“…Where this was included, the goals most prominently related to the design of a student learning environment to improve active and self-directed learning [10,13,16,[18][19][20]46]. There was some focus on the desire to increase student knowledge development, specifically to improve knowledge integration across different disciplines [11,12,14,21,25,28,29,32,35,36,37,39,42,44], and to augment student skills development [10,16,17,[19][20][21][22][23][24][25]32,46] e.g. critical thinking, problem-solving, and clinical reasoning.…”