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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) Study Tips for Obstetrics & Gynaecology [ Study Tips ](https://mdster.com/blog?category=study-tips) Fellowship of the College of Physicians and Surgeons Pakistan (FCPS Part II) Study Tips for Obstetrics & Gynaecology ========================================================================================================================== A practical, exam-focused plan to prepare smarter for theory, long cases, and TOACS in FCPS Part II. [ MDster Editorial Team ](https://mdster.com/about) · Jul 05, 2026 · 6 min read · 18 [ 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) [ Obstetrics & Gynecology ](https://mdster.com/blog?tag=obstetrics-gynecology) [ Study Tips ](https://mdster.com/blog?tag=study-tips) [ Obstetrics and Gynaecology ](https://mdster.com/blog?tag=obstetrics-and-gynaecology) [ Exam Preparation ](https://mdster.com/blog?tag=exam-preparation) [ CPSP ](https://mdster.com/blog?tag=cpsp) [ FCPS Part II ](https://mdster.com/blog?tag=fcps-part-ii) ![Fellowship of the College of Physicians and Surgeons Pakistan (FCPS Part II) Study Tips for Obstetrics & Gynaecology](https://mdster.com/storage/blog/images/fellowship-of-the-college-of-physicians-and-surgeons-pakistan-fcps-part-ii-study-tips-for.jpg) Share this article Share this post On this page 1. [ Study the exam you will actually sit ](#study-the-exam-you-will-actually-sit) 2. [ Prioritize cases that generate discussion ](#prioritize-cases-that-generate-discussion) 3. [ Study Schedule Template ](#study-schedule-template) 4. [ Resource mix that actually works ](#resource-mix-that-actually-works) 5. [ Practice for what examiners score ](#practice-for-what-examiners-score) 6. [ Common pitfalls ](#common-pitfalls) 7. [ Key Takeaways ](#key-takeaways) 8. [ Frequently Asked Questions ](#blog-faqs) 9. [ References ](#references-heading) On this page 1. [ Study the exam you will actually sit ](#study-the-exam-you-will-actually-sit) 2. [ Prioritize cases that generate discussion ](#prioritize-cases-that-generate-discussion) 3. [ Study Schedule Template ](#study-schedule-template) 4. [ Resource mix that actually works ](#resource-mix-that-actually-works) 5. [ Practice for what examiners score ](#practice-for-what-examiners-score) 6. [ Common pitfalls ](#common-pitfalls) 7. [ Key Takeaways ](#key-takeaways) 8. [ Frequently Asked Questions ](#blog-faqs) 9. [ References ](#references-heading) Most FCPS Part II candidates do not fail because they are lazy. They fail because they prepare for Obstetrics & Gynaecology as if it were just a larger FCPS Part I: too much passive reading, too little bedside rehearsal, and a dangerous delay in sorting exam eligibility paperwork. For FCPS Part II major subjects, you need a theory pass and then a clinical performance that stands up under direct observation. CPSP’s current Obstetrics & Gynaecology clinical guidance describes two long cases, one obstetric and one gynaecologic, plus TOACS, with an aggregate 60% pass mark; CPSP also states that clinical components are scored independently by paired examiners. [\[1\]](#cite-1 "Reference [1]") As of July 2026, CPSP lists FCPS-II major-subject theory sittings on February 16, 2026 and September 29, 2026. That means your preparation should be built backward from a real date, not from a vague plan to 'revise more later.' [\[2\]](#cite-2 "Reference [2]") Study the exam you will actually sit ------------------------------------ For major subjects in Pakistan, CPSP’s current guidance still points candidates to an online theory format, while the clinical side for Obstetrics & Gynaecology is a separate performance test with timed long cases and TOACS stations. So your weekly plan must always include both screen-based question practice and spoken clinical rehearsal. [\[3\]](#cite-3 "Reference [3]") Build your preparation around three parallel tracks: - **Theory:** timed online MCQ blocks, followed by review of wrong answers only. - **Clinical:** one obstetric long case, one gynaecology long case, and a TOACS