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[ Home ](https://mdster.com) 2. [ Obstetrics & Gynecology ](https://mdster.com/speciality/obstetrics-gynecology) 3. RCPSC RCPSC Exam Preparation ======================== Royal College of Physicians and Surgeons of Canada Royal College of Physicians and Surgeons of Canada Canada The Royal College administers Canadian specialty certification examinations, including Obstetrics & Gynecology, using a written component and an applied (oral) component. Written exams are delivered using a computer-based platform and can include multiple-choice and short-answer formats. Applied/oral exams may be delivered virtually depending on the year and exam delivery model. Written Component Applied (Oral) Component 3,211+ Questions 2,355+ Flashcards 67+ Podcasts About the RCPSC Exam ---------------------- The Royal College of Physicians and Surgeons of Canada (RCPSC) Obstetrics & Gynecology examination is a rigorous specialty certification assessment. Passing this high-stakes exam is mandatory for physicians seeking to practice independently as certified Obstetrician-Gynecologists in Canada. It comprehensively evaluates a candidate's medical knowledge, clinical judgment, and professional competencies. ### Eligibility Candidates must have successfully completed an RCPSC-accredited residency training program in Obstetrics & Gynecology, or an internationally recognized equivalent training path approved by the College. Additionally, candidates must have an approved Final In-Training Evaluation Report (FITER) or Comprehensive Objective Examination (CEX) confirming their readiness to challenge the exam. ### Exam Format The examination is divided into two parts: a computer-based written component consisting of multiple-choice and short-answer questions, and an applied/oral component assessing clinical reasoning. The applied/oral exam may be delivered virtually and is structured as an Objective Structured Clinical Examination (OSCE) or standard oral stations. ### Duration The written component typically spans two days, consisting of two separate 3-hour papers. The applied/oral component generally lasts between 2 to 3 hours, comprising multiple structured clinical stations. ### Passing Criteria Candidates must first pass the written component to be invited to the applied/oral exam. The passing score is determined using criterion-referenced standard setting methods, such as the modified Angoff method, ensuring candidates meet a predetermined standard of independent practice competence. ### Exam Fees Total examination fees are typically between $3,500 and $4,500 CAD, which includes both the written and applied components, as well as an initial credential assessment fee. Candidates should verify the exact current fees on the official Royal College website. ### Exam Frequency The RCPSC Obstetrics & Gynecology certification exam is held once annually. The written component usually takes place in the spring, while the applied component follows in late spring or early summer. ### Registration Process Registration requires an initial application for preliminary assessment of training, typically submitted a year in advance. Once approved, candidates register and pay the examination fees through the Royal College's online eBooking system before the winter deadline. RCPSC Key Syllabus Topics --------------------------- Core topics and subject areas covered in the RCPSC examination ### Maternal-Fetal Medicine Covers high-risk obstetrics, maternal medical complications, fetal physiology, prenatal screening, and the management of multiple gestations. ~20-25% ### General Obstetrics Focuses on routine antenatal care, management of normal and abnormal labor, operative vaginal delivery, and postpartum care including hemorrhage management. ~20-25% ### Gynecologic Oncology Involves the screening, diagnosis, and management of premalignant and malignant diseases of the female reproductive tract, including cervical, endometrial, and ovarian cancers. ~10-15% ### Reproductive Endocrinology and Infertility Covers the assessment and management of infertility, polycystic ovary syndrome (PCOS), menopause, amenorrhea, and assisted reproductive technologies. ~10-15% ### Urogynecology and Pelvic Reconstructive Surgery Evaluates knowledge of pelvic organ prolapse, urinary incontinence, urodynamics, and the conservative and surgical management of pelvic floor dysfunction. ~5-10% ### Minimally Invasive Gynecologic Surgery Tests principles of laparoscopy and hysteroscopy, safe entry techniques, energy sources in surgery, and the management of surgical complications. ~5-10% ### Family Planning and Contraception Includes complex contraception counseling, long-acting reversible contraception (LARC), and the medical and surgical management of pregnancy termination. ~5-10% ### Pediatric and Adolescent Gynecology Covers congenital anomalies of the reproductive tract, delayed or precocious puberty, and bleeding disorders in adolescent females. ~5% ### Intrinsic CanMEDS Roles Assesses non-medical expert roles such as Communicator, Collaborator, Health Advocate, Leader, Scholar, and Professional, often integrated into clinical