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[ Home ](https://mdster.com) 2. [ Obstetrics & Gynecology ](https://mdster.com/speciality/obstetrics-gynecology) 3. FCPS FCPS Exam Preparation ======================= Fellowship of the College of Physicians and Surgeons Pakistan College of Physicians and Surgeons Pakistan (CPSP) Pakistan CPSP conducts FCPS postgraduate examinations through its Examination Department with structured processes for theory and clinical assessment. The CPSP examination portal publishes staged examination sittings including FCPS Part I, the Intermediate Module (IMM), and FCPS Part II for major subjects. CPSP describes clinical examinations as being conducted by pairs of examiners with independent scoring to support objectivity. FCPS Part I Intermediate Module (IMM) FCPS Part II 3,211+ Questions 2,355+ Flashcards 67+ Podcasts About the FCPS Exam --------------------- The Fellowship of the College of Physicians and Surgeons Pakistan (FCPS) in Obstetrics & Gynecology is a premier postgraduate medical qualification. It certifies doctors as specialist consultants through a rigorous three-stage assessment: Part I, the Intermediate Module (IMM), and Part II. The pathway ensures comprehensive knowledge and clinical competence in women's health. ### Eligibility Candidates must hold a PMDC-recognized medical degree (MBBS) and have completed a one-year house job to sit for Part I. For IMM and Part II, candidates must complete 2 to 4 years of structured, CPSP-accredited training respectively, and submit approved supervisor logs. ### Exam Format The exam is staged: Part I consists of multiple-choice questions (BCQs) on basic sciences. IMM features theory and TOACS. Part II includes theory papers (MCQs) followed by a comprehensive clinical exam involving long cases, short cases, and TOACS scored independently by paired examiners. ### Duration Theory papers typically last 3 hours each. Clinical exams (TOACS, long, and short cases) for IMM and Part II are conducted over 1 to 2 days per candidate. ### Passing Criteria Theory exams generally require a passing score of around 70-75%, based on CPSP's standardized grading system. For clinicals, candidates must achieve satisfactory scores across multiple independent examiner pairs. ### Exam Fees Examination fees range from approximately PKR 15,000 for Part I to PKR 35,000 or more for Part II, excluding registration and late fees. Candidates should verify current fee structures directly with CPSP. ### Exam Frequency Part I is typically held three to four times a year. IMM and Part II are generally conducted twice a year. ### Registration Process Candidates must register online via the CPSP e-portal. The process requires uploading PMDC registration, training certificates, supervisor endorsements, completed e-logbooks for later stages, and the payment voucher. FCPS Key Syllabus Topics -------------------------- Core topics and subject areas covered in the FCPS examination ### Basic Medical Sciences Anatomy of the female pelvis, reproductive physiology, embryology, and basic pharmacology relevant to obstetrics and gynecology. ~100% of Part I; 10-15% of Part II ### Maternal Medicine and High-Risk Pregnancy Management of medical disorders in pregnancy, including hypertensive disorders, diabetes, anemia, and cardiac disease. ~20-25% (Part II) ### Labor and Delivery Normal labor mechanisms, operative vaginal deliveries, cesarean sections, and management of intrapartum emergencies like postpartum hemorrhage. ~15-20% (Part II) ### Fetal Medicine Prenatal screening, ultrasound diagnostics, management of fetal growth restriction, and congenital anomalies. ~10-15% (Part II) ### Gynecological Oncology Screening, diagnosis, and management principles for cervical, uterine, ovarian, and vulval cancers. ~10-15% (Part II) ### Reproductive Endocrinology and Infertility Evaluation and treatment of PCOS, amenorrhea, infertility workups, and assisted reproductive technologies (ART). ~10-15% (Part II) ### Urogynecology and Pelvic Floor Diagnosis and surgical/non-surgical management of pelvic organ prolapse and urinary incontinence. ~10% (Part II) ### Early Pregnancy Complications Management of ectopic pregnancy, miscarriage, and gestational trophoblastic disease. ~10% (Part II) **8** key topics covered Start Your FCPS Preparation Today ----------------------------------- Comprehensive study materials designed to help you pass the FCPS with confidence [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • 5-day free trial Everything You Need to Pass the FCPS -------------------------------------- A complete preparation platform with tools designed for Obstetrics & Gynecology professionals ### Practice Questions 3,211+ questions across MCQ, SAQ, SOE formats with detailed explanations and references ### Flashcards 2,355+ flashcards for active recall — mark known and unknown cards to focus on weak areas ### Audio Podcasts 67+ audio episodes — learn on the go during commutes, workouts, or ward