circuit every week. - **Eligibility:** research, article, workshop, and portal checklist review every two weeks. CPSP’s research pages now make synopsis approval part of the pathway for FCPS-II candidates, and they also state that a synopsis-based published article is required for first-fellowship candidates appearing in FCPS Part II theory. Do not let administrative requirements become the reason a well-prepared candidate misses the sitting. [\[4\]](#cite-4 "Reference [4]") > **Pro Tip:** If you are 10 to 12 weeks from the exam, never end a study day with reading alone. Finish with either 20 timed questions or one spoken case presentation. Prioritize cases that generate discussion ----------------------------------------- In FCPS Part II, broad discussion matters more than obscure facts. Prioritize topics that let you demonstrate diagnosis, risk assessment, investigations, immediate management, definitive management, and counselling in one answer. A practical high-yield list for long cases and TOACS is: - Severe pre-eclampsia/eclampsia, APH, PPH, labour dystocia, CTG interpretation, induction, previous cesarean and VBAC counselling. - Preterm labour, PPROM, diabetes or cardiac disease in pregnancy, sepsis, and early pregnancy complications. - Abnormal uterine bleeding, fibroid uterus, adnexal mass, infertility, prolapse, postmenopausal bleeding, and core gynae-oncology red flags. For each topic, make a one-page case sheet with the same headings every time: likely diagnosis, key differentials, must-not-miss complication, first-line investigations, immediate management, definitive plan, and counselling points. Repeating those sheets in spaced cycles is far more efficient than rereading full chapters, and medical-education reviews support spaced repetition plus deliberate clinical practice over passive review. [\[5\]](#cite-5 "Reference [5]") Study Schedule Template ----------------------- If you are aiming for the September 29, 2026 sitting, use a 12-week countdown. Keep the structure simple enough to survive calls, labour room duties, and post-call fatigue. [\[2\]](#cite-2 "Reference [2]") PhaseTheory focusClinical focusWeeks 12-9Two systems per week, daily timed questions, error log1 obs long case + 1 gynae long case weekly, 8-10 TOACS stationsWeeks 8-4Two full timed papers each week, rapid revision of weak areas2 long cases weekly, 15-20 stations, viva answers aloudWeeks 3-1Only notes, algorithms, and mistakes notebook2 mock clinical circuits weekly, presentation polishing ### Resource mix that actually works Use resources by purpose, not by habit: - **Question banks:** for timing, pattern recognition, and your error log. - **Core textbooks:** to repair concepts only after you miss a question or fumble a case. - **Unit protocols and national/international guidelines:** for thresholds, escalation, and route-of-delivery decisions. - **Small study groups:** two to four serious candidates are enough for viva drilling. - **Real patients and ward rounds:** best source for long-case flow, consent language, and examination polish. Practice for what examiners score --------------------------------- The long-case mark is not just about naming the diagnosis. CPSP’s current Obstetrics & Gynaecology clinical instructions explicitly assess approach to the patient, bedside manners, informed consent, systematic examination, presentation, interpretation, investigations, and management discussion. [\[1\]](#cite-1 "Reference [1]") Use this checklist in every practice case: - Introduce yourself, confirm identity, take consent, and ask for appropriate exposure and chaperone. - Give a 30-second summary before details. - State a problem list, not a stream of findings. - Rank investigations into urgent, confirmatory, and pre-operative. - Present management in order: stabilize first, then definitive treatment, then counselling. - End with follow-up and complication surveillance. For TOACS, your method should be mechanical. Read the task first, identify whether it is examination, data interpretation, counselling, or emergency management, then give the final