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A medical professional course, in contrast to other studies, mandates skill and competency development. Clinical exposure to patient is a strong component of training and requires physical contact with patients. The COVID-19 pandemic created a unique challenge whereby education was globally affected and forced educational institutions to embrace online teaching. In this chapter, we discuss how institutions adopted online education with special emphasis on our institute in not only adopting the same but in its gradual refinement and quality improvement to enhance competencies. Lastly, we also share how we transitioned from online model to hybrid and are currently experimenting with a few innovations in education.