Hi Steve! Thanks for your on-target comments. I really like the random question approach with learning groups to keep individual members on their toes. You're right, with limited resources and group sizes, there always seems to be the onlookers, and yet, even though each student may need to master a technique or process, the onlookers can play an important role too. I have had onlookers take on the "observer" role and write down comments as to how others are completing a task or procedure, (ie. exceptional, correct, incorrect, almost there, etc.) and then provide feedback. I agree that clarification of roles, outcomes and/or expectations is crucial at the start of a learning group. That way, as you referenced, success is not just passing the mark, but acquiring the skill and being able to perform it professionally. Just curious...have your instructors engaged learning groups in any out of the ordinary activities (in addition to the traditional discussion of topics, cases, or demonstrations of a technique or procedure)?