RT Journal Article SR Electronic T1 In the lion's den? Experiences of interaction with research ethics committees JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 224 OP 227 DO 10.1136/medethics-2011-100124 VO 38 IS 4 A1 Elizabeth Fistein A1 Sally Quilligan YR 2012 UL http://jme.bmj.com/content/38/4/224.abstract AB Research ethics review is an important process, designed to protect participants in medical research. However, it is increasingly criticised for failing to meet its aims. Here, two researchers reflect on their experiences of applying for ethical approval of observational research in clinical settings. They highlight some problems faced by reviewers and researchers and propose a two-stage ethical review process that would alert researchers to the committee's concerns and allow them to give a more considered response.