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[ MDster Editorial Team ](https://mdster.com/about) · Jun 23, 2026 · 6 min read · 384 [ 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) [ Pediatrics ](https://mdster.com/blog?tag=pediatrics) [ 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): Pediatrics Study Plan](https://mdster.com/storage/blog/images/fellowship-of-the-college-of-physicians-and-surgeons-pakistan-fcps-part-ii-pediatrics-stud.jpg) Share this article Share this post On this page 1. [ Know the Exam You Are Training For ](#know-the-exam-you-are-training-for) 2. [ Build a Pediatrics Priority Map ](#build-a-pediatrics-priority-map) 3. [ Use Question Banks the Right Way ](#use-question-banks-the-right-way) 4. [ Train for the Clinical Exam from Week One ](#train-for-the-clinical-exam-from-week-one) 5. [ Study Schedule Template ](#study-schedule-template) 6. [ Prepare TOACS Like a Skills Exam ](#prepare-toacs-like-a-skills-exam) 7. [ Resource Strategy Without Overloading Yourself ](#resource-strategy-without-overloading-yourself) 8. [ Common Pitfalls to Avoid ](#common-pitfalls-to-avoid) 9. [ Key Takeaways ](#key-takeaways) 10. [ Frequently Asked Questions ](#blog-faqs) 11. [ References ](#references-heading) On this page 1. [ Know the Exam You Are Training For ](#know-the-exam-you-are-training-for) 2. [ Build a Pediatrics Priority Map ](#build-a-pediatrics-priority-map) 3. [ Use Question Banks the Right Way ](#use-question-banks-the-right-way) 4. [ Train for the Clinical Exam from Week One ](#train-for-the-clinical-exam-from-week-one) 5. [ Study Schedule Template ](#study-schedule-template) 6. [ Prepare TOACS Like a Skills Exam ](#prepare-toacs-like-a-skills-exam) 7. [ Resource Strategy Without Overloading Yourself ](#resource-strategy-without-overloading-yourself) 8. [ Common Pitfalls to Avoid ](#common-pitfalls-to-avoid) 9. [ Key Takeaways ](#key-takeaways) 10. [ Frequently Asked Questions ](#blog-faqs) 11. [ References ](#references-heading) Most FCPS Part II Pediatrics candidates do not fail because they “didn’t study enough.” They struggle because they prepare for knowledge recall while the exam tests applied consultant-level reasoning. Your plan must train you to answer MCOs quickly, present a child coherently, defend differentials, and manage TOACS tasks under pressure. As of June 2026, FCPS Part II Pediatrics includes theory papers followed by clinical and TOACS components according to CPSP scheduling. For Pediatrics, theory preparation must run alongside bedside practice; waiting until after the written result to start clinical preparation is a common and costly mistake. Know the Exam You Are Training For ---------------------------------- FCPS Part II is not Part I with bigger textbooks. It is a final fellowship assessment, so examiners look for safe independent practice: focused history, accurate examination, prioritization, rational investigations, and defensible management. For Pediatrics, build your preparation around four outputs: - **Theory MCOs:** rapid recognition of diagnosis, complications, and next best steps. - **Long case:** structured history, examination, synthesis, and discussion. - **Short cases:** signs-based diagnosis with confident differentials. - **TOACS:** task completion for images, labs, procedures, counseling, and emergencies. > **Pro Tip:** Do not ask, “Have I read this topic?” Ask, “Can I diagnose it, justify investigations, start management, and explain it to a parent?” Build a Pediatrics Priority Map ------------------------------- Start with high-frequency pediatric problems that appear in wards, clinics, emergency rooms, and TOACS stations. Make a one-page map for each system instead of passively rereading chapters. Prioritize these areas first: - Neonatal resuscitation, prematurity, jaundice, sepsis, seizures, and feeding problems. - Growth, development, nutrition, immunization, and failure to thrive. - Respiratory illness: asthma, pneumonia, tuberculosis, bronchiolitis, chronic cough. - Cardiology: murmurs, cyanotic spells, heart failure, congenital heart disease. - Neurology: seizures, cerebral palsy, developmental delay, meningitis, raised ICP. - Nephrology, hematology, endocrine, rheumatology, metabolic disease, and poisoning. For each topic, write five exam-ready lines: presentation, key signs, differentials, investigations, and management. This becomes your final-week revision file. Use Question Banks the Right Way -------------------------------- Question banks are not just for scoring yourself. Use them to identify patterns in CPSP-style reasoning: common traps, confusing differentials, and management sequencing. Use this 3-step method: 1. Do 50–75 timed MCOs by system. 2. Review every wrong answer and every guessed correct answer. 