breaks ### Timed Mock Exams Simulate real exam conditions with timed sessions, customisable question counts, and topic filters ### AI-Powered Q&A Ask follow-up questions on any topic and get instant, contextual answers with references ### Performance Analytics Track your progress, identify weak areas, and monitor your exam readiness with detailed analytics FCPS Exam Structure --------------------- Our materials cover all parts of the FCPS examination ### FCPS Part I The FCPS Part 1 in Obstetrics & Gynecology is a foundational written examination conducted by the College of Physicians and Surgeons Pakistan (CPSP). It assesses a candidate's grasp of core basic medical sciences—such as anatomy, physiology, and pathology—specifically as they relate to women's reproductive health, childbirth, and fetal development. Passing this rigorous assessment is a mandatory prerequisite for medical graduates to enter formal clinical residency training in the specialty. Computer-based examination comprising two theory papers (Paper I for general basic sciences and Paper II for specialty-specific basic sciences). Each paper contains 100 One-Best-Answer Multiple Choice Questions (MCQs) with no negative marking. 2 to 2.5 hours per paper (Total examination duration is 4 to 5 hours, usually completed in a single day). Pass: Candidates must achieve a minimum score of 75% in each of the two papers individually to pass. Key Topics Anatomy and Embryology Physiology and Endocrinology Pathology Pharmacology Microbiology and Immunology Genetics and Biochemistry ### Intermediate Module (IMM) The Intermediate Module (IMM) in Obstetrics and Gynecology is a critical mid-training assessment conducted by CPSP after the first two years of residency. It evaluates core clinical knowledge, evidence-based management, and fundamental procedural skills, serving as a mandatory prerequisite for advancing to the final phase of FCPS-II specialized training. Computer-Based Written Examination consisting of Multiple Choice Questions (MCQs), followed by a Clinical Examination utilizing the Task-Oriented Assessment of Clinical Skills (TOACS) format. The written exam consists of two papers, each lasting 2 hours (120 minutes) for computer-based testing, with a short break in between. The subsequent TOACS component varies in duration based on the number of interactive and static stations. Pass: Candidates must achieve a combined score of 75% across both written MCQ papers to clear the theory component and become eligible for the TOACS clinical assessment. Key Topics Intrapartum Care & Obstetric Emergencies Maternal Medicine & Antenatal Care General Gynecology Early Pregnancy Complications Reproductive Endocrinology & Infertility Gynecological Oncology +2 more ### FCPS Part II The FCPS Part II in Obstetrics and Gynecology is the final certification examination by the College of Physicians and Surgeons Pakistan. It assesses advanced theoretical knowledge, clinical competence, surgical judgment, and comprehensive patient management required to practice independently as a consultant obstetrician and gynecologist. Written papers (MCQs and Short Essay Questions) and a multi-station Clinical/Oral examination (TOACS, long cases, short cases, and viva voce). Multiple days (Two 3-hour written papers followed by clinical examinations on separately scheduled days). Pass: Candidates must pass the written exam to qualify for clinicals; clinical passing requires independent satisfactory scoring by paired examiners, typically equating to a 60% standard. Key Topics Maternal-Fetal Medicine General Obstetrics General Gynecology Gynecological Oncology Reproductive Endocrinology and Infertility Urogynecology How to Prepare for the FCPS ----------------------------- A practical guide to help you plan your FCPS preparation effectively ### Recommended Timeline 6-12 months of intensive, structured study per examination stage (Part I, IMM, Part II). ### Study Tips - Form study groups for TOACS and OSCE practice to improve verbal presentation skills. - Extensively practice past BCQs (Best Choice Questions) to understand CPSP's testing pattern. - Integrate local Society of Obstetricians and Gynaecologists of Pakistan (SOGP) guidelines alongside RCOG/ACOG recommendations. - Schedule mock clinical exams with senior registrars or supervisors to simulate the pressure of paired examiners. - Maintain and review your e-logbook regularly, as real clinical cases provide the best foundation for the Part II long case. - Focus heavily on the rationale behind management steps, as examiners test decision-making and patient safety. ### High-Yield Topics - Postpartum Hemorrhage (PPH) prevention and surgical management - Eclampsia and severe preeclampsia protocols - Interpretation of CTG (Cardiotocography) and partograms - Pelvic floor anatomy and ureter relations - Infertility workup and ovulation induction algorithms - Cervical cancer screening and management of abnormal smears ### Common Pitfalls - Neglecting basic sciences