How can I improve this prompt?

Hello fellow Anki users.

I’m trying to figure out how to can make the output better for my flashcards. Normally I would go and do the flashcards myself but I’ll be honest, I’m really not having the good dedicated time right now to do the flashcards. I’m working two full time jobs while starting a new job in the ICU as a new nurse graduate. I’m doing everything I can do I learn the material I need as a ICU nurse but I’m usually only home once or twice a week and I don’t have time those days to created flashcards.

I’m trying to get ChatGP or Google Gemini to output what my prompt is asking it to do and at times it does but sometimes I feel like for difficult subjects like the electrophysiology of the hearts action potential, it struggles to reword it to make a difficult subject easier to learn and understand.

Below is the prompt I currently have for it and I’ll share some outputs it has done.

Prompt

Role Definition

You are an expert Anki flashcard medical student/provider engineer, specializing in the transformation of textual and visual inputs from YouTube transcripts on medical subjects into high-fidelity one fact per card flashcards. As a medical student, you are an expert in taking difficult subjects and medical terminology and rewording it into your own words. Your deliverables must adhere to the highest standards of cognitive science, incorporating both Cloze Deletion and traditional Q&A formats within a dual-column Markdown table.

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📐 Core Design Principles

1. Comprehension Before Memorization Ensure that all content is fully understood before attempting to create flashcards. Create the flashcards reworded in your own words. Avoid rote memorization of incomprehensible material. 
2. Minimum Information Principle Decompose complex information into atomic, easily digestible units. Each flashcard should encapsulate a single fact or concept to facilitate efficient learning.
3. Cloze Deletion Efficacy Utilize Cloze Deletion to enhance active recall. Each Cloze card should contain only one deletion unless the items are inherently linked.
4. Simplification and Clarity Phrase questions and answers in clear, concise language. Reword the difficult medical subjects and terminology into your words. An example would be the physiology of the cardiacs action potential and you needing to reword it into your own words to make understanding better. Avoid convoluted sentence structures that may impede understanding.
5. Avoidance of Enumerations Refrain from creating flashcards that require the recall of lists or sets. Instead, generate individual cards for each item within a set to improve retention. 
6. Personalization and Contextualization Where applicable, relate information to personal experiences or familiar contexts to enhance memory encoding.
7. Redundancy for Reinforcement Introduce redundancy by formulating multiple questions targeting the same concept from different angles. This approach strengthens memory traces and aids in long-term retention. 
8. Visual Integration Incorporate relevant images or diagrams to complement textual information, leveraging the brain’s visual processing capabilities.
9. Source Attribution Maintain a record of the original source material for each flashcard to ensure traceability and facilitate future reviews.
10. Prioritization of Content Focus on high-yield information that is most relevant to the learning objectives. Allocate resources accordingly to maximize learning efficiency. 
11. Choose wording wisely If the wording is to deep and you change a word out for another word to make it easier to grasp, proceed as long as the concept is not hindered.

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🧱 Flashcard Construction Guidelines • Cloze Deletion Column: • Implement Cloze Deletions using the syntax {{c1::answer}}. • Ensure each card contains only one Cloze unless items are inseparable.  • Q&A Column: • Formulate direct questions corresponding to the Cloze Deletion. • Provide concise, standalone answers that encapsulate the essential information. • Formatting: • Present flashcards in a two-column Markdown table with the following headers: • Cloze Deletion (Active Recall) • Q&A Format (Active Recall)

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📄 Example

Provided Text: “The Dead Sea is a salt lake located on the border between Israel and Jordan. Its shoreline is the lowest point on Earth’s surface, averaging 396 meters below sea level.”

Markdown Table: Cloze Deletion (Active Recall) Q&A Format (Active Recall) The Dead Sea is located on the border between {{c1::Israel}} and {{c1::Jordan}}. The shoreline of the Dead Sea is the lowest point on Earth’s surface, averaging {{c1::396}} meters below sea level. Q: Between which two countries is the Dead Sea located? A: Israel and Jordan. Q: What is the average elevation of the Dead Sea’s shoreline? A: 396 meters below sea level. Q: What is the average level on which the Dead Sea is located? A: 400 meters (below sea level) Q: Which countries joined the EU in 1995? A: Austria, Sweden and Finland

Final Directives • Strictly adhere to the information provided; do not infer or introduce external content. • Maintain consistency in formatting and terminology throughout all flashcards. • Refrain from summarizing or explaining content unless explicitly instructed. • Deliver all flashcards in the specified two-column Markdown table format. Make sure it is in a markdown table format that I can copy and paste into a word document.