3. Convert mistakes into flashcards or a one-line error log. Your error log should be clinical, not emotional. Write: “Nephrotic syndrome relapse: confirm proteinuria, assess edema/infection, then steroid plan,” not “I am weak in nephro.” Review this log every third day. Train for the Clinical Exam from Week One ----------------------------------------- The long case rewards organized thinking more than encyclopedic detail. Practice the exact sequence you will use in the room. For the 40-minute long-case assessment period, rehearse this structure: - First 20 minutes: presenting complaint, chronology, antenatal/birth history, development, immunization, nutrition, family history, and red flags. - Next 12–15 minutes: targeted general and systemic examination. - Final 5 minutes: problem list, likely diagnosis, differentials, and investigation requests. Your presentation should not exceed 4–5 minutes before discussion. Lead with age, key problem, duration, major positives, major negatives, examination findings, and your working diagnosis. Short cases require a different skill. Practice recognizing signs quickly: clubbing, cyanosis, dysmorphism, pallor, edema, neurocutaneous markers, chest deformity, hepatosplenomegaly, and abnormal gait. Say what you see before jumping to a diagnosis. Study Schedule Template ----------------------- Use a 12-week plan if you are working full-time. If your exam is closer, compress the same sequence rather than skipping clinical practice. WeeksMain focusWeekly deliverable1–3Core Pediatrics systems300–450 MCOs, 6 long-case templates4–6Neonatology, emergencies, nutrition, development2 bedside sessions, 1 TOACS drill weekly7–9Weak systems and mixed MCOs2 timed papers, 8 short-case discussions10–11Mock clinical and TOACS circuits2 full mocks with feedback12Final revisionError log, algorithms, counseling scripts Keep one evening weekly for synthesis only. Use it to update your “final file” of algorithms, tables, and examiner-friendly phrases. Prepare TOACS Like a Skills Exam -------------------------------- TOACS stations are time-limited, so your answer must be organized before you enter. Practice stations using a stopwatch and written task format. Use this universal TOACS structure: - Identify the task: image, lab, instrument, counseling, procedure, or emergency. - State the most likely diagnosis or interpretation. - Give 2–3 differentials if relevant. - Mention immediate management and safety steps. - Add counseling, prevention, or follow-up when appropriate. For x-rays and labs, always use a sequence. For example: quality, anatomy, abnormality, diagnosis, complication, next step. This prevents blanking when the station feels unfamiliar. Resource Strategy Without Overloading Yourself ---------------------------------------------- Use fewer resources better. Choose one standard Pediatrics textbook, CPSP documents, local/national protocols, a reliable question bank, and a serious peer group. Use each resource for a specific job: - Textbook: concepts and difficult topics. - Guidelines/protocols: management pathways and doses where locally relevant. - Question bank: pattern recognition and timing. - Bedside rounds: examination and presentation. - Study group: mock viva, short cases, and TOACS circuits. Avoid collecting PDFs without converting them into recall material. Every resource should produce notes, flashcards, algorithms, or practiced presentations. Common Pitfalls to Avoid ------------------------ Do not prepare theory and clinical separately. FCPS Part II Pediatrics rewards candidates who can connect an MCO scenario to a real child in front of an examiner. Avoid these mistakes: - Starting long-case practice only after the theory result. - Reading rare syndromes while neglecting neonatal and emergency Pediatrics. - Giving investigation lists without explaining why each test changes management. - Presenting long cases as a full history instead of a clinical argument. - Practicing TOACS without timing. > **Insider Advice:** In discussion, a safe, prioritized plan usually scores better than an impressive but scattered answer. Key Takeaways ------------- This week, do not “restart preparation.” Start producing exam outputs. - Download and review the latest CPSP exam and clinical guidelines. - Create a 12-week Pediatrics priority map. - Complete one timed MCO block and update an error log. - Present one long case to a senior or peer. - Run 10 TOACS-style stations with a stopwatch. - Build a final revision file of algorithms, differentials, and counseling scripts. FCPS Part II Pediatrics is demanding, but it is trainable. If you practice the format as seriously as you study the content, you will enter the exam sounding like a developing consultant—not a candidate reciting notes. Frequently Asked Questions ---------------------------- ### When should I start clinical preparation for FCPS Part II Pediatrics? Start from the first week of preparation. Long cases, short cases, and TOACS require repeated performance practice, not last-minute reading. ### How should I revise theory without ignoring clinical skills? Link every MCO topic to a bedside scenario. After each system, prepare one long-case framework, common short-case signs, and likely TOACS tasks. ### What is the best way to improve long-case presentation? Use a fixed 4–5 minute structure: patient profile, key history, examination findings, problem list, diagnosis, differentials, and management priorities. ### How many mock exams should I attempt before FCPS Part II Pediatrics? Aim for at least two timed theory mocks and two clinical/TOACS mock circuits. More important than the number is detailed feedback and correction. ### What should my final week focus on? Revise your error log, algorithms, emergency pathways, counseling scripts, and common differentials. Avoid starting large new textbook sections. References (3) ------------------ 1. 1. [ College of Physicians and Surgeons Pakistan. FCPS-II Examination Guidelines for Major Subjects. ](https://www.cpsp.edu.pk/files/guidelines/FCPS-IIa/FCPS-II-A-Major-guideline.pdf) 2. 2. [ College of Physicians and Surgeons Pakistan. Clinical and TOACS Guidelines: FCPS-II Paediatrics. ](https://www.cpsp.edu.pk/files/guidelines/clinical/FCPS-IIA/Paediatrics.pdf) 3. 3. [ College of Physicians and Surgeons Pakistan. 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