A

INTERMEDIATE MODULE
I N
ME DI CI NE & AL L I E D
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REQUIREMENTS FOR TRAINING & EXAMINATION
2010
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Contact Details:
College of Physicians and Surgeons, Pakistan.
7th Central Street, Phase II, D.H.A. Karachi - 75500.
Phone: 99207100-10, UAN 111-606-606
Facsimile: 99266450
Website: www.cpsp.edu.pk
CONTENTS
INTRODUCTION
TRAINING AND EXAMINATION
ASSESSMENT
COURSE FOR BASIC SURGICAL TRAINING
USEFUL ADDRESSES AND TELEPHONE NUMBERS
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The College was established in 1962 through an ordinance of the
Federal Government. The objectives and functions of the College
include: promotion of specialist practice by securing improvement
of teaching and training; arranging postgraduate medical, surgical
and other specialist training; holding and conducting examinations
for awarding College diplomas and admission to the Fellowships of
the College; and promotion of research.
Since its inception the College has actively pursued improvements
in postgraduate medical education in Pakistan. Currently, the
College offers Fellowships in fifty three disciplines compared to the
initial few in Medicine, Surgery, Paediatrics and Obstetrics and
Gynecology in 1963. Structured training programs have been
developed, criteria for recognition of training institutes have been
laid down, and format of examinations has been improved with
unbiased objective, reliable and candidate friendly methods of
assessment. Fellowship training can be undertaken in over 130
accredited medical institutions throughout the country and 106
accredited institutions abroad. Over 2000 supervisors are involved
in the CPSP training programs.
The College has established 12 Regional Centers including five
Provincial Headquarter Centres in the country to coordinate the
training and examination, and facilitate the candidates of these areas.
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INTRODUCTION
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Constant efforts are made to improve the standards of examinations
and make them relevant, transparent, objective and fair to the
candidates. In its endeavor to decrease inter-rater variability, and
increase fairness and transparency, the College has introduced the
use of assessment forms for scoring of all the components of clinical
and oral examinations. Another step in this direction is the
introduction of Task Oriented Assessment of Clinical Skills (TOACS)
in the FCPS II Clinical Examinations in a number of disciplines from
September 2001.
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INTERMEDIATE MODULE
To ensure better training, the CPSP introduced an Intermediate
Module Examination in several disciplines in 2001. This mid-training
assessment strengthens the monitoring and in-training assessment
systems by providing trainees with an estimate of mid-training
competence. It also serves as a diagnostic tool for trainees and
supervisors, provides a curricular link between basic and advanced
training, and an opportunity for sampling a wider domain of
knowledge and skills.
Vide Notification No. 6-1 / Exam-04 / CPS / 1438 S and R, the
Intermediate Module (IMM) examination is mandatory eligibility
requirement for all FCPS II examination as from September 2007.
Trainees who passed FCPS I in 2001 and onwards are required to
complete two years training in basic medicine and take the
Intermediate Module (IMM) examination.
In case of failure in the Intermediate Module examination, the trainees
are permitted to continue their training in the chosen specialty but
must pass the Intermediate Module examination prior to appearing in
the final FCPS II examination.
GENERAL REGULATIONS
Candidate will be admitted to the examination in the name (surname
and other names) as given in the MBBS degree and PMDC certificate.
CPSP will not entertain any application for change of name on the
basis of marriage / divorce /deed.
REGISTRATION AND SUPERVISION
All trainings must be supervised, and trainees are required to register
with the Research and Training Monitoring Cell (RTMC) within 30 days
of starting their training for the Intermediate Module. In case of delay
in registration, the start of training will be considered from the date of
receipt of application by the RTMC. Registration forms are available in
RTMC and in the Regional Centers. They can also be downloaded
from the CPSP Website. Training is compulsorily monitored by an
approved supervisor who is a CPSP fellow or a specialist with relevant
postgraduate qualifications registered at the RTMC.
APPROVED TRAINING CENTRES
Training must be undertaken in units, departments and institutions
approved by the College. A current list of approved institutions is
available from the College and its Regional Centres as well as on the
College website: www.cpsp.edu.pk
TRAINING AND
EXAMINATION
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BASIC MEDICAL TRAINING
PROGRAM FOR INTERMEDIATE
MODULE
DURATION
The duration of training for the Intermediate Module (IMM) is
two (2) years; the Intermediate Module examination is taken on
completion of the basic training.
