text: Simulated Patients for Competency Based Undergraduate Medical Education Post COVID 19 A New Normal in India The conventional medical curriculum in India needed more focus on explicit teaching and assessment of interpersonal and communication skills professionalism team work and reflection for prevention and better management of increasing incidences of violence against doctors by building good doctor patient relationships Increasing number of seats in Indian medical colleges decreasing hospital stay of patients and decrease in faculty requirements will hamper adequate supervised authentic clinical experiences of undergraduates for developing clinical skills The recent COVID 19 pandemic has led to a significant decrease in student patient encounters Simulated patients are being used in many countries to address many of these issues To make the Indian medical graduates competent to function as primary physician of first contact competency based medical education along with guidelines for use of skill lab and simulation has been introduced from 2019 The current review is focused on the need and use of simulated patients their advantages limitations and role in students teaching and assessment It also gives a brief outline of their training process Simulated patients should be used to supplement day to day learning help in transition to attending real patients and also save enormous faculty time in the post COVID 19 new normal However simulated patients are unlikely to completely replace real patients experiences 