Published: May, 2003

COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN

7th Central Street, Defence Housing Authority, Karachi 75500
Phone No. 5892801- 10. UAN: 111-606-606. Fax No. 5893062
 Contact DETAILS
College of Physicians and Surgeons Pakistan
7th Central street, Phase II, DHA Karachi - 75500
Phone: 5892801-10 UAN 111-606-606
Facsimile: 5893062
General E-mail: [email protected]
Website: www.cpsp.edu.pk

CONTENTS
7 Introduction

9 About the College

11 Training & Examination Summary

13 General Information

15 Supervisor’s Role and Responsibilities

17 Trainee’s Roles and Responsibilities

19 Training Programme

Objectives

Curriculum

Core Curriculum

Rotations

Logbook

Research & Mandatory Workshops

Assessment

33 Frequently Asked Questions (FAQ’s)

35 Useful Addresses and Telephone Numbers

INTRODUCTION
Each year the College of Physicians and
Surgeons Pakistan (CPSP) runs examinations
as part of its Fellowship program. Success in
these, and the required pre-exam training,
qualifies the medical graduate to become a
Fellow of the College on the approval of the
College Council.

The College’s Examination department

conducts examinations, and Fellowship
assures official recognition of the graduate as
trained and qualified to work as a specialist in
the practice of relevant specialty.

To ensure adequate training the College

offers subject and core sub-discipline outlines,
and training accreditation to help graduates
and their Supervisors cover the large amount
of work needed to prepare for examinations
and acceptance as a Fellow.

This booklet provides medical graduates and

current Trainees and Supervisors with
information on Fellowship training,
examination and qualification requirements.
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7
 About the
COLLEGE
The College was established in 1962 under article six of the
constitution. The objectives/functions of the College included
promoting specialist practice of Medicine, Surgery, Obstetrics &
Gynaecology and other specialties by securing improvement of
teaching and training, arranging postgraduate medical, surgical and
other specialists training, holding and conducting examinations for
awarding a College diploma and admission to the Fellowship of the
College and to provide for research.

Since its inception the College has taken great strides in the direction
of improving postgraduate medical education in Pakistan. The
number of disciplines in which Fellowship is awarded has increased
to forty-seven. Structured training programs have been developed,
criteria for recognition of training institutes have been laid down, and
format of examinations has been improved with more valid, objective
and reliable methods of assessment where knowledge is tested
through multiple choice questions in the field of basic medical and
allied sciences. It is important to note that in the overall scenario of
health care delivery service out of the total functioning registered
health care specialists in the country, 10,000 (80%) have been
provided by the CPSP. FCPS Part I examination is an entry
examination in the field of basic medical science, providing eligibility
for suitable candidates to enter structured training for FCPS Part II.
The training towards Fellowship can be undertaken in more than 100
medical institutions throughout the country, which have been
accredited for this purpose. The total number of departments
recognized in these institutions is approximately 800. The number of
Supervisors involved in the training totals to about 900.
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To coordinate the training and examination, and provide assistance to

regional candidates the College has established 13 regional centers
all over the country where the average number of candidates taking
up the examination is about 10,000 per year. Of these, three centres
have a complete administrative setup with learning facilities in the
form of libraries and lecture halls.
9
 The College conducts examinations three times a year for FCPS
Part I (in 11 disciplines) and FCPS Part II (in 47 disciplines). The
logistics involved in organizing and conducting these examinations
are complex and a large number of Fellows and senior medical
teachers from within the country and overseas are involved in this
endeavor. The College regularly invites overseas examiners to
observe these examinations. These examiners also review and
report on the quality of the examinations held within the context of
best international practice.

Every effort is made to improve the standard of the College

examinations and make them relevant, transparent, objective and
fair to the candidates. The College in its endeavor to decrease
inter-rater variability and increase fairness and transparency has
already introduced the use of assessment forms for scoring of all
the components of clinical and oral examinations. Another step in
this direction is by introduction of TOACS (Task Oriented
Assessment of Clinical Skills) in the FCPS Part II Clinical
examinations in a number of disciplines from September 2001.