in Part II preparation, forgetting that anatomy and physiology are heavily tested in surgical rationale. - Poor time management during the TOACS stations, leading to missed critical counseling steps. - Presenting clinical cases like a textbook rather than tailoring management to the specific patient scenario. - Focusing only on theory and starting clinical practice too late in the preparation timeline. - Failing to demonstrate safe practice and awareness of ethical guidelines during viva voce. ### Recommended Resources - Dewhurst's Textbook of Obstetrics & Gynaecology - Williams Obstetrics - Berek & Novak's Gynecology - RCOG Green-top Guidelines and NICE Guidelines - Ten Teachers (Obstetrics and Gynaecology) for foundational review - Past CPSP BCQ compilation books for Part 1 and IMM Study Pathways ---------------- Choose the pathway that matches your FCPS preparation stage ### Obstetrics & Gynecology Core Pathway Core pathway for Obstetrics & Gynecology covering foundational exams and initial certification steps. #### What's Included 995 MCQ Questions 623 SAQ Questions 1,631 Flashcards 35 Podcasts 3,284 total study resources #### Exam Coverage FCPS FCPS Part I FCPS Intermediate Module (IMM) [ Start Learning ](https://mdster.com/user/dashboard) ### Obstetrics & Gynecology Advanced Pathway Advanced pathway for Obstetrics & Gynecology covering final exams, oral assessments, and advanced clinical evaluations. #### What's Included 835 MCQ Questions 658 SAQ Questions 100 SOE Questions 724 Flashcards 32 Podcasts 2,349 total study resources #### Exam Coverage FCPS FCPS Part II [ Start Learning ](https://mdster.com/user/dashboard) Last refreshed: April 2026 Flexible Pricing Plans ------------------------ Choose the plan that fits your FCPS study schedule ### Try Risk-Free for 5 Days Start your free trial today and get full access to all FCPS features. **No credit card required**. Cancel anytime. No Commitment! Full platform access All study materials Analytics & tracking Cancel anytime ### Obstetrics & Gynecology Core Pathway Core pathway for Obstetrics & Gynecology covering foundational exams and initial certification steps. #### Monthly Flexible month-to-month $12.00 /month Cancel anytime Immediate access Save 8% #### 3 Months Popular Great for exam cycles $11.00 /month Billed $33.00 every 3 months Save 8% vs monthly Perfect for exam cycles Save 17% #### 6 Months Maximum savings $10.00 /month Billed $60.00 every 6 months Save 17% vs monthly Best value for serious learners ### Obstetrics & Gynecology Advanced Pathway Advanced pathway for Obstetrics & Gynecology covering final exams, oral assessments, and advanced clinical evaluations. #### Monthly Flexible month-to-month $15.00 /month Cancel anytime Immediate access Save 13% #### 3 Months Popular Great for exam cycles $13.00 /month Billed $39.00 every 3 months Save 13% vs monthly Perfect for exam cycles Save 20% #### 6 Months Maximum savings $12.00 /month Billed $72.00 every 6 months Save 20% vs monthly Best value for serious learners ### Obstetrics & Gynecology Bundle (Core + Advanced) Bundle subscription for Obstetrics & Gynecology: Core + Advanced pathways with all features included. #### Monthly Flexible month-to-month $20.00 /month Cancel anytime Immediate access Save 15% #### 3 Months Popular Great for exam cycles $17.00 /month Billed $51.00 every 3 months Save 15% vs monthly Perfect for exam cycles Save 25% #### 6 Months Maximum savings $15.00 /month Billed $90.00 every 6 months Save 25% vs monthly Best value for serious learners Latest FCPS Updates --------------------- Recent changes and developments for the FCPS examination 2024 ### Transition to Computer-Based Testing (CBT) CPSP has largely transitioned Part I and theory components of IMM and Part II to a Computer-Based Testing format. Candidates should verify the exact venue capabilities with CPSP. 2024 ### Mandatory E-Logbook Integration Strict enforcement of E-logbook completion and supervisor approval prior to generating roll numbers for IMM and Part II. Candidates should verify exact submission deadlines with CPSP. Early 2025 ### Fee Structure Revisions Examination and registration fees have seen incremental adjustments to account for administrative costs. Candidates should verify the current fee schedule with College of Physicians and Surgeons Pakistan (CPSP). Updates are based on publicly available information and may not reflect the very latest changes. Always verify with the official College of Physicians and Surgeons Pakistan (CPSP) website. Related Obstetrics & Gynecology Exams ------------------------------------------- Other examinations in Obstetrics & Gynecology you may be interested in [ ### ABHS Arab Board of Health Specializations Middle East/North Africa ](https://mdster.com/speciality/obstetrics-gynecology/abhs-obstetrics-gynecology) [ ### ABOG American Board of Obstetrics and Gynecology USA ](https://mdster.com/speciality/obstetrics-gynecology/abog) [ ### AOBOG American Osteopathic Board of Obstetrics