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The BMJ engagement report

@bmj_latest - 485K followers on X

Measured over 39 original posts from a 30-day window, last computed on August 28, 2026.

Engagement

Middle of its size range
Per follower
0.008%
of 485K followers
Per impression
0.361%
10K views on a typical post
Reach
2.11%
of its followers see a post
Typical post
37
interactions (median)
Saved
0.039%
4 bookmarks on a typical post
Posting rate
1.3/day
active 23% of days
Peak time
19:00 UTC
Sunday

A typical post picks up 37 interactions against 485K followers, an engagement rate of 0.008%. Measured over 39 original posts, its engagement rate beats 27% of 3,810 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 10K times each, and 0.361% of those impressions turn into an interaction. That is about 2.11% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.3 post a day over the last 30 days, though only 23% of days saw any activity at all. Most posts go out around 19:00 UTC, and Sunday is the busiest day of the week. Of the 39 posts sampled, 23% carry an image or video and 95% link out. The account's strongest tracked post pulled 392 interactions, about 11x its own typical post. Recurring topics include #bmjinvestigation, #bmjresearch, #meded.

Measured over 39 original posts from a 30-day window, last computed on August 28, 2026. Recurring tags: #bmjinvestigation, #bmjresearch, #meded.

Compared with accounts its own size

The BMJ's engagement rate beats 27% of the tracked X accounts closest to it in follower count (3,810 accounts, accounts of similar size (decile 7 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.

On engagement per impression rather than per follower it beats 27% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.

Where this sits in the catalog

At 0.008%, The BMJ sits above the 10th percentile of the 36,852 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.012%.

p100.002%
p250.012%
p50 (median)0.08%
p750.435%
p902.10%
p99159.8%
Engagement rate as a share of followers, across the 36,852 accounts we have scanned enough to measure. The axis is logarithmic, because the top and bottom of this population are about 106,564 times apart and a linear axis would flatten everything below the median into a single point.
Show the percentile table
Engagement rate percentiles
PercentileEngagement rate
10th percentile0.002%
25th percentile0.012%
50th percentile0.08%
75th percentile0.435%
90th percentile2.10%
99th percentile159.8%

This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built

Posting timing

This account posts most often around 19:00 UTC, and Sunday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.

Engagement by hour posted, UTCTwenty-four bars, one per UTC hour. Each bar shows how posts published in that hour compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest hour: 19:00 UTC.
0003060912151821
Above the authors' own mediansBelowScale: plus or minus 6%Busiest hour: 19:00 UTC
Show engagement by hour posted, utc as a table
Engagement by hour posted, UTC
Hour (UTC)Vs author medianPosts
00:00 UTC-1%51K
01:00 UTC-2%52K
02:00 UTC-3%50K
03:00 UTC-4%54K
04:00 UTC-6%43K
05:00 UTC-4%42K
06:00 UTC-4%48K
07:00 UTC-5%52K
08:00 UTC-4%61K
09:00 UTC-3%70K
10:00 UTC-2%72K
11:00 UTC-3%79K
12:00 UTC-2%87K
13:00 UTC-3%95K
14:00 UTC-4%98K
15:00 UTC-2%101K
16:00 UTC-4%99K
17:00 UTC-2%91K
18:00 UTC-1%85K
19:00 UTC-1%80K
20:00 UTC-1%75K
21:00 UTC-1%66K
22:00 UTC-2%58K
23:00 UTC-2%52K
Engagement by day of weekSeven bars, one per weekday, Sunday first. Each bar shows how posts published on that day compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest day: Sunday.
SunMonTueWedThuFriSat
Above the authors' own mediansBelowScale: plus or minus 5%Busiest day: Sunday
Show engagement by day of week as a table
Engagement by day of week
DayVs author medianPosts
Sunday+4%232K
Monday0%290K
Tuesday-2%281K
Wednesday-1%252K
Thursday-2%245K
Friday-3%254K
Saturday+3%228K
See what moves engagement across the whole catalogWhat counts as a good engagement rate at this size

Best tweets

  • Aug 23, 202611x their median

    The UK is short of 2249 anaesthetists and 19% of established anaesthetists plan to leave the NHS in the next five years. Surgery will keep grinding to a halt without more anaesthetists, writes @scarlettmcnally https://t.co/i8S9fP8fit