The College’s continuum of efforts has so far provided quality

postgraduate medical education and ensures that its Specialist
training plays a major role towards meeting the country’s
requirements.
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10
Training and examinations
SUMMARY
The College lays down the training programs and holds examination for
the award of Fellowship in the following disciplines:

Anatomy Neurology
Anaesthesia Neurosurgery
Biochemistry Nuclear Medicine
Cardiac Surgery Obstetrics and Gynaecology
Cardiology Operative Dentistry
Chemical Pathology Ophthalmology
Community Medicine Oral Surgery
Clinical Chemical Pathology Orthodontics
Clinical Haematology
Orthopedic Surgery
Clinical Pharmacology & Therapeutics
Otorhinolaryngology (ENT)
Dermatology
Paediatrics
Diagnostic Radiology
Paediatric Cardiology
Family Medicine
Paediatric Surgery
Forensic Medicine
Physical Medicine & Rehabilitation
Gastroenterology
Physiology
General Surgery
Plastic Surgery
Haematology
Histopathology Prosthodontics

Immunology Psychiatry

Medicine Pulmonology
Medical Oncology Radiotherapy
Microbiology Thoracic Surgery
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Neonatal Paediatrics Urology

Nephrology Virology

11
 Fellowship of the College of Physicians and Surgeons Pakistan is
awarded to those applicants who have:
● A recognized medical degree;
● Completed a one year house job in a recognized institution
● Passed the relevant FCPS Part I Examination
● Registered with the Research, Training and Monitoring Cell (RTMC);
● Undergone specified years of supervised accredited training;
● Been declared successful in examinations carried out by the
Examination Department of the CPSP; and
● Been elected by the College Council.

It is important to note that all applicants must undergo a formal

examination before being offered Fellowship of the relevant
specialty, except in case of Fellowship without examination.

TRAINING ENQUIRES AND

REGISTRATION

On commencement of training for Part II Fellowship, all trainees are

required to register themselves with the Research and Training
Monitoring Cell (RTMC) of the College with in 30 days of starting
their training. In case of delay the date of commencing training will
be observed from the receiving date of application for registration
with RTMC. The registration forms are sent to the successful
candidates along with the result of FCPS Part-I. These forms may
also be obtained from the College main office at Karachi or from its
regional offices (a list of regional offices is given in appendix).

Once registered, Trainees receive notice of scientific meetings,

other notifications and, on request, past examination papers.

All registrants should notify the College in writing of any change of

address and proposed changes in training (such as change of
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Supervisor etc) as soon as possible.

12
 GENERAL
INFORMATION
GENERAL REGULATIONS

The following regulations apply to all the candidates taking the

FCPS-II Examination.

Candidate will be admitted to the examination in the name

(surname and other names) as given in the MBBS degree and
PMDC certificate. Candidates who change their names by
marriage or deed must submit original documentary proof of this if
they wish to be admitted to the examination in their new names.

ELIGIBILITY REQUIREMENTS FOR ENTERING THE FCPS PART II

TRAINING PROGRAM IN HAEMATOLOGY
● Passed FCPS Part-I or granted exemption.

EXEMPTION FROM FCPS PART-I

An application for exemption from FCPS Part-I must be submitted
to the College with all the relevant documents and a bank draft for
the prescribed fee.

After due verification, the College may grant exemption from FCPS
Part-I to those applicants who have acquired any of the following
qualifications in Pathology/Haematology:

- MRCPath from the Royal Colleges of UK and Ireland

- Diplomat American Board of Specialties
- FCPS Part-I, Bangladesh

In all other cases, after proper scrutiny and processing, the

College shall decide acceptance or rejection of the request for
exemption from FCPS-I on case to case basis.
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All applicants who are allowed exemption will be issued an

EXEMPTION CERTIFICATE on payment of exemption fee. A copy
of this certificate will have to be attached with the application to
the Research and Training Monitoring Cell (RTMC) of the CPSP,
for registration as FCPS Part-II trainee and later with the
application for appearing in FCPS Part-II examination. 13
 DURATION OF TRAINING FOUR YEARS:
A candidate who has gained experience in a CPSP
recognized institution under an approved supervisor or has
obtained a postgraduate diploma recognized by the CPSP will
be eligible on application to exemption in post part-I training
up to a maximum of one year. This concession will be allowed
on individual basis after due scrutiny and approval by
competent authority.

APPROVED TRAINING CENTRES

Training must be undertaken in units/departments/institutions
approved by the College.
A current list of approved locations is available from the
College and its regional offices, as well as on the College
website.

REGISTRATION AND SUPERVISION

All training must be supervised and Trainees are required to
register with the RTMC and submit the name of their
supervisor(s) by the date indicated on the registration form.
The supervisor will normally be a Fellow of the College.
however another supervisor may be accepted if there is no
Fellow available to offer appropriate supervision.
All supervisors must have their role approved by the College.
Normally, only one supervisor is nominated, and if the Trainee
spends significant periods working in an area where the
supervisor has no personal involvement, the supervisor must
certify that suitable supervision is being provided.
The nomination of more than one supervisor is needed only if
the Trainee divides the year between two or more unrelated
units, departments or institutions.
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14
 SUPERVISOR’S
ROLE AND RESPONSIBILITIES

Training held under the aegis of CPSP is compulsorily supervised.

