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I use my Anki deck as a reference in general.So, in reference to my question about what tagging is, it basically helps you organize the cards for later studying? Wouldn't this only be helpful if your coursework explicitly overlaps? I feel like I haven't taken any courses where it would have made sense to go back to material from an older class to help me; everything I need is presented in the current course. Also, for the MCAT, how helpful would it actually be to go back to cards made for classes? Don't you really just need the material from MCAT review sources?
I often change my decks around, or make Custom Study decks. Say you put all of the material for one class in a class-specific deck, but your final exam is only on specific material...you can easily pull it out.
It's INCREDIBLY useful to use cards from classes for MCAT study. MCAT review books contain the bare bones of the concepts, so if you make good cards for a class, you should make what you need for MCAT as well as additional information. It's nice to tag the MCAT-relevant class information as you're going along so that when you get to MCAT studying, you can review that info without wading through the 'additional details' you got in the class. Why make the same cards twice, once for class and once for MCAT review, when it's the same info? That's just a wasted effort.
Finally, you're never 'going back' to Anki cards. They should never stop, that's the whole point!
PS - tagging is also good for sharing.