This paper is a review of eLearning using Blackboard as a Virtual Learning Environment (VLE) to identify the future development of the VLE within the Faculty of Health Sciences at the University of Fort Hare. The paper uses a case study approach to identify problems associated with the implementation of VLE's in Sub-Saharan Africa. Problem-Based Learning (PBL) and Case-Based Learning (CBL) are both based on a constructivist learning model that is used in many Health Faculties to underpin undergraduate and postgraduate education. All over the developed world, Higher Education Institutions (HEI) have introduced online learning systems, and this has been repeated in Sub-Saharan Africa during the last decade alongside student-focused curriculum designs. The challenges of producing harmony between the classroom and electronic learning environments are discussed within the case study. The paper concludes that there is a need to explore the tools and applications available to enable student focused and initiated interfaces with "Blackboard Learn" to support the implementation of an environment suitable for PBL and CBL.