In India, ethics committees must have at least seven members including a clinician, a legal expert, a social scientist, and a lay person from the community. They review hundreds of studies yearly, but our oversight is the real capacity—I travel to see if their logbooks match the actual trial conditions. After approval, we inspect for protocol deviations; I’ve found consent forms signed in blank ink by the same hand in three different villages. The committee’s stamp is not a monsoon roof—it can leak if no one watches the walls.
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