G Rotation for 2 months each in any three of the following:
- Cardiology
- Nephrology
- Neurology
- Pulmonology
- Psychiatry
- Oncology
- Gastroenterology
- Endocrinology
COMPONENTS OF TRAINING
Mandatory Workshops
It is mandatory for all trainees to attend the following three
CPSP certified workshops in the first year of training:
1. Introduction to Computer and Internet
2. Research Methodology and Dissertation Writing
3. Communication Skills
Any other workshop/s as may be introduced by the CPSP.
Logbook
Trainees are required to maintain a logbook in which entries of
academic/ professional work done during the period of training should
be made on a daily basis, and signed by the supervisor. Completed
and duly certified logbook will form a part of the application for
appearing in IMM examination.
E-logbook
The CPSP council has decided to introduce E-logbook system for all
trainees in FCPS from January 2009. Upon registration with RTMC
each trainee is allotted a registration number and a password to log on
to the e-logbook on the CPSP website. The trainee is required to enter
all work performed and the academic activities undertaken in the
logbook on daily basis. The concerned supervisor is required to verify
the entries made by the trainee. This system ensures timely entries by
the trainee and prompt verification by the supervisor. It also helps in
monitoring the progress of trainees and vigilance of supervisors.
Research (Dissertation / Two Papers)
One of the training requirements for fellowship trainees is a
dissertation or two research papers on a topic related to the field
of specialization. For trainee in Surgery the dissertation synopsis
or abstracts of the research papers must be approved by the
Research and Evaluation Unit (REU) in the first year of the
Intermediate Module. Trainee going to subspecialty must get the
synopsis approved in first year of training of the subspecialty
(i.e 3rd year of FCPS training).
General Requirements
Training should incorporate the principle of gradualy increasing
responsibility, and provide each trainee with a sufficient scope, volume
and variety of experience in a range of settings that include inpatients,
outpatients, emergency and intensive care.
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Instructional Methodology
Teaching occurs using several methods that range from formal
didactic lectures to planned clinical experiences. Aspects
covered will include knowledge, skills and practices relevant to
the discipline in order to achieve specific learning outcomes and
competencies. The theoretical part of the curriculum presents the
current body of knowledge necessary for practice. This can be
imparted using lectures, grand teaching rounds, clinico-pathological
meetings, morbidity/mortality review meetings, literature reviews
and presentations, journal clubs, self directed learning, conferences
and seminars. Clinical learning is organized to provide
appropriate expertise and competence necessary to evaluate
and manage common clinical problems. Demonstration in
outpatient clinics and wards and procedural skill training on
simulators, manikins and patients are all practical training
modalities.
Eligible disciplines after IMM Medicine & Allied
G Cardiology
G Chemical Pathology
G Community Medicine
G Dermatology
G Gastroenterology
G Hematology
G Medicine
G Nephrology
G Neurology
G Pulmonology
ASSESSMENT
ELIGIBILITY REQUIREMENTS
For appearing in Intermediate Module examination a candidate should
have:
G Passed FCPS I in Medicine and Allied or granted exemption.
G Registered with the Research and Training Monitoring Cell
(RTMC).
G Completed two years of training under an approved supervisor in
an institution recognized by the CPSP. A certificate of completion of
training must be submitted.
G Submitted a complete and attested logbook.
G Submitted certificates of attendance of mandatory workshops.
G Should have submitted synopsis of dissertation or abstract of
research articles.
EXAMINATION SCHEDULE
G The Intermediate Module theory examination will be held twice a
year.
G English shall be the medium of all examinations for theory and
TOACS.
G Theory examinations are held in various cities of the country
usually at Abbottabad, Bahawalpur, Faisalabad, Hyderabad,
Islamabad, Karachi, Nawabshah, Larkana, Lahore, Multan,
Peshawar and Quetta centres. The College shall decide where to
hold TOACS examinations depending on the number of candidates
in a city and shall inform the candidates accordingly.
G The College will notify of any change in the centres, the dates and
format of the examination.
G A competent authority appointed by the College has the power to
debar any candidate from any examination if it is satisfied that the
candidate has indulged in unfair practices in College examination,
misconduct or because of any other disciplinary reason.
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EXAMINATION FEES
I Fee deposited for a particular examination shall not be
carried over to the next examination in case of withdrawal,
absence or exclusion.
I Applications along with the prescribed examination fee and
required documents must be submitted by the last date
notified for this purpose before each examination.
