Anki for ortho: how to avoid the trap of memorising without understanding

I used Anki extensively but initially fell into the trap of creating cards that tested recall of a fact in isolation — 'What are the Schatzker classification types?' — which helped in MCQs but left me unable to discuss the topic in a viva. The fix was to pair every classification card with a scenario card: 'A 45-year-old falls on a flexed knee and has a medial plateau split-depression fracture with lateral cortex involvement — what Schatzker type and what surgical approach?' Contextual cards transfer to clinical reasoning; bare fact cards don't.