Fellowship of the College of Physicians and Surgeons (FCPS). College of Physicians and Surgeons Pakistan is a firm responsible for the registration of Postgraduate Doctors of Pakistan. It makes rules, enrolls doctors and conducts exams for the Post graduation in Pakistan.


College of Physicians and Surgeons Pakistan.

F.C.P.S Part I Exam

The FCPS-I exam, in all the specialties tests knowledge in the basic sciences. It consists of 2 papers, each of 3 hrs. duration which take place same day simultaneously. The exam focuses on those sections of basic sciences that are relevant to its specialty. For example the FCPS-I exam for Gynecology and Obstetrics will focus more on the Pelvis and Perineum in its questions of gross anatomy while the FCPS-I exam for ENT will focus on Head and Neck in its anatomy questions. Similarly, the FCPS-I contains questions from the other basic sciences (besides anatomy) that are relevant to its own field besides containing general questions relevant to all specialties.

There is no negative marking in this exam of 100 questions – however the pass rate is low, ranging from 8-30%. This is because the passing margin is set quite high at approximately 80%, which means a candidate cannot afford to get more than 15-20 questions wrong.

The subjects tested in the FCPS-I exam are:

  • Anatomy (Gross, Histology, Embryology, Neuro-anatomy).
  • Physiology.
  • Pharmacology.
  • General and Special Pathology (Part of special pathology).
  • Microbiology.
  • Community Medicine (not a major subject, unless the specialty itself is Community Medicine).

Specialty Related subject: Although clinical sciences are not included in the FCPS-I exam, reading a specialty related book would help integrate the relevant basic sciences information. For example, reading an ENT book for FCPS-I ENT exam would most definitely be of some benefit.

The FCPS-I exam is held 3 times a year. The dates for the exams are not the same every year, but approximately in the time-periods mentioned below.

  • February/March.
  • June/July.
  • October/November.

In order to take the FCPS exam, the application form  must reach CPSP two months before the exam date itself. So if a candidate wants to give the exam in February/March, the exam application must be in the CPSP offices in November / December. With the application form  candidate must submit his House Job Experience Certificate and PMDC full registration. Those who have not finished theirs house job and do not have elevated their provisional registration to a full registration are not eligible to sit in the examination, so you may lose a chance to avail FCPS Part I attempt, if your house job session is delayed.

This means that the candidate cannot appear in the February/March FCPS-I exam and he has to wait for 5 months till the June/July attempt. CPSP has made another provision that if you have passed your FCPS in later time and you were working in a teaching hospital in a capacity of a PG student, that training will be counted towards your FCPS requirement up to maximum of one year, provided you are working under Registered CPSP Supervisor.

It is suggested that to save time, candidates must plan their FCPS part I according to their house job completion & eligibility to appear in the exam, and they must apply for some PG / MO post under CPSP supervisor, so that the time before the examination is utilized in the best possible way.

Once You Pass Your F.C.P.S Part I Exam

After passing, you will apply for a Post Graduate Trainee post in CPSP recognized hospital. It must be mentioned here that not all PGs are awarded the post. Every province in Pakistan has a fixed number of PG posts which it can give and if the number of applicants exceeds the number of PG positions available then some will be left out. Such applicants thereafter can either join the PG training as Honorary (i.e. without pay) or can apply for non-training jobs in private or government hospitals as Medical Officers. The pay, in private hospitals may be marginally higher for non-training posts (although this is not always the case), but the downside of it is that the experience will not be counted towards an FCPS degree.

Due to a limited number of PG seats available in teaching hospitals, number of doctors are doing their PG training as Honorary.

Before joining any hospital, one must confirm the following

  • The consultant under whom supervision you will be working is a registered CPSP supervisor for that specialty. You can check this from the list of  registered supervisors available on CPSP website.
  • The department / unit / ward is recognized for PG training by CPSP. It can also be checked from CPSP website.

Components of FCPS Training

After you have secured an FCPS training post, you will begin your duties. It is generally acknowledged that the workload for PGs is very demanding, more so perhaps than for junior doctors in the US and UK. In many hospitals, PGs are given a lot responsibility for patient care and management – with these responsibilities increasing as the PG moves forward in his training.

