It must include at least 5 cases from an acute admissions process (with presentations specifically listed, not just “Acute take patients x 10) and have some evidence of feedback and learning related to them. Then link it to up to 8 curriculum items to which said feedback related. You can also use them as a feedback tool for your ward round leadership skills later in training. Ask your consultant if you can lead the post-take WR and make the decisions for patients you didn’t admit yourself, then get feedback on this skill using the ACAT.