Concerned about using Anki unsuccessfully

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You should do what works for you. The studies say that active recall is great for retention and learning, but it may not work for you.

No one can guarantee you a high step score. You have to look at the information available , make a decision, and see if it works, if not change it.
 
You shouldn't be packing all that info in in the form of disparate facts. You should be using Anki to reinforce your knowledge, not as the base of your knowledge. You must understand physiology and big concepts. Use Anki to help you bring those concepts to mind. It's not sufficient to remember that Flomax causes orthostatic hypotension - you have to understand why it does that.
 
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