A medical professional training course mandates skill and competency development. Clinical exposure to patients is a strong component of training and requires physical contact with patients. The coronavirus disease 2019 (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 its adoption, but also in its gradual refinement and quality improvement to enhance competencies. Lastly, we share how we transitioned from an online mode to a hybrid one and how we are currently experimenting with innovations in education.