I The details of examination fee and fee for change of centre,
subject, etc shall be notified before each examination.
FORMAT OF EXAMINATION
Intermediate Module examination consists of theory and TOACS
examination. Details are given below:
G Theory examination:
Theory examination consists of:
Paper I
Paper II
G Clinical examination:
To test basic clinical skills, the clinical examination consists of:
TOACS (Task Oriented Assessment of Clinical Skills)
TOACS
TOACS will comprise of 12 to 20 stations with a task to be
completed in a specified time. The stations may have an examiner,
a patient or both. Structured clinical tasks will be set at each
station. The examiners will assess the performance of each
candidate on a rating scale. At stations where no examiner is
present the candidates will have to submit written responses to
short answer questions/MCQs on a response sheet.
There will be two types of stations: static and interactive. At static
stations the candidate will be presented with patient data, a clinical
problem or a research study and will be asked to give written
responses to the questions asked.
}
100 One best type of MCQs in each paper.

At the interactive stations the candidate will have to perform a
procedure, for example, taking history, performing a clinical
examination, counseling, assembling an instrument, etc. One
examiner will be present at each interactive station and will either rate
the performance of the candidate or ask questions testing reasoning
and problem-solving skills.
Pass/Fail Criteria
Candidates have to pass the theory to be eligible to sit the TOACS
examination.
COURSE FOR BASIC MEDICAL
TRAINING
GENERAL OBJECTIVES
Upon completion of specified training in the chosen discipline, a
resident must acquire the knowledge, skills and attitudes required for
practice of the discipline, including its foundations in the basic medical
sciences and research scholarship in order to:
G Provide appropriate and cost-effective care to patients at all levels.
G Promote health and prevent disease in patients, families and
communities.
G Practice continuing professional development.
To attain competency the trainee must achieve:
G Knowledge and expertise in clinical and procedural management of
relevant diseases.
G Basics of relevant skills.
G Effective clinical judgment and decision making in dealing with
health problems using evidence based medicine.
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CURRICULUM
INTERMEDIATE MODULE IN MEDICINE
AIM
The overall aim of training for FCPS II is to facilitate the
development of a physician who is capable of functioning as an
independent consultant in General Medicine.
TRAINING FOR INTERMEDIATE MODULE
The curriculum of first two years in medicine involves balanced and
objective integration of basic medical sciences and essential core
clinical knowledge in medicine. The trainee should be able to
diagnose and manage uncomplicated conditions prevalent in the
region and recognize, stabilize and refer complicated cases to
appropriate place / person. If a trainee has compeleted the
minimum number of required competencies by second year of
training he/she can submit the logbook before Intermidiate Module
examination.
The coverage that each discipline receives below is not indicative
of the relative importance placed on each discipline in the training
program, or in the examination. These are guidelines and not
comprehensive definitive lists. Only minimum levels of expected
competence have been identified but sufficient scope, volume and
variety of experience are desirable.
CORE COMPETENCIES
Competencies are an individual's observable behavioural acts that
require a combination of knowledge, skills and abilities. Core
competencies expected of a trainee by the end of two years of
training and before appearing in Intermediate Module Examination
in Medicine are:
History Taking
I Understand the Symptomatology and recognize Alarm
symptoms
I Take history in problem situations as when patient's language is
different from trainees language or when confronted with
confused and deaf patients.