answer early and justify it briefly. In the current CPSP OBGYN clinical guidance, TOACS stations are timed at 4 to 8 minutes, so long introductions waste marks. [\[1\]](#cite-1 "Reference [1]") > **Pro Tip:** In obstetric emergencies, say the maternal stabilization steps first. Examiners trust candidates who show safe sequencing. Common pitfalls --------------- Avoid these repeat mistakes: - Reading whole chapters without doing same-day questions. - Practising examination silently instead of presenting aloud. - Giving generic management without thresholds, timing, or counselling. - Leaving TOACS until after theory results. - Ignoring the research and workshop checklist until the application window opens. [\[4\]](#cite-4 "Reference [4]") Key Takeaways ------------- - Fix your exam date and write a 12-week countdown today. - Create 10 to 12 one-page long-case sheets this week. - Schedule one obstetric case, one gynaecology case, and one TOACS session every week. - Keep one error log with three labels: fact gap, judgement gap, exam-technique gap. - Audit your synopsis, article, workshops, and portal documents now, not later. [\[4\]](#cite-4 "Reference [4]") FCPS Part II is demanding, but it is very passable when your preparation mirrors the real exam. Train yourself to think aloud, examine cleanly, and make safe management decisions under time pressure, and you will look like the candidate CPSP wants to pass. Frequently Asked Questions ---------------------------- ### How is FCPS Part II different from FCPS Part I for Obstetrics & Gynaecology? FCPS Part II is not only a theory exam. You must prepare for theory, long cases, TOACS, and structured clinical discussion, so bedside performance matters much more than in Part I. ### Should I study theory and clinical separately? No. Link them. After every theory block, practise one related long case or TOACS station so knowledge becomes exam-ready reasoning. ### How many weeks of focused revision do most candidates need before FCPS Part II? If your training base is sound, 10 to 12 focused weeks usually works well. If your clinical presentation skills are weak, start earlier because spoken practice improves more slowly than factual recall. ### What is the best way to practise TOACS for this exam? Use timed 4- to 8-minute stations, read the task before touching the patient or data, give the final answer early, and get immediate feedback on structure and omissions. ### When should I check research and workshop requirements? Now. Eligibility problems are harder to fix than knowledge gaps, so review your CPSP portal checklist early and recheck it before the application window opens. References (5) ------------------ 1. 1. [ www.cpsp.edu.pk/files/guidelines/clinical/FCPS-IIA/Obstetrics%20%26%20Gynaecology.pdf ](https://www.cpsp.edu.pk/files/guidelines/clinical/FCPS-IIA/Obstetrics%20%26%20Gynaecology.pdf) [↩](#cite-ref-1-1 "Back to text") 2. 2. [ www.cpsp.edu.pk/examination-schedule.php ](https://www.cpsp.edu.pk/examination-schedule.php) [↩](#cite-ref-2-1 "Back to text") 3. 3. [ cpsp.edu.pk/examination-guideline ](https://cpsp.edu.pk/examination-guideline) [↩](#cite-ref-3-1 "Back to text") 4. 4. [ cpsp.edu.pk/synopsis.php ](https://cpsp.edu.pk/synopsis.php) [↩](#cite-ref-4-1 "Back to text") 5. 5. [ pubmed.ncbi.nlm.nih.gov/41601436 ](https://pubmed.ncbi.nlm.nih.gov/41601436/) [↩](#cite-ref-5-1 "Back to text") Next step Build confidence in OB/GYN with focused practice -------------------------------------------------- - Labor & delivery + postpartum essentials - Gynecology, screening, and common procedures - Review weak topics and improve faster [ Start practicing ](https://mdster.com/user/dashboard) [ Explore Obstetrics & Gynecology ](https://mdster.com/speciality/obstetrics-gynecology) [ View pricing ](https://mdster.com/pricing) [ Explore features ](https://mdster.com/features) No credit card required. Full access to all features\*. No commitment. Cancel anytime. \*AI SOE Examiner is limited to 10 cases monthly for Advanced & Bundle subscribers. 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