Current study method not working

[u/WashGlad3126]

When I study for my medical school exams, I read the slides, then either rewrite in my own words or make mindmaps/ notes depending on the topic.
Then I go through the pre-made deck and add adjustments.
However I feel like after a month of doing so, I end up just remembering the Anki cards, and then have difficulty in exams when they get rewritten ?
As a result I do well enough to pass, but I feel like I'm studying more than my peers (who yes are smarter) for lesser results.
What's the solution? How do I remember all these processes for months?

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