IMM OBGY TOACS 2026: Must-Coming Stations You Cannot Afford to Miss Exam Format Each Station time

IMM OBGY TOACS 2026: 12 Must-Coming Stations You Cannot Afford to Miss

The IMM OBGY TOACS is not an exam you can pass on theory knowledge alone. It tests whether you can perform, communicate, and reason like a specialist under a strict 7-minute-per-station clock, across 12 structured stations. Every year, CPSP draws its stations from a recognisable, recurring pool — and candidates who understand this pattern walk in with a real strategic advantage.

Based on years of recall analysis and past paper trends, up to 60% of the IMM OBGY TOACS exam can be predicted from patterns that repeat cycle after cycle. This blog breaks down all 12 stations in detail — what to expect, how they're structured, and how to prepare for each one.

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Understanding the IMM OBGY TOACS Format

• 12 OSCE stations + 2 resting stations
• 7 minutes per station — no extensions
• Late arrival beyond 15 minutes may bar entry
• Stations combine practical skills, structured discussions, and clinical case scenarios
• Examiners assess clinical reasoning, safety, and communication — not just factual recall

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Skills & Communication Stations (4 Stations)

1. Contraception Drill

This station tests your ability to counsel a patient on contraceptive options in real time. Expect scenarios involving:

• Method selection based on patient history, comorbidities, and preference (COCP, POP, implant, IUD/IUS, sterilisation)
• Discussing UKMEC/eligibility criteria where relevant
• Addressing patient concerns, myths, and side-effect expectations
• Safe prescribing and follow-up planning

Prep tip: Practice structured counselling using an opening (assess needs) → options (tailored to the patient) → safety-netting → closing framework. Examiners reward candidates who listen and adapt, not those who recite a memorised script.

2. PPH Drill

A core emergency obstetric skills station. You'll be expected to demonstrate:

• Immediate recognition and call for help
• Stepwise management — uterine massage, uterotonics, escalation to surgical/interventional options
• Clear team communication and documentation awareness
• Prioritisation under time pressure

Prep tip: Rehearse the drill out loud, against the clock, until the sequence is automatic. Examiners are watching for safe, logical escalation — not perfect textbook recitation.

3. Leaflet Appraisal, Discharge Slip, or Referral Slip

A document-based station testing critical appraisal and patient-facing communication. You may be asked to:

• Review a patient information leaflet for accuracy, clarity, or missing safety information
• Critique or complete a discharge summary
• Draft or assess a referral letter for appropriateness and urgency

Prep tip: Practice scanning a document quickly for errors, omissions, and patient-safety gaps — this station rewards structured, efficient critique over vague commentary.

4. Critical Analysis, Protocol, Research, or Audit

This station assesses evidence-based practice and clinical governance thinking. Expect tasks like:

• Critiquing a study design or interpreting basic statistics
• Reviewing or amending a clinical protocol
• Discussing audit cycle steps or quality improvement principles

Prep tip: Be comfortable with basic research terminology (sensitivity, specificity, RCTs, audit vs. research) and the audit cycle — these come up repeatedly across recalls.

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Structured Discussion Stations (3 Stations)

5. Labour Board or Gynaecology Board

A case-based discussion with an examiner, simulating a board/handover scenario. You'll typically:

• Be presented with a clinical case (labour ward or gynae ward)
• Discuss diagnosis, immediate management, and escalation
• Justify your decision-making under examiner questioning

Prep tip: Practice thinking aloud — examiners assess your reasoning process, not just your final answer.

6. Maternal Medicine Structured Discussion — Diabetes, Anaemia, or Hypertension

One of the most reliably recurring stations. Expect a structured case discussion covering:

• Diagnostic thresholds and classification
• Antenatal monitoring and management plans
• Intrapartum and postpartum considerations
• Guideline-based thresholds for intervention

Prep tip: Know your guideline-based cut-offs cold (glucose targets, BP thresholds, anaemia correction thresholds) — precision here is what separates a pass from a borderline score.

7. General Gynaecology Structured Discussion — HMB or Infertility

Another must-coming discussion station. Expect:

• Structured history-taking approach for HMB or infertility
• Investigation pathway (first-line to second-line)
• Management options tailored to patient factors (fertility wishes, age, severity)

Prep tip: Build a mental flowchart for both HMB and infertility work-up — examiners often test whether you follow a logical, stepwise pathway rather than jumping straight to management.

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Three Gynaecology Cases

8. One General Gynaecology Case (Must-Coming)

A near-certain station covering core gynaecological presentations — expect history, examination findings interpretation, or management planning built around common gynae complaints.

9–10. Two Additional Gynaecology Cases

Commonly drawn from:

• Early Pregnancy — miscarriage, ectopic pregnancy, pregnancy of unknown location
• Urogynaecology — urinary incontinence, prolapse assessment and management pathways

Prep tip: Early pregnancy and urogynaecology are recall-heavy topics — prioritise the classic presentations and standard management algorithms for both.

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Four Obstetric Cases

11–12. Two Maternal Medicine Cases (Must-Coming)

Reinforcing the importance of maternal medicine across the exam — expect cases layered with real clinical complexity (e.g., a diabetic patient with an additional complication, or hypertension with an atypical feature).

Two Additional Obstetric Cases

Variable in topic, drawn from the wider obstetric curriculum — could include antepartum haemorrhage, preterm labour, malpresentation, or intrapartum complications.

Prep tip: Because maternal medicine appears twice in the obstetric cases and as a standalone structured discussion, it is statistically the single highest-yield topic area in the entire exam.

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Prepare Smartly, Not Just Hard

Recognising this recurring pattern gives you a real strategic edge — but the exam is deliberately designed to test adaptability too. The strongest candidates:

• Master the core stations above until responses are structured and automatic
• Stay flexible for variations in task wording, patient scenarios, and examiner prompts
• Practice under the real 7-minute time pressure, not in untimed study sessions

MedHome's Legacy in IMM OBGY TOACS Preparation

For years, MedHome has stood at the forefront of IMM OBGY TOACS preparation across Pakistan and the wider region. What sets MedHome apart is not just content — it's a complete system built around real exam performance:

• Live, interactive TOACS sessions that simulate the real exam floor — timed stations, examiner-style questioning, and instant feedback, so candidates walk in on exam day having already "been there before."
• A near 100% result rate, cycle after cycle — a track record built on precise, guideline-anchored teaching rather than guesswork.
• The biggest faculty in the field, with each mentor owning and delivering their own specialised module — meaning every station type above is taught by someone who has mastered it, not a single generalist trying to cover everything.
• Expert, exam-experienced mentors who bring first-hand TOACS insight, recall-based scenario training, and real-time correction of clinical reasoning gaps.

This structure — live sessions, dedicated module-specific mentors, and a results-driven track record — is why candidates across Pakistan and the Gulf trust MedHome to prepare them for the IMM OBGY TOACS with confidence.

Ready to prepare with MedHome's IMM OBGY TOACS batch?

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