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[ Home ](https://mdster.com) 2. [ Blog ](https://mdster.com/blog) 3. [ Study Tips ](https://mdster.com/blog?category=study-tips) 4. Fellowship of the College of Physicians and Surgeons Pakistan (FCPS Part II (Medicine/Internal Medicine)): Practical Study Plan [ Study Tips ](https://mdster.com/blog?category=study-tips) Fellowship of the College of Physicians and Surgeons Pakistan (FCPS Part II (Medicine/Internal Medicine)): Practical Study Plan ================================================================================================================================= A focused, clinical-skills-first strategy for passing FCPS Part II Medicine with stronger MCO practice, long cases, short cases, and TOACS performance. [ MDster Editorial Team ](https://mdster.com/about) · Jun 03, 2026 · 5 min read · 16 [ Reviewed by Dr. Ali Ragab, MBBCH, MSc, MCAI ](https://mdster.com/medical-reviewers/dr-ali-ragab) [Editorial Policy](https://mdster.com/editorial-policy) | [Corrections Policy](https://mdster.com/corrections) [ Internal Medicine ](https://mdster.com/blog?tag=internal-medicine) [ Study Tips ](https://mdster.com/blog?tag=study-tips) [ CPSP ](https://mdster.com/blog?tag=cpsp) [ FCPS Part II ](https://mdster.com/blog?tag=fcps-part-ii) [ TOACS ](https://mdster.com/blog?tag=toacs) ![Fellowship of the College of Physicians and Surgeons Pakistan (FCPS Part II (Medicine/Internal Medicine)): Practical Study Plan](https://mdster.com/storage/blog/images/fellowship-of-the-college-of-physicians-and-surgeons-pakistan-fcps-part-ii-medicineinterna.jpg) Share this article Share this post On this page 1. [ Start With the Exam Shape, Then Choose Resources ](#start-with-the-exam-shape-then-choose-resources) 2. [ Study Schedule Template: 16 Weeks Before Theory ](#study-schedule-template-16-weeks-before-theory) 3. [ Prioritise Medicine Like an Examiner ](#prioritise-medicine-like-an-examiner) 4. [ Convert Ward Work Into Clinical Marks ](#convert-ward-work-into-clinical-marks) 5. [ Use Each Resource for One Job ](#use-each-resource-for-one-job) 6. [ Common Pitfalls to Avoid ](#common-pitfalls-to-avoid) 7. [ Key Takeaways ](#key-takeaways) 8. [ Frequently Asked Questions ](#blog-faqs) 9. [ References ](#references-heading) On this page 1. [ Start With the Exam Shape, Then Choose Resources ](#start-with-the-exam-shape-then-choose-resources) 2. [ Study Schedule Template: 16 Weeks Before Theory ](#study-schedule-template-16-weeks-before-theory) 3. [ Prioritise Medicine Like an Examiner ](#prioritise-medicine-like-an-examiner) 4. [ Convert Ward Work Into Clinical Marks ](#convert-ward-work-into-clinical-marks) 5. [ Use Each Resource for One Job ](#use-each-resource-for-one-job) 6. [ Common Pitfalls to Avoid ](#common-pitfalls-to-avoid) 7. [ Key Takeaways ](#key-takeaways) 8. [ Frequently Asked Questions ](#blog-faqs) 9. [ References ](#references-heading) Many candidates prepare for FCPS Part II Medicine as if it is just another written exam. That is the common trap. You are not only being tested on recall; you are being assessed on whether you can manage an undifferentiated medical patient safely, logically, and under time pressure. Start With the Exam Shape, Then Choose Resources ------------------------------------------------ As of June 2026, CPSP guidance for FCPS-II major subjects describes two theory papers for Medicine, with 100 MCOs in each paper and 2½ hours per paper for online examination in Pakistan. Current CPSP clinical guidance for Medicine includes a long case, four short cases, and TOACS stations, with TOACS stations usually lasting 4–8 minutes. [\[1\]](#cite-1 "Reference [1]") Your preparation must therefore train three outputs: - Fast, accurate MCO decision-making - Structured bedside examination and case presentation - Short, task-focused TOACS responses Do not wait until theory is over to start clinical practice. Part II rewards candidates who can connect guideline-based medicine with real patient findings. Study Schedule Template: 16 Weeks Before Theory ----------------------------------------------- Use the published CPSP schedule and count backward from your sitting. For 2026, CPSP lists FCPS-II major subject theory dates on February 16 and September 1; always confirm your own ePortal and notifications. [\[2\]](#cite-2 "Reference [2]") PhaseWeeksMain TargetFoundation1–4Cover core systems and start bedside cases twice weeklyQuestion-heavy5–10Daily MCO blocks, error notebook, weekly long caseClinical integration11–14Short cases, TOACS circuits, viva-style discussionsFinal revision15–16Timed papers, weak topics, polished presentations A realistic weekly plan during hospital duty: - 5 days: 40–60 MCOs with review - 3 days: one focused system revision, such as nephrology or cardiology - 2 days: bedside short-case practice - 1 day: full long-case presentation to a consultant or senior - 1 day: TOACS circuit with peers Prioritise Medicine Like an Examiner ------------------------------------ Do not revise Internal Medicine as isolated chapters. Revise it as problems that appear in wards, emergency rooms, and viva discussions. Prioritise these recurring clinical domains: - Cardiology: heart failure, ACS, murmurs, arrhythmias - Respiratory: COPD, asthma, ILD, pleural disease - Nephrology: AKI, CKD, electrolytes, nephrotic syndrome - Neurology: stroke, neuropathy, myelopathy, seizures - Endocrine: diabetes emergencies, thyroid disease, adrenal disorders - Gastro-hepatology: CLD, GI bleed, ascites, jaundice - Infectious diseases: TB, sepsis, meningitis, HIV-related presentations - Rheumatology and haematology: patterns, complications, treatment monitoring For each topic, prepare a one-page clinical sheet: presentation, differentials, investigations, immediate management, long-term management, complications, and counselling points. Convert Ward Work Into Clinical Marks ------------------------------------- Your ward is not separate from exam preparation. Every admitted patient can become a long case, short case, or TOACS prompt. For long cases, practise this sequence: 1. Identify active problems first. 