• Advise me when the transcript is fully covered

• Include the timestamp and sentence used from the transcript and the flashcard you created off of the timestamp and sentence to show me the information you used to create the card.

Cards outputted

Cloze Deletion (Active Recall)	Q&A Format (Reinforcement)
In ACLS, the bradycardia algorithm applies only to bradycardia {{c1::with a pulse}}.	Q: The ACLS bradycardia algorithm applies to bradycardia under what condition? A: When the patient has a pulse.
Symptomatic bradycardia usually refers to a heart rate less than {{c1::50}} beats per minute with associated symptoms.	Q: What heart rate threshold typically defines symptomatic bradycardia? A: Less than 50 bpm with symptoms.
The priority in symptomatic bradycardia is to {{c1::identify and treat the underlying cause}}.	Q: What is the first priority when managing symptomatic bradycardia? A: Identify and treat the underlying cause.
Initial patient assessment should ensure a patent {{c1::airway}} and assess {{c2::breathing}}.	Q: What two key functions must be assessed first in a bradycardia patient? A: Airway and breathing.
Oxygen should be given if the patient is {{c1::hypoxic}}.	Q: When should oxygen be administered to a bradycardia patient? A: When the patient is hypoxic.
Signs of unstable bradycardia include hypotension (MAP < {{c1::60}} or SBP < {{c2::90}}).	Q: What blood pressure criteria suggest unstable bradycardia? A: MAP < 60 or SBP < 90.
Additional signs of unstable bradycardia include {{c1::altered level of consciousness}}, {{c2::shock}}, ischemic chest discomfort, and acute heart failure.	Q: Name four signs of unstable bradycardia. A: Altered LOC, shock, ischemic chest discomfort, acute heart failure.
The first-line drug for unstable bradycardia is {{c1::atropine}}.	Q: What is the first-line drug used in ACLS for unstable bradycardia? A: Atropine.
The atropine dose for unstable bradycardia is {{c1::1 mg IV push}}, repeated every {{c2::3–5 minutes}} to a maximum of {{c3::3 mg}}.	Q: What is the atropine dosing protocol for unstable bradycardia? A: 1 mg IV push, repeat every 3–5 minutes to a max of 3 mg.
Atropine works by increasing activation of the {{c1::SA}} and {{c2::AV}} nodes.	Q: Which nodes does atropine stimulate? A: SA and AV nodes.
Atropine is often ineffective in {{c1::third-degree heart block}} and less effective in some {{c2::second-degree blocks}}.	Q: In which conduction abnormalities is atropine ineffective or less effective? A: Ineffective in third-degree block; less effective in some second-degree blocks.
Atropine can worsen myocardial oxygen demand in patients with an {{c1::acute MI}}.	Q: Why is atropine risky in acute MI? A: It increases heart rate and myocardial oxygen consumption.
If atropine is ineffective or not indicated, the next step is {{c1::transcutaneous pacing}}.	Q: What is the next intervention after ineffective or contraindicated atropine? A: Transcutaneous pacing.
Transcutaneous pacing delivers electrical energy via {{c1::pads on the chest}} to stimulate contraction.	Q: How is electrical energy delivered in transcutaneous pacing? A: Via pads on the chest.
Transcutaneous pacing is preferred for unstable bradycardia with {{c1::acute MI}} or very unstable patients.	Q: Which patients are best treated with transcutaneous pacing? A: Those with acute MI or very unstable bradycardia.
Chemical pacing options include {{c1::dopamine}} or {{c2::epinephrine}} infusions.	Q: Which medications can be used for chemical pacing? A: Dopamine or epinephrine.
Dopamine infusion dose for unstable bradycardia is {{c1::5–20 mcg/kg/min}}, titrated to response.	Q: What is the dopamine dosing for unstable bradycardia? A: 5–20 mcg/kg/min, titrated to response.
Epinephrine infusion dose for unstable bradycardia is {{c1::2–10 mcg/min}}, titrated to response.	Q: What is the epinephrine dosing for unstable bradycardia? A: 2–10 mcg/min, titrated to response.
Persistent bradycardia despite interventions may require {{c1::transvenous pacing}}.	Q: What pacing method may be needed if bradycardia persists despite other interventions? A: Transvenous pacing.

I think it does a decent job but I want to create better cards that can create better outputs. I want to do the atomic recall but also when it’s covering difficult concepts, it can create the cards using the Feynman technique while also creating a notes section that explains difficult concepts better. What are your thoughts? How can I improve this prompt? I also at times gets concerned the Ai is not completely converting the transcript and I’m trying to figure out how I can make sure it’s covering all the information.