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[ Home ](https://mdster.com) 2. [ Pediatrics ](https://mdster.com/speciality/pediatrics) 3. FCPS FCPS Exam Preparation ======================= Fellowship of the College of Physicians and Surgeons Pakistan College of Physicians and Surgeons Pakistan (CPSP) Pakistan FCPS is a postgraduate fellowship qualification awarded by the College of Physicians and Surgeons Pakistan (CPSP) and is a major route to specialist recognition across Pakistan and many international employers. The assessment pathway includes FCPS Part I, an Intermediate Module (IMM) assessment phase, and FCPS Part II for the chosen specialty (e.g., Paediatrics), culminating in theory plus clinical/oral assessment. FCPS is widely pursued by trainees aiming for consultant-level practice and formal specialist credentials. FCPS Part I Intermediate Module (IMM) FCPS Part II FCPS Part I FCPS Part II 4,216+ Questions 3,300+ Flashcards 60+ Podcasts About the FCPS Exam --------------------- The FCPS Pediatrics is a prestigious postgraduate fellowship qualification awarded by the College of Physicians and Surgeons Pakistan (CPSP). It serves as a primary route to specialist and consultant-level pediatric practice in Pakistan and is recognized by many international employers. The pathway involves passing Part I, completing an Intermediate Module (IMM) during supervised residency, and passing the rigorous Part II theory and clinical exams. ### Eligibility Candidates must hold an MBBS degree recognized by the Pakistan Medical and Dental Council (PMDC) and have completed a one-year house job. To sit for the IMM, two years of specialized pediatric residency are required. For the final Part II exam, candidates must have completed the full required pediatric training period (typically four years) and successfully passed the IMM. ### Exam Format The examination is divided into distinct stages. Part I and IMM consist of Multiple Choice Questions (BCQs) testing foundational and intermediate knowledge. Part II includes a theory component (two BCQ papers) and, upon passing, a rigorous Clinical/Oral examination comprising Task-Oriented Assessment of Clinical Skills (TOACS), short cases, and a long case. ### Duration Theory examinations typically consist of two papers, each lasting 3 hours, taken on the same day or consecutive days. The clinical and TOACS assessment for Part II usually spans 1 to 2 full days. ### Passing Criteria Candidates must achieve an absolute passing score, generally around 60% to 75% depending on the specific paper and standard-setting methodology of the CPSP. Passing the theory component is a mandatory prerequisite to proceed to the clinical exam, where candidates must pass individual clinical sections independently. ### Exam Fees Examination fees vary by part and location, typically ranging from PKR 15,000 for Part I to PKR 35,000 or more for Part II. Candidates should verify the exact and current fee structure directly with the CPSP as rates are subject to change. ### Exam Frequency FCPS Part I is generally held three to four times a year. The IMM and Part II examinations (both theory and clinical components) are typically conducted twice a year. ### Registration Process Candidates must register online through the CPSP e-portal. The process requires submitting an online application, generating a fee voucher, and uploading required attested documents including the PMDC certificate, training certificates, e-logbook approvals, and supervisor certificates. FCPS Key Syllabus Topics -------------------------- Core topics and subject areas covered in the FCPS examination ### Neonatology Covers care of the newborn, prematurity, neonatal sepsis, respiratory distress syndrome, and neonatal resuscitation. ~15-20% ### Growth, Development, and Nutrition Focuses on normal developmental milestones, anthropometric assessments, and malnutrition including protein-energy malnutrition (PEM). ~10-15% ### Pediatric Infectious Diseases Encompasses common childhood infections, tropical diseases, tuberculosis, and the Expanded Programme on Immunization (EPI). ~10-15% ### Pediatric Neurology Includes the diagnosis and management of seizure disorders, neurodevelopmental delays, central nervous system infections, and neuromuscular disorders. ~10-15% ### Pediatric Cardiology Covers the assessment of congenital heart defects, rheumatic fever, and heart failure management in children. ~5-10% ### Pediatric Respiratory Medicine Focuses on asthma, pneumonias, bronchiolitis, and chronic lung conditions common in the pediatric population. ~5-10% ### Pediatric Gastroenterology Involves diarrheal diseases, acute and chronic dehydration management, celiac disease, and hepatic disorders. ~5-10% ### Pediatric Hematology and Oncology Covers the pathophysiology and management of anemias, thalassemias, leukemias, and