2. Present positives and relevant negatives. 3. Give a ranked differential, not a list of possibilities. 4. Justify investigations. 5. Offer a safe management plan, including complications and follow-up. For short cases, stop giving textbook speeches. Examiners want efficient examination technique, correct signs, and clinical interpretation. If you find clubbing, connect it to bronchiectasis, ILD, cyanotic heart disease, liver disease, and malignancy depending on the case. > **Pro Tip:** After each bedside case, ask your senior one question only: What finding would have changed my diagnosis or management? That single question improves clinical reasoning faster than passive case collection. Use Each Resource for One Job ----------------------------- Avoid resource hoarding. Assign every resource a purpose. - **Standard textbook:** use for mechanisms and difficult topics, not daily cover-to-cover reading. - **Current guidelines:** use for management algorithms, emergencies, and chronic disease targets. - **Question bank:** use for pattern recognition and timing; review explanations more than scores. - **Flashcards:** use for criteria, complications, drug adverse effects, and investigation interpretation. - **Study group:** use for viva practice, TOACS timing, and correction of presentation style. - **Courses or workshops:** use selectively for mock exams and feedback, not as a substitute for bedside practice. Common Pitfalls to Avoid ------------------------ - Reading passively without timed MCO blocks - Preparing theory first and clinical later - Presenting long cases without prioritised problems - Missing consent, exposure, re-draping, and patient comfort in examination - Giving management plans without monitoring, complications, or follow-up - Ignoring eLogbook, dissertation or article, and administrative requirements until late CPSP FAQ guidance also highlights eligibility and process issues such as approved eLog entries and dissertation acceptance requirements, so check these early rather than near the application deadline. [\[3\]](#cite-3 "Reference [3]") Key Takeaways ------------- This week, complete these actions: - Build your 16-week calendar backward from your exam date. - Start one daily timed MCO block. - Create an error notebook with diagnosis, reason for error, and correction. - Present one long case to a senior. - Run one 10-station TOACS circuit with peers. - Check your CPSP ePortal, eLogbook, and research documentation. FCPS Part II Medicine is demanding, but it is predictable in the skills it rewards. Train like a safe registrar: think clearly, examine properly, justify decisions, and practise under timed conditions. Frequently Asked Questions ---------------------------- ### When should I start clinical practice for FCPS Part II Medicine? Start from week one of preparation. Long cases, short cases, and TOACS require repeated performance practice, not last-month reading. ### How many MCOs should I do daily during serious preparation? Aim for 40–60 timed MCOs on working days, followed by detailed review of wrong answers and guessed answers. ### What is the best way to prepare for TOACS stations? Practise 4–8 minute stations with peers using clear tasks: interpret data, counsel, examine, prioritise management, or identify clinical signs. ### Should I use many textbooks for FCPS Part II Medicine? No. Use one reliable core textbook, current guidelines, a question bank, flashcards, and bedside cases. Too many resources reduce repetition. ### What should I focus on in the final two weeks? Prioritise timed papers, weak-system revision, long-case presentation polish, short-case signs, and TOACS circuits rather than starting new resources. References (4) ------------------ 1. 1. [ CPSP FCPS-II Examination Guidelines for Major Subjects ](https://www.cpsp.edu.pk/files/guidelines/FCPS-IIa/FCPS-II-A-Major-guideline.pdf) [↩](#cite-ref-1-1 "Back to text") 2. 2. [ CPSP Examination Schedule 2026 ](https://exam.cpsp.edu.pk/examination-schedule.php?v=1.2) [↩](#cite-ref-2-1 "Back to text") 3. 3. [ CPSP Frequently Asked Questions ](https://cpsp.edu.pk/faq.php) [↩](#cite-ref-3-1 "Back to text") 4. 4. [ CPSP Clinical Fellowship Examination in Medicine Guidelines ](https://www.cpsp.edu.pk/files/guidelines/clinical/FCPS-IIA/Medicine.pdf) Next Turn reading into Internal Medicine performance ------------------------------------------------- - System‑based, exam‑style questions + explanations - Smarter review to reinforce weak topics - Build confidence with measurable progress [ Start practicing ](https://mdster.com/user/dashboard) [ Internal Medicine ](https://mdster.com/speciality/internal-medicine) [ View pricing ](https://mdster.com/pricing) [ Explore features ](https://mdster.com/features) No credit card required. Full access to all features\*. No commitment. 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