When reviewing new submissions for an agenda, please keep in mind that you can discuss any questions or issues with the other assigned reviewer or the IRB chair before the meeting. You also have the option of getting in touch with the study staff directly. However, in case you want to maintain the anonymity of your review, you can also forward any questions you have to IRB office staff, who can then forward your queries to the study staff. Such communication before presenting the study to the full board may help speed study review and approval.