bleeding disorders. ~5-10% ### Pediatric Endocrinology Includes the management of Type 1 diabetes, thyroid disorders, and growth hormone deficiencies. ~5-10% ### Pediatric Intensive Care and Emergency Focuses on pediatric advanced life support, management of shock, and acute poisoning. ~5-10% **10** 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 Pediatrics professionals ### Practice Questions 4,216+ questions across MCQ, SAQ, SOE formats with detailed explanations and references ### Flashcards 3,300+ flashcards for active recall — mark known and unknown cards to focus on weak areas ### Audio Podcasts 60+ 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 FCPS Part I in Pediatrics is a foundational basic medical sciences examination administered by the College of Physicians and Surgeons Pakistan. It strictly assesses a candidate's grasp of anatomy, physiology, pathology, pharmacology, and genetics as they apply to child health and development, serving as a mandatory prerequisite for entry into structured pediatric residency training. Computer-Based Test (CBT) consisting of two papers with Multiple Choice Questions (Single Best Answer format). Paper I covers general basic sciences, while Paper II focuses on specialty-specific basic sciences. Two papers, each lasting approximately 2 hours (total duration of 4 hours). Pass: Typically an aggregate score of 75% across both papers is required to pass. Key Topics Physiology Pathology & Microbiology Anatomy & Embryology Biochemistry & Genetics Pharmacology Biostatistics & Epidemiology ### Intermediate Module (IMM) The Intermediate Module (IMM) in Pediatrics is a mid-training assessment administered by CPSP for FCPS trainees in Pakistan. It evaluates the core pediatric knowledge, clinical judgment, and basic patient management skills acquired during the first two years of residency before candidates can progress to final fellowship training. Written Examination (Multiple Choice Questions - MCQs, typically two papers) and a Clinical/TOACS (Task-Oriented Assessment of Clinical Skills) component. Written component consists of two papers (typically 3 hours each); the TOACS component involves a multi-station rotation taking approximately half a day. Pass: Candidates must pass both the written and TOACS components independently. The passing threshold is typically set around 60% for each component, subject to CPSP standard-setting procedures. Key Topics Neonatology Pediatric Infectious Diseases Growth, Development, and Nutrition Pediatric Emergency and Critical Care Pediatric Neurology Pediatric Respiratory and Cardiovascular Systems +1 more ### FCPS Part II The FCPS Part II in Pediatrics is the final fellowship assessment evaluating a candidate's readiness for independent specialist practice in Pakistan. It comprehensively tests advanced clinical reasoning, theoretical knowledge, and patient management skills through written and practical formats. Written theory examination (SAQs and BCQs) followed by a clinical component consisting of TOACS (Task-Oriented Assessment of Clinical Skills), Long Cases, Short Cases, and Oral Viva. Theory entails two papers of 3 hours each; the Clinical and TOACS assessment spans 1 to 2 days. Pass: Candidates must typically secure 60 percent or higher in the theory examination to be eligible for the clinical phase, which must also be passed independently as per CPSP criteria. Key Topics Neonatology Pediatric Infectious Diseases Growth, Nutrition, and Development Pediatric Emergency and Intensive Care Pediatric Neurology Pediatric Cardiology and Pulmonology +1 more ### FCPS Part I Foundational theory examination that assesses core medical sciences and general principles required for entry into structured FCPS specialty training. It serves as the gateway exam before progressing to supervised residency training and subsequent specialty assessments. Candidates typically sit FCPS Part I early in their postgraduate pathway. ### FCPS Part II Final fellowship assessment for the chosen specialty (e.g., Paediatrics), incorporating a theory examination and subsequent clinical/oral assessment (such as TOACS/clinical components as scheduled by CPSP). It evaluates readiness for independent specialist practice through applied clinical reasoning and performance-based assessment. Successful completion leads to award of the FCPS qualification in the specialty. How to Prepare for the FCPS ----------------------------- A practical guide to help you plan your FCPS preparation effectively ### Recommended Timeline 6-12 months of structured, dedicated study alongside ongoing clinical training. ### Study Tips - Form a dedicated study group specifically for TOACS and case presentations. - Practice timed BCQs (Best Choice Questions) daily to improve speed and accuracy. - Regularly review the latest edition of the Nelson