A supervisor is a CPSP fellow or a specialist with relevant
postgraduate qualifications recognized by CPSP.

Supervision of a trainee is a multifaceted job. Arbitrarily the task is

divided into the following components for the sake of convenience.
This division is by no means exhaustive or rigid. It is merely meant
to give semblance to this abstract and versatile role.

EXPERT TRAINER
● This is the most fundamental role of a supervisor. He has
to not only ensure and monitor adequate training but also
provide continuous helpful feedback (formative) regarding
the progress of the training.
● This would entail observing the trainee’s performance and
rapport with all the people within his work environment.
● He / she should teach the trainee and help him / her
overcome the hurdles during the learning process.
● It is the job of the supervisor to make the trainee develop
the ability to interpret findings in his patients and act
suitably in response.
● The supervisor must be adept at providing guidance in
writing dissertation / research articles (which are essential
components of training).
● Every supervisor is expected to participate actively in
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Supervisors’ workshops, conducted regularly by CPSP, and

do his/her best to implement the newly acquired
information/ skills in the training. It is his basic duty to keep
abreast of the innovations in his field of expertise and
ensure that this information percolates to trainees of all
years under him/ her. 15
 RELIABLE LIAISON
● The supervisor must maintain regular contact with the College
regarding training and the conduct of various mandatory
workshops and courses.
● It is expected that the supervisor will establish direct contact
with relevant quarters of CPSP if any problem arises during
the training process, including the suitability of trainee.
● They must be able to coordinate with the administration of
their institutions/ organizations in order to ensure that their
trainees do not have administrative problems hampering their
training.

PROFICIENT ADMINISTRATOR
● He/ she must ensure that the trainee’s have completed the
yearly logbooks and have submitted the summary sheets
within these logbooks.
● They must provide assessment reports to the College at the
end of each year or training period. These reports are used to
evaluate a trainee’s performance and should indicate if
training has been followed satisfactorily. The report must also
contain positive and negative aspects of the trainee’s
performance and any extra academic endeavors made by
them. Prolonged absences must also be mentioned in
sufficient detail. It is essential that each report be discussed
and signed by both the trainer and the trainee before it is sent
to the College.
● The supervisor might be required to submit confidential reports
on trainee’s progress to the College.
● The supervisor should notify the College of any change in the
proposed approved training program.
● In case the supervisor plans to be away for more than two
months, he / she must arrange satisfactory alternate
supervision during the period.
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16
 TRAINEE’S
ROLE AND RESPONSIBILITIES

1. Given the provision of adequate resources by the institution,

Trainees should accept responsibility for his own learning and
ensure that it is in accord with the relevant requirements.
2. Should investigate sources of information about the program
and potential Supervisor and play an informed role in the
selection and appointment of the Supervisor.
3. Should seek reasonable infrastructure support from their
institution and Supervisor, and use this support effectively.
4. Should ensure that they undertake training diligently.
5. Should work with their supervisors in writing the
synopsis/research proposal and submit the synopsis/research
proposal within six months of registration with the RTMC.
6. Should accept responsibility for the dissertation, and plan and
execute the research within the time limits defined.
7. Should be responsible for arranging regular meetings with the
supervisor to discuss any hindrances to progress and
document progress etc. If the supervisor is not able/willing to
meet with the student on a regular basis, the student must
notify the College.
8. Should provide the supervisor with word-processed dated
synopsis and dissertation drafts that have been checked for
spelling, grammar and typographical errors, prior to
submission.
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9. Prior to submission of dissertation, the student should ensure