During the course of training, the medical PGs must take 3 mandatory workshops while the surgical ones must take 4. These workshops have to be taken within the first 18 months of PG-ship:

  • Computer and Internet Skills. Lasts for 5 days and imparts basic knowledge of how to use computers and the internet. For those who feel they already have such skills, there is an equivalence test one can pass to attain a certificate attesting to the fact.
  • Research Methodology, Biostatistics, Dissertation Writing. Lasts for 5 days and gives an intensive course on how to conduct research, how to interpret the data from such research and how to incorporate these skills in a Dissertation (see below).
  • Communication Skills. A 3 day course on effective communication techniques in presentations, workshops and seminars.

These three workshops are mandatory for all PGs regardless of their specialty and must be taken within the first 18 months of training.

For the PGs in surgery, an additional 3 day workshop on Basic Surgical Skills is also mandatory – also to be taken within the first 18 months of PG-ship.

(The workshops can be taken by any doctor, not just a PG. This fact was mentioned in the UK section of this manual to point out that such workshops strengthen an individual’s CV as they are officially organized by the CPSP and therefore recognized abroad.)

Clinical Skills Courses

These are non-mandatory courses lasting 5-7 days in which a group of senior doctors volunteer to conduct a thorough revision of clinical examination procedures to candidates who will soon be appearing for the FCPS-II exam (which contains a clinical examination component).

For those non-FCPS-II candidates who wish to add to their CV, it should be noted that these courses are not formally organized by the CPSP, and as such will have limited value to a doctor who is not an FCPS-II candidate. In other words, attending such a course will not add appreciably to your CV in the way the CPSP-organized workshops will.

The Dissertation

To quote the FCPS Dissertation Instruction Manual, issued by the CPSP.

 “Submission of Synopsis/Protocol on a chosen topic, its approval from Research and Training Monitoring Cell (RTMC), CPSP, and preparing a dissertation, acceptable to the College, is mandatory for all candidates aspiring to appear in the FCPS II theory, clinical and oral examinations. In doing so, the CPSP aims at:

  • Cultivating an inquiring mind in its potential specialists.
  • Encouraging in-depth studies related to common health problems afflicting our people.
  • Generating scientific data in various medical and allied fields.”

Basically, the dissertation is an original work of research that is carefully preparing over the course of FCPS training and must be submitted at least 9 months before the date the trainee wishes to appear in the FCPS-II exam.

Before writing  dissertation, candidate apply to the CPSP for formal approval of topic of his / her dissertation, this application with details that how that dissertation work will be carried out is called as synopsis. So approval of synopsis is first step towards dissertation writing.

F.C.P.S Intermediate Module

Recently, CPSP has decided that all candidates (fresh and repeaters) must have passed the Intermediate Module examination as one of the mandatory eligibility requirements for appearing in FCPS-II examination in September 2007 and onwards in the subjects listed below



Anaesthesiology Anaesthesiology
Diagnostic Radiology Diagnostic Radiology
Obstetrics & Gynaecology Obstetrics & Gynaecology
Ophthalmology Ophthalmology
Paediatrics Paediatrics
Psychiatry Psychiatry
Internal Medicine Medicine
General Surgery Surgery

The condition of passing the Intermediate Module examination one year before appearing in FCPS-II examination has been withdrawn. Thus, if all other requirements have been completed, candidates can appear in FCPS-II examination any time after passing the Intermediate Module examination.

Those FCPS – II candidates who have passed MCPS examination in the relevant subject earlier, will be exempted from Intermediate Module Examination.

The candidates who pass this examination will be issued a certificate of passing Intermediate Module examination. Such candidates will also be issued MCPS Diploma after they have completed all requirements for appearing in final FCPS-II examination and have appeared in this examination once.

F.C.P.S Part II Examination

This exam has two components, a paper exam and a clinical/oral exam. The FCPS-II paper exam consists of 100 MCQ questions while the clinical/oral exam is held with the cooperation of real patients. When presented with a patient, the candidate will have to take history, conduct the clinical examination, and propose a management plan. In the oral component of this part of the exam, the candidate will be thoroughly tested for in-depth knowledge of his specialty.

The oral exam is divided into 2 parts, the Long Case and the TOACS (Task Oriented Assessment of Clinical Skills). Candidates must pass TOACS so that they can move to long case portion.

The FCPS-II is not considered to be an easy exam. The pass rate is low and it is not uncommon for doctors to take it more than once before they pass. After passing however, the FCPS period of training is officially over and the doctor is awarded the highly regarded FCPS degree, and qualified as a specialist in that field.

FCPS 2007

FCPS 2008

FCPS 2009

FCPS 2010

Note: These are all recall question papers collected from various sources. If you have better paper then please share…


2 responses to “FCPS

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