Textbook of Pediatrics. - Focus heavily on local Pakistani pediatric guidelines, such as the EPI schedule and IMNCI guidelines. - Engage in regular clinical bedside teaching and seek feedback on your examination techniques from senior supervisors. - Simulate clinical exam conditions by timing your long case and short case presentations. ### High-Yield Topics - Neonatal resuscitation and management of neonatal sepsis. - Assessment of developmental milestones and developmental delay. - Management protocols for Severe Acute Malnutrition (SAM). - Pediatric tuberculosis and local infectious diseases like typhoid and malaria. - Diagnosis and management of congenital cyanotic heart diseases. - Pediatric asthma exacerbations and pneumonia management protocols. ### Common Pitfalls - Ignoring hands-on clinical practice while overly focusing on theory preparation. - Poor time management during TOACS stations, leading to incomplete tasks. - Neglecting communication and ethics stations, which are heavily tested in TOACS. - Relying solely on international guidelines while ignoring standard treatment protocols specific to Pakistan. - Failing to regularly update and maintain the mandatory e-logbook during residency. ### Recommended Resources - Nelson Textbook of Pediatrics (latest edition) - Current Pediatric Diagnosis & Treatment - CPSP official TOACS manuals and guidelines - Pakistan Pediatric Association (PPA) standard treatment guidelines - Past BCQ papers and structured clinical case books for pediatrics Study Pathways ---------------- Choose the pathway that matches your FCPS preparation stage ### Pediatrics Core Pathway Core pathway for Pediatrics covering foundational exams and initial certification steps. #### What's Included 1,396 MCQ Questions 868 SAQ Questions 2,208 Flashcards 30 Podcasts 4,502 total study resources #### Exam Coverage FCPS FCPS Part I FCPS Intermediate Module (IMM) FCPS FCPS Part I [ Start Learning ](https://mdster.com/user/dashboard) ### Pediatrics Advanced Pathway Advanced pathway for Pediatrics covering final exams, oral assessments, and advanced clinical evaluations. #### What's Included 1,068 MCQ Questions 784 SAQ Questions 100 SOE Questions 1,092 Flashcards 30 Podcasts 3,074 total study resources #### Exam Coverage FCPS FCPS Part II 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 ### Pediatrics Core Pathway Core pathway for Pediatrics 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 ### Pediatrics Advanced Pathway Advanced pathway for Pediatrics 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 ### Pediatrics Bundle (Core + Advanced) Bundle subscription for Pediatrics: 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 progressively transitioned the theory examinations for Part I, IMM, and Part II to a computer-based format. Candidates should verify the testing medium for their specific exam center with the College of Physicians and Surgeons Pakistan (CPSP). Early 2025 ### Strict E-Logbook Enforcement Rigorous monitoring of the e-logbook and supervisor approvals is now a mandatory prerequisite for exam registration. Candidates with incomplete logbooks face registration delays. 2023 ### Enhanced TOACS Counseling Stations Recent adjustments in the TOACS stations place a higher emphasis on communication skills, medical ethics, and parental counseling. 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 Pediatrics Exams -------------------------- Other examinations in Pediatrics you may be interested in [ ### ABHS Arab Board of Health Specializations Middle East ](https://mdster.com/speciality/pediatrics/abhs-pediatrics) [ ### ABP American Board of Pediatrics USA ](https://mdster.com/speciality/pediatrics/abp) [ ### AOBP American Osteopathic Board of Pediatrics USA ](https://mdster.com/speciality/pediatrics/aobp) [ ### EBP-EAP European Board of Paediatrics – European Academy of Paediatrics Examination Europe ](https://mdster.com/speciality/pediatrics/ebp-eap) [ ### MRCPCH Membership of the Royal College of Paediatrics and Child Health UK ](https://mdster.com/speciality/pediatrics/mrcpch) [ ### RACP The Royal Australasian College of Physicians Australia/New Zealand ](https://mdster.com/speciality/pediatrics/racp-pediatrics) Frequently Asked Questions ---------------------------- Everything you need to know about FCPS preparation What is the FCPS Pediatrics exam? The FCPS Pediatrics is the terminal fellowship examination conducted by the College of Physicians and Surgeons Pakistan (CPSP). It rigorously evaluates a candidate's theoretical knowledge and clinical competence in pediatrics. Successful completion leads to the award of the FCPS qualification, recognizing the physician as a specialist capable of independent consultant-level practice. Who is eligible to take the FCPS Part I exam? Candidates must be medical graduates holding a valid MBBS degree