About FCPS-II Gynae & Obs Extended TOACS Exam

The FCPS-II Gynaecology & Obstetrics Extended TOACS (Task-Oriented Assessment of Clinical Skills) is the final stage for candidates pursuing fellowship under the College of Physicians and Surgeons Pakistan (CPSP). 

This clinical exam evaluates your ability to: 

  • Perform structured history taking & physical examinations 
  • Demonstrate clinical reasoning & patient management 
  • Manage obstetric and gynaecological emergencies 
  • Communicate effectively with patients, attendants, and colleagues 
  • Uphold professionalism, ethics, and patient safety 

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All you need to know about FCPS-2 Gynae Extended TOACS

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FCPS-2 Gynae Extended TOACS

All you need to know about FCPS-2 Gynae Extended TOACS

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Exam Format

1. CLINICAL

  • Long Case Obstetrics
  • Long Case Gynaecology
  • 60 minutes for each case (120 minutes total)
    (30 minutes for history-taking and clinical examination 30 minutes for discussion)

2. TOACS

  • 4-8 minutes per station
  • (15 to 18 stations)
  • Observed / Interactive
  • Unobserved / Static

Assessment Areas for Long Cases:

  • History taking and physical examination
  • Identification of key problems
  • Logical presentation and discussion
  • Justification of diagnosis, investigations, and treatment
  • Knowledge of prognosis, prevention, and recent advances
  • Professionalism and communication

Assessment Areas for TOACS:

  • History taking
  • Physical examination
  • Instrument and procedure identification
  • Interpretation of investigations
  • Communication and counseling skills

FAQS

Frequently Asked Questions FCPS-2 Gynae Extended TOACS

Find answers to the most common questions.

It includes:

  • Two Long Cases (one obstetrics, one gynaecology)
  • 15–18 TOACS stations assessing clinical and communication skills

Both may be used:

  • Simulated patients (trained actors)
  • Real patients (for examination stations)

Yes, but only within the scope of the station. You must follow station instructions strictly and manage time efficiently.

Each component (Long Cases + TOACS) is scored out of 10 marks.
Minimum 6/10 in each, with an aggregate of 18/30 (60%) required to pass.

Results are usually posted on the CPSP e-portal within 4–6 weeks after the exam.

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FCPS-2 Gynae Extended TOACS Testimonials

Love By Students

I was nervous about TOACS, but this course gave me clarity and confidence. The feedback after each session was constructive and helped me improve quickly.
The TOACS prep was excellent. The case discussions, examiner tips, and time management strategies were spot on. I’m grateful for the guidance and support throughout.
This course helped me polish my approach to TOACS. The mentors were very supportive, and the mock exams were well-organized. I felt well-prepared on exam day.
I really appreciated the focus on clinical reasoning and communication skills. The simulated stations felt very close to the real exam environment. Highly recommended!
The TOACS course was incredibly helpful in building my confidence for the exam. The structured approach to stations and the detailed feedback after each mock session made a huge difference.
Alhamdulillah passed IMM TOACS. Thank you so much @Amna Najam Mentor.

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