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I Formulate a differential diagnosis after analysis and synthesis of
identified problems
I Recognize psychological and social issues developing due to
disease or infirmity
I Show empathy with the patient
Examination
I Take permission to examine and explain the procedure
I Elicit signs and use instruments with maximum care
I Comprehend the ethics of privacy and confidentiality and apply it
for individual cases
I Recognize the role of and seek help of attendants / relatives
where required
Medical record keeping
I Record accurately patients history, examination, differential
diagnosis, investigations and management plan
I Fill in all the required hospital record forms accurately and
honestly
I Maintain records with dates and sign each entry
I Ensure that notes are accessible to all members of the team and
patients /relatives (if required)
I Use latest technology for the benefit of patient e.g. fax, email etc
Time Management
I Set priorities for tasks( clinical and others) to be accomplished
I Plan line of action while keeping realistic expectations of tasks to
be completed by self and others
Decision Making
I Analyze and synthesize clinical problems
I Recognize the role of and consult other members of the health
care team
I Approach tasks with flexibility
Basic Life Support
I Examine and assess a collapsed patient
I Maintain adequate airway and perform effective cardiopulmonary
resuscitation
I Control ones own emotions and enable others to keep calm
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Communication Skills
I Use open ended questions for gaining information
I Communicate effectively with patients taking care of their level
of understanding
I Encourage questions from the patients and relatives
I Avoid technical terms
I Use interpreters where necessary
I Provide information to patients in simple and precise language
I Give due respect to patients and their relatives and share
information when appropriate
I While counseling give choices and help the patient in decision
making
I Show empathy and concern during breaking bad news
I Avoid conveying unrealistic optimism
I Discuss ethics, medical procedure & legal implications related
to organ donation with the patient and relatives when required
Life Long Learning
I Pursue professional development activities/ programs
I Understand the role of appraisal and of assessment
I Recognize and make full use of learning opportunities
I Make effort to learn from seniors, colleagues and others
I Demonstrate proficiency in the use of information technology
Practice Evidence Based Medicine
I Show competence in use of all sources of information e.g
databases as Medline, library and the internet
I Use evidence to support patient care effectively
I Critically evaluate medical evidence using principles of EBM
Clinical Audit, Guidelines
I Recognize the relevance of audit to benefit patient care
I Participate in clinical audits
I Comprehends the problems and benefits of existing guidelines
I Use local guidelines where applied
I Take care of individual patient needs when using guidelines
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Ethical and Legal issues
I Recognize the importance of Informed consent and practice it in a
manner that the patient is able to understand it fully
I Respect the right to confidentiality
I Maintain patients confidentiality
I Use and share all information with the patient and relatives as and
where appropriate
I Partake legal responsibilities of writing Death certificate, mental
health certificate
Professional Behavior
I Show responsibility in maintaining continuity of care
I Ensure satisfactory completion of delegated tasks by the end of
the shift/day with appropriate handover
I Display non discriminatory attitude towards all the patients
I Refrain from giving unnecessary personal comments
I Exercise care in managing inappropriate behaviour e.g.
aggression, violence, sexual harassment in patients
I Recognize own limitations and accept constructive criticism
I Act as a responsible member of health care team
Patient Education
I Educate patients about: Disease, Investigations, Therapy,
I Possible alternatives /choices, rehabilitation etc.
I Counsel patients, explaining individual treatment plans and the
actions to be taken if the condition deteriorates or improves
I Encourage patients to access further information / patient support
groups
Disease Prevention
I Identify role of environmental and lifestyle risk factors, such as
Diet, Exercise, Social deprivation, Occupation and Substance
abuse in disease causation
I Comprehends the Epidemiology and screening procedures for risk
factors
I Provide support and advice on quitting the use of tobacco/alcohol
etc.
I Assess individual patient's risk factors
I Encourage participation in appropriate disease prevention or
screening programs
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Teaching and Training
I Communicate and share information with all members of health
care team
I Adopt Learner-centered approach while teaching/training
I Demonstrate willingness, enthusiasm and patience to teach
I Seek feedback from peers as well as from juniors
I Make best use of all teaching opportunities
I Develop effective Presentation skills
I Use effectively multiple audio-visual aids for presentation
Safe Management while on Call
I Recognize medical indications for urgent investigations and
therapy
I Identify skills and competencies of other members of the 'on-
call ' team
I Prioritize the tasks to be carried out
I Call for help and refer the case whenever required
I Effectively interact with other health care professionals
I Keep patients and relatives informed
I Hand over all the information to the proceeding team staff safely
Discharge Planning
I Recognize the impact of unnecessary hospitalization
I Educate the patient and relatives regarding impact of physical
problems on daily activities
I Liaise and communicate with patient, family and primary care
services
I Write reports for appropriate bodies
Resuscitation and Advanced Cardiac Life Support
I Recognize critically ill patients.