recognized by the Pakistan Medical and Dental Council (PMDC) or equivalent authority. Additionally, they must have completed a mandatory one-year house job (internship) before applying for the exam. How long does the FCPS Pediatrics training take? The standard structured training program for FCPS Pediatrics typically lasts four years. This period includes intensive, supervised residency training at a CPSP-accredited institution, midway through which candidates must pass the Intermediate Module (IMM) assessment. What is the format of the FCPS Part II clinical examination? The clinical exam is an extensive, multi-day assessment that follows the theory exam. It generally includes a long case for detailed patient assessment, multiple short cases for focused examinations, and a Task-Oriented Assessment of Clinical Skills (TOACS) circuit that evaluates varied practical and communication skills. Can foreign medical graduates sit for the FCPS exams? Yes, foreign medical graduates can sit for the FCPS examinations. However, their primary medical qualification must be recognized by the PMDC, and they must meet all specific CPSP training equivalency and documentation requirements. What is the difference between the IMM and Part II exams? The Intermediate Module (IMM) is an assessment taken halfway through the residency training to ensure the candidate has consolidated core pediatric knowledge. Part II is the final, comprehensive fellowship exam taken at the end of the four-year training, testing advanced knowledge and clinical readiness for independent practice. Is the FCPS qualification recognized internationally? Yes, the FCPS is a highly respected qualification internationally. It is particularly well-recognized across the Middle East and is often considered equivalent to standard specialist qualifications in several other countries, opening doors for global employment opportunities. How many attempts are allowed for the FCPS Part II exam? Candidates generally have multiple attempts to pass the FCPS Part II examination. However, repeated failures may necessitate remedial training periods or refresher courses as per CPSP guidelines, so candidates should verify current attempt policies directly with the CPSP. Are there negative markings in the FCPS theory exams? Historically, CPSP has not applied negative marking to the Best Choice Questions (BCQs) in its theory exams. Candidates are encouraged to attempt all questions, though they should carefully read the exam instructions on the day of the test to confirm. How long are the FCPS Part II theory exam results valid? Passing the Part II theory examination typically grants a candidate eligibility to appear in a set number of consecutive clinical examinations. If a candidate fails the clinical component repeatedly beyond the allowed window, they may be required to retake the theory exam. Specialty reading hub Related Pediatrics Articles ----------------------------- Reinforce your FCPS preparation with specialty-specific guides, exam strategy articles, and clinical revision insights from the MDster blog. [ Browse all Pediatrics articles ](https://mdster.com/blog?speciality=pediatrics) [ ![Congenital Hypothyroidism: Screening, Levothyroxine, Outcomes](https://mdster.com/storage/blog/images/congenital-hypothyroidism-screening-levothyroxine-outcomes.jpg) Medical Education / 6 min read ### Congenital Hypothyroidism: Screening, Levothyroxine, Outcomes High-yield review of congenital hypothyroidism for Pediatrics trainees, covering newborn screening pitfalls, urgent levothyroxine treatment, and developmental follow-up. Apr 04, 2026 Read article ](https://mdster.com/blog/congenital-hypothyroidism-screening-levothyroxine-outcomes) [ ![How to Pass the Royal College of Physicians and Surgeons of Canada (Pediatrics Applied/Oral Examination)](https://mdster.com/storage/blog/images/how-to-pass-the-royal-college-of-physicians-and-surgeons-of-canada-pediatrics-appliedoral.jpg) Study Tips / 5 min read ### How to Pass the Royal College of Physicians and Surgeons of Canada (Pediatrics Applied/Oral Examination) Practical, exam-specific strategies for the RCPSC Pediatrics Applied/Oral Examination, including case priorities, mock-orals, and a realistic six-week plan. Mar 31, 2026 Read article ](https://mdster.com/blog/how-to-pass-the-royal-college-of-physicians-and-surgeons-of-canada-pediatrics-appliedoral) [ Medical Education / 5 min read ### Antibiotic Stewardship in the NICU: Stop Early, Narrow Fast A practical NICU guide to stopping empiric antibiotics on time, narrowing by culture, and using fluconazole prophylaxis selectively in preterm infants. Mar 28, 2026 Read article ](https://mdster.com/blog/antibiotic-stewardship-in-the-nicu-stop-early-narrow-fast) 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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