial study intervention (survey) (p<0.05).Conclusion: There was a significantly higher number of LR compared with NS liters ordered after the advent of new research, survey participation, and after a journal club related to the research. This may help us understand and quantify what factors impact physician practices related to new research and to evaluate the importance of group review of peer-reviewed literature. We will analyze attending physician data as well and continue to trend data to see if the effect of increased ordering of LR continues.