    224142161028K viewsView on X
  • Aug 23, 20269.3x their median

    Hyperkalaemia is a common and potentially life threatening electrolyte abnormality. This state of the art review summarises data on the epidemiology, identifies key risk factors and diagnostic considerations, and reviews approaches to management https://t.co/dH3spoo4cD https://t.co/bdObzwVzd1

    251930118K viewsView on X
  • Aug 27, 20265.0x their median

    The passing of Dolly Parton is a reminder of not just a legendary artist but a stalwart supporter of medicine and science https://t.co/t0EY8DFv8f https://t.co/z5FzFovA54

    146360212K viewsView on X
  • Aug 26, 20264.8x their median

    In the wake of Jason Arday's death, Britain needs to be honest about race in academia. The polarised row over Cambridge’s youngest ever Black professor reveals much about merit and belonging in British academia https://t.co/7K01oRjOmW

    10240241023K viewsView on X
  • Aug 25, 20263.2x their median

    Hyperkalaemia is a common and potentially life threatening electrolyte abnormality. This state of the art review summarises data on the epidemiology, identifies key risk factors and diagnostic considerations, and reviews approaches to management #MedEd https://t.co/22RJjG3PUm https://t.co/l6UNbaiPgi

    84351012K viewsView on X
  • Aug 22, 20263.2x their median

    The UK government has committed to making the NHS the most AI enabled health system in the world. But regulating AI in healthcare is a moving target https://t.co/Eo7CJ26UW4

    69422717K viewsView on X
  • Aug 27, 20263.1x their median

    An NHS trust in northern England has become embroiled in controversy and confusion over how it has staffed doctor shifts at Arrowe Park Hospital in Birkenhead https://t.co/umBlUR21yn

    68393519K viewsView on X
  • Aug 24, 20262.8x their median

    NHS England has said it is not unlawful to access patients’ data for “legitimate and appropriate work purposes” in updated guidance to staff, a move welcomed by the BMA https://t.co/y9Vyork9fD

    76251229K viewsView on X
  • Aug 24, 20262.3x their median

    Vaccination rates among American kindergartners have dropped to a record low for all major jabs, while the vaccine exemption rate has hit a record high, the latest figures show https://t.co/sVdFcz5jQR

    46325314K viewsView on X
  • Aug 23, 20261.7x their median

    "What is often framed as a water management problem is now a warning that climate change is becoming a food and public health emergency." The UK's 2026 drought is a stark warning, @TafMabhaudhi https://t.co/chbDINr4S4

    3526018.8K viewsView on X

Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.

Recurring topics

#bmjinvestigation#bmjresearch#meded

The most frequent hashtags in the sampled posts. They describe what this account writes about; they are not a performance signal, and the catalog-wide breakdown on the hub shows how little hashtag count moves.

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Reading these numbers

A typical post picks up 37 interactions against 485K followers, an engagement rate of 0.008%. Measured over 39 original posts, its engagement rate beats 27% of 3,810 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 10K times each, and 0.361% of those impressions turn into an interaction. That is about 2.11% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.3 post a day over the last 30 days, though only 23% of days saw any activity at all. Most posts go out around 19:00 UTC, and Sunday is the busiest day of the week. Of the 39 posts sampled, 23% carry an image or video and 95% link out. The account's strongest tracked post pulled 392 interactions, about 11x its own typical post. Recurring topics include #bmjinvestigation, #bmjresearch, #meded.

What is The BMJ's engagement rate on X?
The BMJ (@bmj_latest) has an engagement rate of 0.008%, based on the median interactions across 39 original posts from the last 30 days against 485,434 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
Is that a good engagement rate?
At 0.008%, The BMJ sits above the 10th percentile of the 36,852 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
Does @bmj_latest have real engagement?
Its engagement rate beats 27% of the tracked X accounts closest to it in follower count (3,810 accounts), which puts it in the middle of its size range group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
When does @bmj_latest post?
Most posts go out around 19:00 UTC, and Sunday is its busiest day, at roughly 1.3 posts per day across the measured window.

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