Anki is a great tool, but only for pharm. I don't care how many passes of the notes you make in pharm, when you have to have 120+ drugs memorized with all actions and side effects, it's incredibly hard to remember their names without flashcards.
I changed my study methods dramatically early into MS2, and it's worked out really well for me. When a new block starts, I read the lecture notes and watch the lectures at 2x speed. I can do that all in like 5ish hours. The rest of the day, I spend reading lectures for tomorrow, and if I finish that, the day after. On day 2, I'll keep reading ahead, and I'll watch the lectures for that day at 2 speed again.
Generally speaking, I plan to be 2-3 weeks ahead of the current material, so that I can go into 'review' mode and stay there for several weeks. I can go through lecture notes several times, but also, this lets me do tons of third party resources: 2-3x pathoma, UW, RX, path textbook questions, practice tests, Step Up to Medicine, RR Path, 3x Anki pharm cards, Microcards, Pharm cards, 2x Picmonic (microbio only), peer-made study sheets.
The only time I write anything down is in that final review period where if I get a practice question wrong or there's just some detail that I can never remember, I'll write a short sentence down in a notebook. The day before and the morning of the exam, I'll reread my notes which will be a few pages long.
By the time I get to the exam, I'll be so familiar with the material that it's genuinely boring. I'll have done 5-7 passes through lectures, ~800 practice questions, and passes through third party material.
Sorry, I don't see the utility in memorizing a table of types of intermediate filaments when I'll invariably forget them within a week of taking the exam. Might it be clinically relevant, for a small subset of practicing physicians? Sure, but I don't care because if I ever need this information I'll consult with a reliable source i.e. not my memory of a single Powerpoint slide from a basic science lecture that I took years or decades ago.
Overarching concepts and important details are valuable information, I agree with that. But I can't agree with information hoarding.
You have a bad attitude towards this stuff. Every year ahead of builds on the last, and while you will forget a lot, you'll be shocked at how many details you do remember. Those are the types of details that end up accidentally saving your ass on Step 1, which you hear about a lot in the Step 1 thread. It's one reason that preclinical grades are the strongest predictor of Step 1 grades. Of course there are outliers, but you don't want to have to work your ass off to be one.