scenarios. ~5-10% **9** key topics covered Start Your RCPSC Preparation Today ------------------------------------ Comprehensive study materials designed to help you pass the RCPSC with confidence [ Get Started Free ](https://mdster.com/user/dashboard) No credit card required • 5-day free trial Everything You Need to Pass the RCPSC --------------------------------------- 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 RCPSC Exam Structure ---------------------- Our materials cover all parts of the RCPSC examination ### Written Component The written component of the Royal College Obstetrics and Gynecology specialty examination assesses the clinical knowledge required to practice safely and independently as a specialist. It acts as a prerequisite step; candidates must pass this computer-based written exam to qualify for the subsequent applied component. The examination primarily evaluates the Medical Expert CanMEDS role while also integrating intrinsically linked roles such as Communicator, Health Advocate, and Scholar. Computer-based written examination consisting of multiple-choice questions (MCQs) in a single-best-answer format. Typically administered as two 3-hour papers. Pass: The passing score is 70%, which is reviewed by a panel of subject matter experts using a standard-setting process and adjusted if appropriate. Key Topics Maternal-Fetal Medicine General Obstetrics General Gynecology Reproductive Endocrinology and Infertility (REI) Gynecologic Oncology Critical Appraisal and Professionalism ### Applied (Oral) Component The Applied (Oral) Component of the RCPSC Obstetrics and Gynecology certification exam evaluates a candidate's clinical reasoning, decision-making skills, and ability to manage complex patient scenarios. Delivered virtually, it focuses on the practical application of medical knowledge and CanMEDS roles to ensure readiness for independent practice as a consultant. Structured oral examination consisting of multiple virtual clinical stations with standardized scenarios. Approximately 2 to 3 hours, divided into sequential structured oral stations. Pass: Candidates must achieve a minimum overall score of 70 percent to pass this specific component. Key Topics Maternal-Fetal Medicine General Gynecology Gynecologic Oncology Reproductive Endocrinology and Infertility Urogynecology CanMEDS Roles How to Prepare for the RCPSC ------------------------------ A practical guide to help you plan your RCPSC preparation effectively ### Recommended Timeline 9 to 12 months of structured, dedicated study during the final year of residency or post-training. ### Study Tips - Form a dedicated study group early to hold each other accountable and practice clinical scenarios. - Thoroughly review the Society of Obstetricians and Gynaecologists of Canada (SOGC) Clinical Practice Guidelines, as they form the backbone of Canadian standard of care. - Practice strict time management for the short-answer question (SAQ) paper, as many candidates struggle to finish. - Conduct regular mock oral exams with faculty members who can simulate the pressure and format of the RCPSC applied component. - Review the Royal College Objectives of Training Requirements (OTR) to ensure all syllabus areas are covered. - Focus on safe, consultant-level management; examiners are testing if you are safe for independent practice, not just if you know obscure facts. ### High-Yield Topics - Interpretation and management of atypical fetal heart rate tracings - Acute obstetric emergencies (postpartum hemorrhage, shoulder dystocia, eclampsia) - Management of adnexal masses and ovarian cyst accidents - Cervical cancer screening guidelines and colposcopy management - Medical and surgical management of ectopic pregnancy - Evaluation and treatment pathways for primary and secondary amenorrhea ### Common Pitfalls - Running out of time on the written short-answer questions due to excessively long answers. - Failing to integrate CanMEDS roles (like counseling, consent, and resource management) into clinical management plans during the oral exam. - Suggesting overly complex or subspecialist-level treatments instead of demonstrating safe, standard, generalist care. - Neglecting recent updates to Canadian guidelines in favor of older textbook knowledge. - Freezing during the applied exam when presented with an unexpected complication; candidates must practice thinking aloud. ### Recommended Resources - SOGC Clinical Practice Guidelines (essential for Canadian practice standards) - Comprehensive Gynecology (Lentz et al.) - Williams Obstetrics - ACOG Practice Bulletins (for areas where SOGC guidelines are absent) - PROLOG (Personal Review of Learning in Obstetrics and Gynecology) for MCQ practice - Speroff's Clinical Gynecologic Endocrinology and Infertility Study Pathways ---------------- Choose the pathway that matches your RCPSC 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 RCPSC Written Component [ 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 RCPSC Applied (Oral) Component [ Start Learning ](https://mdster.com/user/dashboard) Last refreshed: April 2026 Flexible Pricing Plans ------------------------ Choose the plan that fits your RCPSC study schedule ### Try Risk-Free for 5 Days Start your free trial today and get full access to all RCPSC 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 RCPSC Updates ---------------------- Recent changes and developments for the RCPSC examination 2025 ### Virtual Delivery of Applied/Oral Component The Royal College utilized a virtual platform for the applied/oral exam delivery in 2025. Candidates should verify the expected format (virtual vs. in-person) for their specific exam cohort with the RCPSC. 