Anki is excellent at one thing: showing you a card right before you would forget it. It does nothing to help you write the card. A 60 slide pharmacology lecture holds somewhere around 80 to 150 testable facts, and writing a clean front and back for each one is two to three hours of work per lecture. Multiply that by four lectures a day in a block and card writing, not reviewing, becomes the bottleneck.
That is why shared decks are popular, and also why they frustrate people. A shared deck follows someone else's course. Your professor's slide on beta blockers stresses different drugs than the deck does, and the exam is written from the slides. Cards built from your own PDF test what your course actually covers.
So the job splits cleanly. The AI reads the full document, picks the facts, mechanisms and definitions worth a card, and phrases each as a question with one clear answer. You spend ten minutes deleting the obvious ones and tightening any card that asks two things at once. Then Anki schedules the reviews for the rest of the semester. If you also want a timed practice run before the exam, the same upload doubles as a practice test from your PDF with a separate answer key.