When it comes to the research ethics review of multi-site clinical trials, sometimes it can feel like a race to issue an approval in time for your institution to be included as a site for the trial. This can be especially acute for small institutions where being a trial site can be particularly valuable. Committees and institutions should always resist that urge. Good and careful review takes time and is not a sprint to get it done as quickly as possible. Often a speedy review is not a thorough and careful one.