that the supervisor has all the raw data relevant to the thesis.
10. Should submit the completed Dissertation or publish two
research papers in the indexed journal or JCPSP before the
last year of training. The synopsis of both papers must be
approved by the RTMC. The trainee should also be the first of
second author. 17
 11. Should follow the Colleges complaint procedures if serious
problems arise.
12. Should complete all requirements for sitting an examination.
13. Provide feedback regarding the training post to the College
on the prescribed Confidential form.
14. Submit yearly summary sheets of the logbooks, duly filled
and signed by the Supervisor.
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18
 TRAINING
PROGRAMME
DURATION: Total Duration Four Years
OBJECTIVES FOR TRAINING PROGRAMME
At the end of the prescribed training period the candidate:-
1. Demonstrates upto date knowledge of scientific basis of
haematological disorders (Anaemias, Leukaemias,
Lymphomas and bleeding disorders).
2. Demonstrates complete understanding of haematological
manifestations of non-haematological disorders.
3. Demonstrates upto date knowledge of scientific basis of
transfusion medicine (blood group antigens, antibodies and
diseases resulting from their interaction, blood group, HLA and
platelet serology and its practical implications, blood and
marrow donation, processing, storage and dispensing etc.).
4. Demonstrates the ability to perform all routine laboratory
investigations and is able to interpret their results.
5. Demonstrates the ability to perform all routine, specialized and
emergency haematological investigations and to interpret their
results.
6. Demonstrates the ability to organize, manage and quality
control haematology and blood transfusion service.
7. Demonstrates upto date knowledge of other methods and
techniques (cytogenetics, modecular biology, immunology,
nuclear medicine etc.) in diagnosing and managing
haematological disorders.
8. By the end of the fourth year the Resident should also acquire
enough knowledge and expertise to evaluate patients with
haematological disorders, order and interpret relevant
investigations required for arriving at a diagnosis.
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The Resident should be acquainted with the treatment for

malignant and non-malignant haematological disorders.

19
 ROTATIONS

DEPARTMENT 1st Year 2nd Year 3rd Year 4th Year

Haematology 12 months - 12 months 12 months

Microbiology/parasitology - 04 months - -
Chemical Pathology - 04 months - -
Histopathology - 04 months - -

Note: The Candidate will also get training in Haematology in the

afternoons during the year of rotational training.

CURRICULUM

Comprehensive training programme shall include:-

1. Rotation for suitable periods (depending upon previous

experience of the candidate) in the following:

● Histopathology
● Microbiology (including virology and immunology)
● Chemical Pathology
● Laboratory Haematology
● General Medicine including medical ICU
● Clinical Haematology
● Haematologic Oncology
● Blood Transfusion Centre
● Blood and Marrow Transplantation (BMT) Centre
● Molecular Genetics and Cytogenetics Centre
(Related to Haematology)

2. The candidate must perform himself following procedures

repeatedly:
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● Bone marrow aspiration

● Bone marrow trephine biopsy

● Calibration and quality control of automated haematology

analyzers.
● Electrophoretic techniques

● Coagulation studies
20
 ● Cyto-chemical staining of blood and bone marrow
● All manual haematological tests
● Lumber puncture
● Paracentesis
● Other essential medical procedures
● Stem cell and bone marrow harvesting

3. The candidate must plan, organize and conduct a research

project and write dissertation.

4. The candidate shall make suitable number of presentation in:

● Clinico-pathological conferences
● Case discussions
● Journal clubs
● National scientific meetings/conferences.

5. The candidate must write at least two articles for publication in a

National/ International medical journal.

6. The candidate must plan, prepare and deliver a suitable number

of lectures to other trainees/students.

CORE CURRICULUM

COMPETENCIES IN HAEMATOLOGY
During the period of training, a Resident acquires various skills and
knowledge. The minimum level of competencies required for years
are listed accordingly. It goes without saying that these
competencies are "added, on". Therefore, the second year
Resident will have all competencies of the 1st year and those that
he/she acquires in the 2nd year.
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The level of competencies will also advance as the training

proceeds. In the beginning the Resident will perform a skill under
supervision, subsequently that skill should be performed
independently and later, the Resident should be competent enough
to impart training of that skill to a junior colleague.
21
 FIRST YEAR RESIDENT
By the end of 1st year the resident should have working
knowledge and skills of the following laboratory procedures and
acquire clinical skills by training in haematology outdoor and
indoor wards.
1. Clinical skills; history taking, physical examination,
ordering investigation and lab data interpretation.
2. Collection of blood samples for haematological test
3. Hb estimation with calibration and quality control.
4. Preparation and staining of blood films.
5. Preparation of various stock solutions and stains.
6. Use of nuebar chamber and the following counts.
● Total RBC count
● TLC count
● Platelet count
7. Determination of PCV (microhaematocrit).
8. Calculation of absolute values.
9. Estimation of ESR by various methods.
10. Bleeding time and whole blood coagulation time.
11. Selection and registration of blood donors.
12. Bleeding disorders.
13. Anticoagulants used in blood banking.
14. ABO grouping tile and tube methods.
15. RhD grouping.

