Exploring communities of practice in the NHS: A core medical trainee experience.

Objectives: A community of practice was described by Lave and Wenger as a mutual engagement using a shared repertoire of resources to attain a shared goal. This study explored the extent to which NHS workplaces function as communities of practice for core medical trainees.

Methods: All core medical trainees in one region were invited to a semi-structured interview.

Renal disease presenting as acute kidney injury: the diagnostic conundrum on the intensive care unit.

Purpose Of Review: Acute kidney injury (AKI) is commonplace in most ICUs. In many cases the cause is believed to be multifactorial with sepsis being a major component. However, occasionally intrinsic renal disease will present to the ICU and as such critical care practitioners should be aware of this possibility and the ways in which such conditions may present.