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Read about the Intermediate Module examination and requirements within the FCPS Emergency Medicine pathway.

By Najmus Sahar

Updated and reviewed by EM Gurus, checked 10 October 2026

Last reviewed 10 October 20262 min read

Quick answer

Read about the Intermediate Module examination and requirements within the FCPS Emergency Medicine pathway.

Eligibility

Workshops

  • Basic Life Support (BLS)

  • Communication Skills

  • Primary Surgical Skills

  • Introduction to Computer & Internet

  • Research Methodology, Biostatistics & Article Writing


Research - Synopsis submission

  • 1 for dissertation OR

  • 2 for articles

  • At least 6 months before exam (recommended in 1st 6 months of training)


Experience – 2 years 

  • Emergency Medicine - 6 months

  • Mandatory Rotations - 18 months 


CPSP eLogbook Entries - minimum 150

  • Emergency Medicine - minimum 100 

  • Rotations - minimum 50

Application

Step 1 - Form completion

  • Fill “Examination Forms for IMM” - CPSP Examination Forms

  • Print the filled form received in email

  • Get it signed by Supervisor, Head of Institute and yourself

  • Submit Bank Challan / Online Debit or Credit Card Payment -  15,050 Rupees


Step 2 - Documents upload (PDF format)

  • Signed Step 1 form

  • Scanned paid bank challan / online payment receipt

  • Photograph - 300 dpi, front attested

  • CNIC - both front and back

  • FCPS-I pass / exemption letter

  • RTMC certificate

  • MBBS degree

  • PMDC certificate

  • Workshops certificates (BLS and 4 mandatory CPSP workshops)

  • Synopsis submission acknowledgement letter

  • Experience certificate - mentioning all rotations

  • Rotational certificates

  • Appointment letter joining report


Note - Admit card arrive 1 week before exam

Structure

Theory:

  • Paper 1 - 100 MCQs - 2 hours

  • Paper 2 - 100 MCQs - 2 hours


OSCE:

  • TOACs - 12 stations (+ 2 resting stations) - 7 minutes each

Tips

  • No specific topic quota; questions can be repeated in both papers.

  • Tailor your preparation for MCQs. Dedicate the last week to focused MCQ practice.

  • Tintinalli textbook is extensive and best used as a reference, not for the exam. 

    • For basics, the manual edition of Tintinalli is sufficient.

    • Read 1 chapter and solve MCQs from 2-3 different books on the same topic.

    • Jot down important points from the manual and MCQ explanations.

    • Re-read tables, especially in toxicology and pediatrics.

    • Less important sections in Tintinalli: Prehospital care, Disasters management, Resuscitative procedures, Abuse assault, Special situations.

    • Focus on systemic emergencies, resuscitation, trauma, ACLS/PALS algorithms, important clinical decision scores and guidelines.

    • After covering theory, review your notes and charts.

  • Test yourself with practice exams in the '1200 MCQs in EM' book.

  • Recommended mandatory MCQ books: Tintinalli MCQs, Pretest Emergency Med, Pearls of Wisdom Emergency Med, 1200 MCQs in EM (for self-testing).

    • Additional recommended books: Peers Review, AliEm, EM MCQs by Waruna, Oxford Assess and Progress: Clinical Medicine.


Reference

FCPS EM examsEmergency medicineExam preparation

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Educational guide, not clinical advice. Check current official guidance before acting.