SHOULD BE ABLE TO PERFORM THE FOLLOWING

PROCEDURES:
1. Lumbar puncture, Paracentesis, FNA.
2. Bone marrow aspiration under supervision.
3. Use of Electronic Cell Counters Principles, calibration and
quality assurance.
4. Morphology of peripheral film.
● RBC
● WBC
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● Platelets
5. DLC
6. Supravital stains and their preparation
7. Reticulocyte count including
● Demonstration of Heinz bodies
22 ● Demonstration of Hb inclusions
8. Preparation staining of thick and thin films for malarial
parasite
9. Identification and calculation of parasite index
10. Staining of bone marrow films
● Leishmann
● Iron stain

11. Reporting of Bone marrow aspiration under supervision

12. NAP scoring
13. Test for G6PD deficiency
14. Sickling test
15. Prothrombin time and INR
16. APPT
17. Thrombin Time (TT)
18. Fibrinogen level
19. Coombs test
● Direct.
● Indirect

20. Du testing
21. Compatibility testing
22. Screening of blood donors for TTD
● Manual (MP, VDRL)
● Automation (HBV, HCV and HIV)

23. Preparation of blood components.

● Packed cells.
● Platelets.
● Fresh Frozen Plasma (FFP).
● Cryoprecipitate
● Stem cell harvesting
● Cryo preservation
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24. Apheresis procedures for

● Platelets
● Plasma

25. Perform BMA independently in adults

26. Perform BMA under supervision in children
23
 SECOND YEAR RESIDENT
I. MICROBIOLOGY & PARASITOLOGY
ROTATION PERIOD: 4 months (16 WEEKS)
1. Media Room:
● Learning different staining procedures.
a. Gram staining
b. AFB staining
● How to prepare different medias
● Sterilization procedures and working of Autoclaves
● Quality control of microbiological tests

2. Handling specimen:
● Learning of proper specimen collection techniques
● How to proceed with different specimen systemically
● Practicing making smears on slide, inoculating culture
plates and putting up different biochemical tests

3. Routine reading of results

● Daily following of routine procedures and results along
with the microbiologist.

4. Serological tests:
● Performing different serological tests based on the
principles of Ag-Ab reaction.
● Develop an understanding of the principle and working
of ELISA technique.

5. Fungal tests:
● Collection of suspected fungal specimen i.e. skin
scrapping, nail clipping.
● Direct microscopy.
● Putting up fungal cultures and reading their results.

6. Proceeding with a single specimen till completion i.e.

identification of organism and sensitivity results.
7. Submission of a written assignment on the topic
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designated at the end of rotation.

8. Urine analysis.
9. Stool Analysis.
10. Identification of different parasites and their larval stages
11. Semen analysis.
24 12. Pregnancy tests on urine.
II. CHEMICAL PATHOLOGY
Rotation period: 4 months (16 weeks)
1. Putting up different manual tests routinely.
2. Practice accurate pipetting using rubber teats.
3. Learning proper specimen collection and plasma
separation technique.
4. Develop an understanding regarding working and
principles of Auto analyzers.
5. Learning the maintenance of quality control in the lab.
6. Keeping a register for routine working.
7. Chemical correlation of abnormal results.

III. HISTOPATHOLOGY
Rotation period: 4 months (16 weeks)
1. Handling of specimen.
● Gross examination of specimens.
● Section cutting under the guidance of histopathologist.
● Learning the different steps of tissue processing.

2. Staining procedures:
● Routine H & E Staining.
● Special Staining Procedures.

3. Microscopy:
● Identification of normal histology of tissues.
● Identification of common pathologies.
● Taking help from teaching slide box or better
understanding.
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25
 THIRD YEAR RESIDENT

1. Special stains of Bone marrow aspirate.

● PAS
● Sudan Black.
● Esterases.
● Mye!operoxidase.
● Acid phosphatase.

2. Osmotic fragility test.

3. Glyceral lysis test.
4. Autohemolysis test.
5. Preparation of hemolysate
6. Hb Electrophoresis
● Hb A2 estimation.
● Hb F estimation.
7. Heat instability test.
8. Ham's test.
9. Sucrose lysis test.
10. Other tests for PNH.
11. Mixing studies for coagulation abnormalities.
12. Investigation of Lupus anticoagulant.
13. Rh phenotyping.
14. Emergency grouping and cross-match.
15. Investigation of a transfusion reaction.
16. Tests for immune hemolytic anemias.
17. Quality control in blood banking.
18. Perform BMA in adults and children independently.
19. Perform trephine biopsy under supervision.
20. Report Bone marrows (Aspirate and trephine)
independently.
21. Quality control in Haematology.
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22. Urea solubility test.