and Gynecology USA ](https://mdster.com/speciality/obstetrics-gynecology/aobog) [ ### DNB Diplomate of National Board India ](https://mdster.com/speciality/obstetrics-gynecology/dnb) [ ### EBCOG European Board and College of Obstetrics and Gynaecology Europe ](https://mdster.com/speciality/obstetrics-gynecology/ebcog) [ ### FCOG(SA) Fellowship of the College of Obstetricians and Gynaecologists of South Africa South Africa ](https://mdster.com/speciality/obstetrics-gynecology/fcog-sa) Frequently Asked Questions ---------------------------- Everything you need to know about FCPS preparation What is the difference between FCPS Part 1, IMM, and Part 2? FCPS Part I is a foundational exam testing basic medical sciences, taken early in training. The Intermediate Module (IMM) is an assessment taken midway through residency to ensure clinical progress. Part II is the final exit exam, combining advanced theory and complex clinical assessments to grant the fellowship. How many attempts are allowed for FCPS Part 1? Historically, CPSP allows multiple attempts for Part I, but candidates must pass it before they can begin their formal structured training for the fellowship. It is highly recommended to check the most current attempt limits and validity of the MBBS house job with CPSP. Is the FCPS OBGYN recognized internationally? Yes, the FCPS qualification is highly respected and recognized in many Middle Eastern countries (like Saudi Arabia and the UAE) and is considered equivalent to local specialist degrees in various international jurisdictions, facilitating global career mobility. What is the format of the clinical examination for Part II? The clinical exam consists of a long case, several short cases, and a TOACS (Task-Oriented Assessment of Clinical Skills). These are evaluated by pairs of independent examiners to ensure objective scoring, focusing on history taking, examination, and management plans. What happens if I fail the clinical part but pass the theory? Candidates who pass the theory component but fail the clinical examination generally retain their theory pass status for a limited number of consecutive clinical attempts. If they exhaust these attempts, they must retake the theory exam. How much does it cost to take the FCPS exams? Exam fees vary by stage, generally ranging from PKR 15,000 for Part I up to PKR 35,000 or more for Part II. These figures exclude registration, late fees, and training enrollment costs, so candidates must check the latest CPSP fee structure. Are RCOG guidelines applicable for the FCPS exam? Yes, examiners heavily rely on evidence-based medicine, and RCOG Green-top Guidelines are widely considered the gold standard for management protocols in the FCPS OBGYN exam, alongside local SOGP guidelines. How long does the entire FCPS training take? The full pathway typically takes 4 to 5 years after the house job. This includes passing Part I, completing two years of training to clear IMM, and completing another two years of training before passing Part II. Specialty reading hub Related Obstetrics & Gynecology Articles ---------------------------------------------- Reinforce your FCPS preparation with specialty-specific guides, exam strategy articles, and clinical revision insights from the MDster blog. [ Browse all Obstetrics & Gynecology articles ](https://mdster.com/blog?speciality=obstetrics-gynecology) [ ![Repaired Tetralogy of Fallot in Pregnancy: A Case Discussion](https://mdster.com/storage/blog/images/repaired-tetralogy-of-fallot-in-pregnancy-a-case-discussion.jpg) Case Discussion / 4 min read ### Repaired Tetralogy of Fallot in Pregnancy: A Case Discussion A high-yield case discussion on third-trimester decompensation in repaired tetralogy of Fallot, emphasizing right ventricular failure, delivery planning, and postpartum risk. 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Mar 31, 2026 Read article ](https://mdster.com/blog/rhd-immunization-prevention-avoiding-missed-anti-d-prophylaxis) [ ![How to Pass the Fellowship of the College of Obstetricians and Gynaecologists of South Africa (Intermediate Examination)](https://mdster.com/storage/blog/01KMSZBET38EJ4BV3M28R1HWT5.jpg) Study Tips / 7 min read ### How to Pass the Fellowship of the College of Obstetricians and Gynaecologists of South Africa (Intermediate Examination) Targeted study tips for the FCOG(SA) Intermediate Examination, with blueprint-based topic priorities, SBA tactics, a 6-week plan, and South Africa-specific revision advice. Mar 27, 2026 Read article ](https://mdster.com/blog/how-to-pass-the-fellowship-of-the-college-of-obstetricians-and-gynaecologists-of-south-afr) Ready to Pass the FCPS? ------------------------- Join medical professionals who are preparing for the Fellowship of the College of Physicians and Surgeons Pakistan with MDster [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • Cancel anytime [ ](/) Master your medical exams with evidence-based learning. 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