I Practice Advanced cardiac life support algorithms
I Recognize cardiac arrhythmias
I Manage patients on commonly used antiarrhythmic
and cardiac support drugs
I Perform emergency defibrillation
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I Lead a cardiac arrest team
I Understand Legal and ethical considerations regarding
I Do not resuscitate orders (DNR)
I Act with empathy and sensitivity while dealing with patients and
families
Nutrition
I Identify impact of Disease on nutritional status and malnutrition on
clinical outcomes
I Assess nutritional status of patients
I Recognize cultural and religious issues
I Utilize proper routes of nutrition support
I Refer cases to nutritionist when required
CLINICAL COMPETENCIES
The clinical competencies, a specialist must have, are varied and
complex. A complete list of the skills necessary for trainees and
trainers is given below. The level of competence to be achieved
each year is specified according to the key, as follows:
1. Observer status
2. Assistant status
3. Performed under supervision
4. Performed under indirect supervision
5. Performed independently
Note: Levels 4 and 5 for practical purposes are almost
synonymous
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ROTATIONAL TRAINING
Thromvolysis in acute MI 1,2,3 6
Management of Arrythmias -
Drug / Defibrillation 1,2,3 4
ECG recordings and reporting 1,2,3 6
ETT 1,2 2
ECHO 1 4
CPR 1,2 2
Pleural Aspiration 1,2,3 3
Pleural Biopsy 1 1
Chest intubation 1 1
Broncoscopy 1 2
Pulmonary function test 1 2
Blood gases interpertation 1,2 2
CT Scan 1,2,3 4
MRI 1,2,3 2
EEG 1 1
EMG 1 1
Peritonial Aspiration 1,2,3 3
Liver Biopsy 1 2
Upper GI Endoscopy 1 2
Colonoscopy / sigmoidoscopy 1 2
Variceal banding / Sclerothrepy 1 2
Level Cases
ROTATIONS
(Main features of rotations)
CARDIOLOGY (two month rotation)
PULMONOLGY (two month rotation)
NEUROLOGY (two month rotation)
GASTROENTEROLOGY (two month rotation)
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Chemeotherapy 1,2 4
Radiotherapy 1 2
Tyroid scan Iodin treatment 1 2
interpertation of MRI pituitary
1 1
Haemodialysis 1,2,3 4
Renal Biopsy 1 2
Insertion of double lumen catheter 1 2
Psychotherapy 1 2
ECT 1 2
Psychometry 1,2 2
Level Cases
ROTATIONS
(Main features of rotations)
ONCOLOGY (two month rotation)
ENDOCRINOLOGY (two month rotation)
NEPHROLOGY (two month rotation)
PSYCHIATRY (two month rotation)
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SYLLABUS FOR MEDICINE
By the end of second year of training in Medicine the trainee
should be able to:
a) Assess symptoms and signs
b) Formulate a differential diagnosis
c) Select appropriate investigations and accurately interpret
investigation reports
d) Communicate the diagnosis and prognosis
e) Institute appropriate treatment recognizing indications,
contraindications and side effects of the following clinical
conditions:
Multi disciplinary Clinical Scenarios
I Breathlessness
I Lethargy
I Weight gain/loss
I Nausea/Vomiting
I Pressure sores etc
Cardiology
I Preventive Cardiology
I Coronary Heart Disease
I Acute Rheumatic Fever
I Rheumatic Heart Disease
I Valvular Heart disease
I Infective Endocarditis
I Dizziness/ Syncope and Palpitation
I Arrythmias
I Haemodynamic disturbances
I Hypotension and shock
I CPR, Basic Life Support,
I Advanced Cardiac Life Support
I Heart Failure
I Myocardiditis Cardiomyopathies
I Pericarditis
I Hypertension
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Pulmonology
I Prevention of Respiratory diseases
I Cough, Haemoptysis, Dyspnoea
I Pneumonias, Lung abscess
I Bronchiectasis
I Bronchial Asthma
I COPD
I Pulmonary Tuberculosis
I Pleural Effusion
I Pneumothorax
I Lung Cancer
I Interstitial Lung disease and fibrosis
I DVT/ Pulmonary embolism
I Oxygen therapy
I Assisted ventilation
Hematology and Medical Oncology
I Anemias
I Haemoglobinopathies
I Neutropenia, Neutropenic sepsis
I Bone Marrow failure
I Transfusion of blood products
I Leukemia
I Lymphomas other myeloproliferative disorders
I Multiple myeloma
I Disorders of Hemostasis
I Platelet disorders, DIC
I Bleeding disorders
I Hypercoagilable state