26
 FOURTH YEAR RESIDENT
1. Introduction to techniques in cytogenetics.
2. Introduction to techniques of molecular biology.
3. Introduction to flow cytometry.
4. Clotting factor assays.
5. Studies in familial thrombophilias, Protein C, Protein S,
Antirhombin Ill, APC Resistance.
6. Platelet function tests.
7. Qualitative / quantitative assays of FDPs / D-dimers.
8. Plasma heparin assay.
9. Euglobin lysis time.
10. Radio nucleotides in hematology and radiation protection.
11. Measurement of red cell mass.
12. Measurement of blood volume.
13. Estimation of iron absorption.
14. Estimation of red cell life span.
15. Tests for splenic function.
16. Antibody screening and identification.
17. Anti body titration.
18. Investigation of HDN.
19. Enzyme treatment of red cell and their use
20. Variants of ABO system.
21. Variants of Rh system.
22. Typing for other blood groups.

ROTATIONS
A certificate testifying the candidate's attendance is
obligatory for admittance to the final examination and an
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entry in the logbook must also appear to this effect.

The Trainer should arrange for the sub-specialty training
according to the facilities available.

27
 LOGBOOK

Trainees are required to maintain a logbook.

These logbooks will be sent to candidates by the RTMC
after they become registered for training.

GUIDELINES FOR TRAINEES:

1. The logbook is intended for documenting all the activities
performed by the trainee during the training period.
2. Entries must commence from the start of the training
programme.
3. Trainees are advised to make the required entries on the
day of the event. The immediate supervisor must sign all
entries on the day of the event.
4. Completed and duly certified logbook will form a part of the
application for appearing in FCPS part – II examination.

GUIDELINES FOR SUPERVISORS:

1. The logbook is a day to day record of the clinical and academic
work done by the trainee.
2. Its purpose is to assess the overall training of the candidate
and to determine deficiencies if any so that they may be
corrected.
3. The supervisor or any other designated trainer
(Consultant/Associate Professor/Assistant Professor / RMO)
who is capable of testing the competence of the trainee in the
specified area should ascertain that the entries in the logbook
are complete in all respects. They should then certify the
accomplishment of desired competency by signing in the
appropriate column soon after the activity is conducted.
4. The head of the unit shall authenticate the entries by signing
the certificate. It is suggested that the heads of the unit check
the log books at least once a month, so that they can spot any
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deficiencies or otherwise in the training (e.g. the trainee has

not rotated through a subspecialty which he/she should have).

28
THE SUMMARY SHEET: (LOG BOOK)
1. This forms a part of the formative assessment.
2. It identifies the various competencies as well as the level of compe-
tence that has been achieved during a specified year of training.
3. The trainee should fill the number of encounters at each level of
competence and also enter the total number of encounters at
the end of each year.
4. Entries should be made legibly in black ink since the forms will
be scanned by computer.
5. The trainee should fill the summary sheet at the end of each
year. This should be double- checked by the supervisor before
signing and submitting the sheet to the College for analysis,
assessment and feedback.

NOTE: The College reserves the right to demand evidence in the

form of logbook in order to verify the data provided in the
summary sheets.

RESEARCH & MANDATORY

WORKSHOPS
RESEARCH (DISSERTATION):
One of the training requirements is a dissertation on a topic
relevant to the major subject of specialization. Dissertation
topic must be submitted to the Research, Training and
Monitoring Cell (RTMC) of the College of Physicians and
Surgeons Pakistan within the first nine months of training
period, for approval. Trainees must submit the dissertation to
the College during the training period, nine month before the
date of examination. Five copies of the dissertation should be
submitted to the RTMC. Three Copies with loose binding and
two soft copies on good quality cd’s along with a bank
draft/cash receipt of the prescribed fee for dissertation.
If the dissertation is found to be satisfactory a certificate to
this effect will be issued by the College. This certificate will
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form a part of the documents to be submitted with the

application form for taking the examination.
OR
The candidates can submit two research papers published/
accepted for publication in JCPSP or in Journals included in
Index Medicus, where the candidate must be either the first or
second author. 29
 MANDATORY WORKSHOPS:
It will be mandatory for all trainees to attend the following
workshops, duly certified by the CPSP, for being eligible to
appear in examination.

