Previous advice has been that a maximum of 1/3 of the GIM SLE requirement can be cross-counted although this is no longer explicitly stated. However any that you are counting have to be clearly GIM-relevant (eg GIM problems on your specialty ward/clinic). This is largely applicable to cardiology or renal trainees who are cross-counting a notional year of their specialty training as GIM. Note that ACATs, pretty much by definition, are unlikely to be GIM-relevant outside of the acute medical admissions process. Also an eportfolio update now means your SLEs indicate which specialty they’re (primarily) related to, so choose wisely!