Nitte Medical Simulation Centre (Nu-MEDISiM) a unit of K.S. Hegde Medical Academy, under NITTE (Deemed to be University) was inaugurated on march 2017 with the aim of achieving excellence in clinical skill training for medical students, interns, residents, faculty and paramedical professionals in a simulated environment. Simulations allows students to repeat procedures till they demonstrate acceptable levels of skill, without putting actual patient at risk and yet acquiring procedural competence. Simulation is a useful tool for training residents and in ascertaining competency. The core competencies most conducive to simulation based training are patient care, interpersonal skill and system based practice and management of emergencies.