1. Computer and Internet Orientation

2. Research Methodology and Dissertation Writing
3. Communication Skills

ASSESSMENT

ELIGIBILITY REQUIREMENTS FOR FCPS PART-II EXAMINATION

The eligibility requirements for candidates appearing in
FCPS Part II are:

1. To have passed FCPS Part-I in Pathology, or

been granted official exemption.
2. To have undertaken four years of the specified training
in Haematology, under a supervisor and in a institution
approved by the CPSP.
3. To submit a completed and duly attested logbook.
4. To provide a certificate of approval of dissertation or
acceptance of two research papers which must
accompany the application form.
5. To provide a certificate of attendance of mandatory workshops.

EXAMINATION SCHEDULE
● The FCPS Part-II theory examination will be held twice a year.
● Theory examinations are held in various cities of the country
usually at Abbottabad, Bahawalpur, Faisalabad, Hyderabad,
Islamabad, Karachi, Larkana, Lahore, Multan, Peshawar,
Quetta and Rawalpindi, centres. The College shall decide
where to hold oral/practical examination depending on the
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number of candidates in a city and shall inform the candidates

accordingly.
● English shall be the medium of examination for the
theory/practical/ clinical and viva examinations.
● The College will notify of any change in the centres, the dates

30 and format of the examination.

● A competent authority appointed by the College has the power
to debar any candidate from any examination if it is satisfied
that such a candidate is not a fit person to take the College
examination because of using unfair means in the
examination, misconduct or other disciplinary reasons.
● Each successful candidate in the Fellowship examination shall
be entitled to the award of a College Diploma after being
elected by the College Council and payment of registration
fees and other dues.

EXAMINATION FEES
● Fees deposited for a particular examination shall not be
carried over to the next examination in case of withdrawal/
absence/exclusion.
● Applications along with the prescribed examination fees and
required documents must be submitted by the last date
notified for this purpose before each examination.
● The details of examination fee and fees for change of centre,
subject, etc. shall be notified before each examination.

REFUND OF FEES
● If, after submitting an application for examination, a candidate
decides not to appear, a written request for a refund must be
submitted before the last date for withdrawal with the receipt of
applications. In such cases a refund is admissible to the extent
of 75% of fees only. No request for refund will be accepted
after the closing date for receipt of applications.

If an application is rejected by the CPSP, 75% of the

examination fee will be refunded, the remaining 25% being
retained as a processing charge. No refund will be made for
fees paid for any other reason, e.g. late fee, change of
centre/subject fee, etc.

FORMAT OF EXAMINATIONS:
Every candidate vying for the Fellowship of the College of
Physicians and Surgeons Pakistan must pass both parts of
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the Fellowship examination unless exemption is approved.

The College in it’s endeavor to improve and upgrade it’s
examination system and make it more fair and candidates
friendly will be introducing TOACS (Task Oriented Assessment
of Clinical Skills) and MCQ’s in the near future. However any
such changes will be made after notifying candidates well in
advance. 31
 PART I THEORY EXAMINATION:
● This is a written examination consisting of two papers. Each
paper is of 3 hours duration and consists of Essay Type
Questions.
● Only those candidates who qualifying in theory will be called
for Practical, Clinical and Viva examination. Detailed
instructions will be sent out to all candidates who pass the
theory exam regarding the date and particulars of the practical
and viva voce exam.

Note:
The candidate is required to fill a self explanatory ‘feedback
proforma at the end of the examination. This will help the College
in making future examination more candidate friendly.

THE COLLEGE RESERVES THE RIGHT TO ALTER/AMEND ANY

RULES/REGULATIONS.
Any decision taken by the College on the interpretation of these
regulations will be binding on the applicant.
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 FREQUENTLY
ASKED
QUESTIONS
Q. Can you tell me what opportunities are available for a
medical graduate to pursue postgraduate studies in
Pakistan?
Students can opt for joining fellowship and membership programs
offered by CPSP or join the programs offered by various universities
such as M.S., M.D. and other minor diplomas.

Q. Who can sit the FCPS Part I examination?

● Medical School Graduates - All applicants must have graduated
from medical college recognised by the PMDC.
● One (1) year of house job - All applicants, for FCPS I must
complete a postgraduate clinical year in an approved institution.

Q. How do I apply for FCPS I examination?

The application forms are available with the examination
department at the CPSP - Karachi as well as all the regional
centres of the College

Q. What are the requirements for appearing in FCPS I

examination ?
Requirements for a physician to enter into postgraduate fellowship
training include:
● Medical School Graduates - All applicants must have graduated
from medical college recognised by the PMDC.
● One (1) year of house job - All applicants, for FCPS I must
complete a postgraduate clinical year in an approved hospital.

