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RACS ASC 2025
Evaluation of Human Research Ethics Committees (HRECs) submission fee for low or negligible risk (LNR) and high risk projects in Australia
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Institution: Royal Prince Alfred Hospital - New South Wales, Australia

INTRODUCTION Research underpins evidence-based surgical practice. Surgical trainees are required to navigate complex Human Research Ethics Committee (HREC) procedures and fees to engage in research projects required for training, selection, and best clinical practice as reflected in the RACS’ core competencies. Increasing numbers of research proposals burden HRECs and prompt higher fees that may disincentivise participation in high quality and ethical research. This study evaluates HREC submission fees for low and high risk research projects in Australia. METHODOLOGY An online-based search was performed to identify HRECs in Australia. The fees associated with submission of low and high risk human clinical and non-clinical research were reviewed. RESULTS HREC submission fees varied between jurisdictions, level of risk, and company/industry sponsorship. The average HREC submission fees for low risk research projects was $327 (non-sponsored), and $1149 (sponsored). High risk research projects attracted higher fees, $635 (non-sponsored), and $5726 (sponsored). Some institutions offered fee discounts or waivers for affiliates. South Australia Health and Queensland Metro North Health had the highest fees for sponsored high risk submissions ($8250). Tasmanian Health Service had the highest fee for sponsored low risk submissions ($3756). CONCLUSION Research proposals submitted to HREC have varying fees that may disincentivise aspiring surgeons from pursuing research, thus hindering progression of surgical advancements. This financial burden highlights the need for transparency and fee minimisation. HREC exemptions or fee waivers alleviate this burden for all clinician-scientists.
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Authors

Dr Elysia Jongue - , Dr Ru Min Ong - , Dr Cindy Liu - , A/Prof. Keith Ong -