This is why SRS is a tool but not a complete solution. In medical school, there is such an enormous amount of material to commit to memory (specifically for board exams) that a lot of students find SRS very helpful. It is possible (I did this for a little bit in the beginning) to rely on it too much and therefore not be able to make the connections needed, be it on an exam or in real life. There's an art to making good flashcards- knowing which context to test a fact in, how to give enough context but not too much, etc. Also, there is little point to memorizing cards without understanding the material first. If I struggle with a card, I know I need to review the material, develop a mnemonic, etc.