As a (now retired) physician, I incorporated the concept of ACEs into my practice for many years. I had no "one way" of doing it; it just got wrapped into the discussion however it seemed to best flow. I tried to show others that I could identify and respond to high adversity patients without it consuming enormous amounts of time, but I couldn't get much change in other's behavior. I'm happy to have further discussion around this topic.
To me, ACEs inform us about the consequences of early adversity, but they don't tell us what to do. IN fact, one should not screen for ACEs. ACEs was created as a research tool and not as a clinical practice tool. We don't want to define the story we want to hear; we want the patient to tell us THEIR story without putting it in a box.
A recent study by Teicher shows that witnessing your sibling being abused is far more consequential than witnessing your mother being abused, but it isn't captured by the ACEs questions.