 The COVID-19 pandemic caused a rapid increase in the number of protocols being reviewed by institutional review boards, IRBs. To meet this demand, many IRBs established specialized committees dedicated solely to reviewing COVID-19 protocols. These committees were able to quickly assess these protocols and provide timely feedback on them. However, the majority of the additional workload was borne by existing IRB staff and members, rather than through any permanent structural changes. This article was offered by Daniel E. Ford and Jumpson, Jason J. Nichols and others.