2024 ### Enhanced CanMEDS Integration Recent exams have seen a notable increase in the integration of health equity, cultural safety, and indigenous health considerations within standard clinical scenarios. Candidates must be prepared to address these. 2023 ### Computer-Based Testing Refinements The written component utilizes an updated computer-based testing platform at designated exam centers. Candidates are advised to familiarize themselves with the digital interface using Royal College sample materials. Updates are based on publicly available information and may not reflect the very latest changes. Always verify with the official Royal College of Physicians and Surgeons of Canada 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 RCPSC preparation Do I need to complete my OBGYN residency in Canada to sit the RCPSC exam? No, you do not necessarily need to complete training in Canada. International medical graduates who have completed equivalent specialty training abroad can apply through the Route for Non-Accredited Training or specific jurisdiction agreements. However, their training must be thoroughly assessed and approved by the Royal College beforehand. How difficult is the RCPSC Obstetrics & Gynecology exam? It is a highly rigorous and challenging examination. It is designed to ensure candidates are completely ready for safe, independent consultant-level practice. Pass rates generally reflect the high preparedness of candidates, but the exam requires many months of intensive study. What happens if I pass the written exam but fail the applied/oral exam? If a candidate passes the written component but is unsuccessful on the applied/oral component, they typically retain credit for the written exam for a specified number of years. During this eligibility window, they only need to retake the applied/oral portion. Candidates should verify the exact retention period with current RCPSC policies. When should I start preparing for the Royal College exam? Most successful candidates recommend starting a dedicated, structured study plan 9 to 12 months prior to the written exam. The first 6 months are typically focused on broad knowledge review and reading guidelines, while the final 3 months emphasize active recall, practice questions, and mock oral stations. Are the exam fees refundable if I decide to withdraw? The Royal College has strict withdrawal and refund policies. If you withdraw before the stated deadlines, you may receive a partial refund of the exam fee, subject to administrative deductions. Credential assessment fees are generally non-refundable. Is the RCPSC exam graded on a curve? No, the RCPSC does not grade on a curve. They utilize criterion-referenced standard setting methodologies, such as the modified Angoff method. This means your score is measured against a pre-established standard of competence, not against the performance of other test-takers. How many times can I attempt the certification exam? Candidates generally have a window of eligibility lasting up to five years from the date their training is completed to successfully pass both components of the certification exam. Within this window, candidates may attempt the exam annually, provided they pay the required fees. Are SOGC guidelines sufficient on their own to pass the exam? While SOGC (Society of Obstetricians and Gynaecologists of Canada) guidelines are absolutely critical and form the foundation of expected Canadian practice, they are not sufficient on their own. Candidates must supplement them with comprehensive textbooks for foundational science, anatomy, and pathology, as well as dedicated clinical practice for the oral component. Specialty reading hub Related Obstetrics & Gynecology Articles ---------------------------------------------- Reinforce your RCPSC 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. Apr 03, 2026 Read article ](https://mdster.com/blog/repaired-tetralogy-of-fallot-in-pregnancy-a-case-discussion) [ ![RhD Immunization Prevention: Avoiding Missed Anti-D Prophylaxis](https://mdster.com/storage/blog/images/rhd-immunization-prevention-avoiding-missed-anti-d-prophylaxis.jpg) Medical Education / 6 min read ### RhD Immunization Prevention: Avoiding Missed Anti-D Prophylaxis Board-focused review of RhD immunization prevention: missed anti-D, sensitizing events, routine prophylaxis, and when Kleihauer–Betke or flow cytometry changes dosing. 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 RCPSC? -------------------------- Join medical professionals who are preparing for the Royal College of Physicians and Surgeons of Canada 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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