The single biggest change is that memory is no longer a haphazard event, to be left to chance. Rather, I can guarantee I will remember something, with minimal effort: it makes memory a _choice_.
You have vastly more confidence than I in what questions are carefully studied & answered. As to the natural exposure question, part of the point (for me) is to use the ideas as creative stimulus, so having access to infrequently used ideas is a +.
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Well, I did review the vast spaced repetition literature, and there was a wide range of followup periods, so I have a fair amount of confidence in it. I've also used Mnemosyne for almost a decade now and haven't noticed any overly-long review periods.
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IMO, if you want creative stimulus, the spaced repetition curve is all wrong. You want to be reminded only *after* forgetting. Some sort of anti-spaced-repetition: http://www.gwern.net/Statistical-notes#program-for-non-spaced-repetition-review-of-past-written-materials-for-serendipity-rediscovery-archive-revisiter …
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