We conducted MD exam by a hybrid approach .The exam initiated with introduction and basic case discussion on google meet .Some part of practical examination was carried out on site by internal examiners and this was also recorded and videos sent to external examiners who were off site . Important aspects case presentation, viva, microteaching, Etc were in from of all examiners ( on google meet offsite External examiners ) and internal examiners physically present. We found it satisfactory approach and just as effective