I Anticoagulation
I Prevention of cancer, staging of cancer
I Oncological emergencies
I Hypercalcemia
I Malignant effusions

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GI tract and Liver
I Nausea, vomiting
I Hiccup, Dyspepsia
I GERD, Dysphagia
I Upper GI bleed
I Oesophageal varices
I Gastritis, NSAID Gastritis
I Peptic ulcer disease
I Diarrhea, Malabsorption syndrome
I Coelic disease
I Irritable bowel disease
I Inflammatory bowel disease
I Constipation
I Antibiotic associated colitis
I Lower GI and rectal bleed
I Abdominal distension
I Jaundice, Acute Hepatitis
I Chronic Hepatitis, Chronic liver disease
I Portal Hypertension
I Decompensated Cirrhosis
I Encephlopathy
I Fulminant liver failure
Neurology
I Headache, Facial pain
I Meningitis, Encephalitis
I Brain abscess, Epilepsy
I Intracranial space occupying lesions
I Benign intracranial hypertension
I Raised intracranial pressure
I TIAs, Stroke, weakness and paralysis
I Sub-archnoid haemorrhage
I Coma
I Parkinsonism, other movement disorders
I Spasticity
I Dementia, Multiple sclerosis
I Polyneuropathy
I Motor neuron diseases
I Subacute combined degeneration of spinal cord
I Disorders of neuromuscular transmission
I Myopathies, Periodic paralysis
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Infections, Disorders due to Physical agents and
Environment
I Fever of unknown origin
I Sepsis syndrome
I Infections in immunocompromised host
I Nosocomial infections
I Infections due to resistant organisms, MRSA, Mycobacterium
I HIV, AIDS
I Sexually transmitted diseases
I Infections in drug users
I Food poisoning
I Acute Infectious diarrhoea
I Bacillary dysentery
I Typhoid and Paratyphoid fevers
I Malaria
I Giardiasis
I Amebiasis
I Leishmaniasis
I Toxoplasmosis
I Helminthic infections
I Viral diseases
I Rabies
I Ricketsial diseases
I Fungal diseases
I Bacterial diseases
I Chlamydial and spirochetal diseases
I Antibiotics, antiviral drugs, anti fungal drugs,
Anti tuberculous drugs, Drug reaction, Desensitisation
I Disorders due to Physical agents and environment
I Effects of heat and cold
I Electric shock
I Drowning
I Insect bite, snake bite
I Carbon monooxide
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Nephrology
I Acute Renal Failure
I Chronic Renal Failure
I Glomerulopathies
I Nephrotic Syndrome, Proteinuria
I Haematuria
I Urinary infections
I Cystic diseases of kidney
I Tubulointerstitial diseases
I Multisystem diseases with kidney involvement
I Renal replacement therapy
I Hypertension and kidney
Fluid, Electrolytes, Acid Base Disorders and Poisioning
I Hypo and hyper natremia
I Hypo and hyper kalemia
I Hypo and hyper calcemia
I Acid Base Disorders
I Hyperosmolar Disorders
I Anion gap
I Fluid management
I Poisoning: Salicylates, Tricyclics
I Benzodiazepam, Narcotics
I Paracetamol
I Organophosphorous compounds
Endocrinology, Diabetes Mellitus, Lipid Disorders
I Diabetes Mellitus
I Diabetic Coma
I The hypoglycemic state
I Diseases of Hypothalmus, Pituitary gland
I Disorders of thyroid and parathyroid glands
I Adrenocortical deficiency
I Cushing Syndrome
I Clinical uses of corticosteroids
I Dyslipidemias
I Metabolic bone disease
C
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Musculoskeletal, Allergic and Immunological Disorders
I Degenerative and crystal induced arthopathies
I Osteoporosis
I Osteoarthritis
I Autoimmune diseases
- SLE
- Scleroderma
- Polymyositis, Dermatomyositis
- Polymyalgia Rheumatica
I Monoarthritis, Infective arthritis, Polyarthritis
I Seronegative spondyloarthritides
I Rheumatoid Arthritis and its variants
I Atopic disorders
I Anaphylaxis, urticaria, angioedema
I Immunodeficiency disorders
I Immunosupressives / immunomodulating therapies
Suggested Reading List:
Standard text book of Medicine such as:
I Haslett C, Chilvers ER, Bom NA eds. Davidson's
Principles and Practice of Medicine. 19th ed. Edinburgh:
Churchill Livingstone 2002.
I Carpenter CCJ, Griggs RC, Loscalzo J eds. Cecil
Essentials of Medicine.6th ed. Philadelphia: Saunders,
2004.
I Kumar P, Clark M eds. Kumar and Clark Clinical
Medicine. 5th ed. Edinburgh: WB Saunders, 2002.
