I’ve only been part of an “unofficial” design review meeting, but from what some of my classmates have told me it’s quite similar to what they experience. Everyone was emailed the document in review (in this case a DSD) a week prior and was expected to have at least 3 notes to bring up about the document. One person was randomly chosen to be the moderator, and a few others were designated to be the readers who would take turns reading the entire document. The moderator stopped the reader after each specification to ask if anyone had any comments to make, and it didn’t feel like there was any pressure to not voice your opinion. It did take a while to get through it all though.