Here's how 1st year lab went for us.
A&P and Neuro lab we would show up, take the 5-point quiz over last week's material, then spend the next two hours doing as much hands-on learning as possible. We had lab hand-outs, but we didn't turn them in most of the time. They just had some background info on them (sometimes) and questions to answer, places to write our observations, etc. Then we had two big lab practicals that were the bulk of the lab grade. We didn't have lab write-ups like in undergrad.
Optics labs we had a quick lecture, broke into groups and did our thing, then turned in our worksheets at the end. No writeups, no practical, but stuff we learned in lab was so integrated with the lecture material that we got it all on the lecture exams.
Later, when you have binocular vision labs, pediatrics labs, clinic labs, etc., things get different. But still nothing like undergrad labs (in my experience).