I Munro JF, Campbell IW eds. McLeod's Clinical
Examination. 10th ed. Edinburgh: Churchill Livingstone
2000.
I Swash M. Hutchison's Clinical Methods.21st ed. London.
Saunders, 2002.
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Reference Books:
I Weather DJ. Oxford Text book of Medicine. Oxford
University Press.
I Goldman L. Cecil's Text Book of Medicine.22nd ed.
Philadelphia: Saunders 2004.
I Braunwald E. Harrison's Principles of Internal Medicine.
2 vols. 15th ed. New York: McGraw Hill 2004.
Suggested Medical Journals:
1. BMJ (British Medical Journal)
2. NEJM (New England Journal of Medicine)
3. JAMA (Journal of the American Medical Association)
4. The Lancet
5. JCPSP (Journal of College of Physicians and Surgeons
Pakistan)
Medical Website:
www.medscape.com

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USEFUL ADDRESSES
AND TELEPHONE
NUMBERS
1. Regional Offices of the CPSP
MUZAFFARABAD
CMH Muzaffarabad
Azad Kashmir
TEL: 058810 - 43307
FAX: 058810 - 43902
Email: ssgr-brehman@cpsp.edu.pk
ABBOTTABAD
Ayub Hospital Complex
Abbottabad
TEL: 0992-383330
Email: rc_abbottabad@cpsp.edu.pk
PESHAWAR
Hayatabad Medical Complex
Phase IV, Hayatabad,
Peshawar
UAN: 091-111-666-666
TEL: 091-9217011, 091-9217320-1
FAX: 091-9217062
Email: rc_peshawar@cpsp.edu.pk
ISLAMABAD
P.I.M.S, Ravi Road, Sector G- 8/ 3
Islamabad.
UAN: 051-111-666-666
TEL: 051-9262590-1,
FAX: 051-9262592
Email: rc_islamabad@cpsp.edu.pk
FAISALABAD
Punjab Medical College
Faisalabad
UAN: 041-111-666-666
TEL: 041-9210131, 9210366-8
FAX: 041-9210224
il:rc_faisalabad@cpsp.edu.pk
LAHORE
Next to INMOL, Hospital
New Muslim Town, Block-D
Lahore.
UAN: 042-111-666-666
TEL: 042- 9231320-8
FAX: 042- 9231327
Email: rc_lahore@cpsp.edu.pk
MULTAN
Nishtar Medical College,
Distt. Jail Road, Opp Circuit House,
Multan.
UAN: 061-111-666-666
TEL: 061-9200946, 9200952
Email: rc_multan@cpsp.edu.pk
BAHAWALPUR
Quaid-e-Azam Medical College
Bahawalpur
TEL: 062- 9250461
Email: rc_bahawalpur@cpsp.edu.pk
NAWABSHAH
Peoples Medical College for Girls
Nawabshah
TEL: 0244-9370271, 9370479
FAX: 0244-9370478
Email: rc_nawabshah@cpsp.edu.pk
LARKANA
Chandka Medical College
Larkana
TEL: 074 9410726
Email: rc_larkana@cpsp.edu.pk
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HYDERABAD
Liaquat University Hospital, Jamshoro
Hyderabad
TEL: 022-3877393
Email: rc_hyderabad@cpsp.edu.pk
KARACHI
2.
UAN 021-111-606-606
G Examination (FCPS Part I)
9207100 -10 Ext: 311
G Examination (FCPS Part II)
9207100 -10 Ext: 215
G Department of Medical
Education
9207100 -10 Ext: 305
G Registration, Training &
Monitoring Cell
9207100 -10 Ext: 320
For further Information visit the
College website at:
www.cpsp.edu.pk
QUETTA
CPSP Bolan Medical College
Sandeman Civil Hospital
TEL: 081- 9202424
Email: rc_quetta@cpsp.edu.pk
3. Saudi Arabia
RIYADH
Saudi Commission for Health
Specialities,
Diplomatic Quarter, P.O. Box 94656
Riyadh -11614, KSA.
TEL: 966-1-4822415 Ext: 156/141
966-2-6401000 Ext: 25843
Email: medexam5@scfhs.org
4. Nepal
KATHMANDU
T.U. Institute of Medicine
Maharajganj, Kathmandu, Nepal
TEL: 977-1- 416224
Email: cpsp@iomdit.org.np
Departments of CPSP Karachi OVERSEAS CPSP CENTRES