Q. What are the requirements to be completed before

appearing in FCPS II examination ?
● Three (3) to five (5) years in a residency program -
● In addition to a house job, all applicants must satisfactorily
complete a residency training program including specified
rotations accredited by the College of Physicians & Surgeons
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Pakistan.
● Submission of approved dissertation
● Attendance of mandatory workshops

After successfully completing these requirements, a candidate may

sit for the FCPS Part II examination. 33
 Q. Where can I get more information about specific
postgraduate programs offered by the CPSP?

All information pertaining to the training program is outlined in

the relevant Prospectus. This is available at all regional centres
of the College on payment of the prescribed fee.

Q. I hold a foreign qualification. Do I need an equivalence

certificate and from whom?

A. If you hold a recognised specialist certificate confirming your

specialist training in another country you should apply directly to
the Pakistan Medical and Dental Council (PMDC) for an
equivalence certificate. However, if your qualification is not
recognised by the PMDC you could apply to be assessed as an
overseas trained specialist.
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 USEFUL ADDRESSES AND
TELEPHONE NUMBERS OF
RELEVANT CPSP
DEPARTMENTS:
1. Regional Offices of the CPSP

MUZAFFARABAD LAHORE
CMH Muzaffarabad
CPSP Regional Office
Azad Kashmir
TEL: 058810 - 43307 Next to INMOL, Hospital
FAX: 058810 - 43902 New Muslim Town, Block-D
Email: [email protected] Lahore.
UAN: 111-606-606
ABBOTTABAD
TEL: 042- 5863455, 5885277
Ayub Hospital Complex
Abbottabad FAX: 042- 5867259
TEL: 0992-383330
FAX: 0992-383330 MULTAN
Distt. Jail Road, Opp Circuit House,
PESHAWAR
Hayat Medical Complex Multan. UAN: 111-606-606
Phase IV, Hayatabad, TEL: 061-9200946, 9200952
Peshawar FAX: 061-583099
UAN: 111-606-606
Email:[email protected]
TEL: 091-9217011
FAX: 091-9217062
Email: [email protected] BAHAWALPUR
Quaid-e-Azam Medical College
ISLAMABAD Bahawalpur
Room # 3014/3015
CMT, Bulding, P.I.M.S. TEL: 0621- 884760
Islamabad. FAX: 0621- 884760
UAN: 111-606-606
TEL: 051-9261196, 9266333 NAWABSHAH
FAX: 051-2252134
Pathology Dept.
Email: [email protected]
P.M.C. Nawabshah
RAWALPINDI TEL: 0241-9370271
Armed Forces Institute of Cardiology FAX: 0241-9370261
Rawalpindi Email: regoffns@hyd. paknet.com.pk
TEL: 051-9271002 Ext: 3050
FAX: 051-9271247
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LARKANA
FAISALABAD Chandka Medical College
Punjab Medical College Larkana
Faisalabad
TEL: 0741 – 459369
TEL: 041-9210131
FAX: 041-788860 FAX: 0741 – 459369
Email:[email protected] Email: [email protected]
35
 HYDERABAD QUETTA
L.U.M.H.S. Jamshoro CPSP Bolan Medical College
Hyderabad
Sandeman Civil Hospital
TEL: 0221-877393, 615062
FAX: 0221-781565 TEL: 081- 9202424
Email: [email protected] FAX: 081- 9202424

KARACHI 3. Saudi Arabia

RIYADH
2. Departments of the CPSP Saudi Council for Health Specialities,
UAN – 111-606-606 Diplomatic Quarter, P.O. Box 94656
Riyadh -11614, KSA.
● Examination (FCPS Part I) TEL: 966-1-4822415. Ext: 156
5892801/10 Ext: 311 FAX: 4884146
Email: [email protected]
● Examination (FCPS Part II)
5892801/10 Ext: 215 JEDDAH
Saudi Council for Health Specialities,
● Department of Medical King Abdul University Hospital,
Education Jeddah, KSA.
5892801/10 Ext: 305 TEL: 966-2-6401000 Ext: 25843
Email: eltaayyeb@[email protected]
● Registration, Training &
Monitoring Cell 4. Nepal
5892801/10 Ext: 320 NEPAL
T.U. Institute of Medicine
For further contacts visit the College Maharajganj, Kathmandu Nepal
website at : TEL: 977-1- 416224
www.cpsp.edu.pk Email: [email protected]
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