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
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%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.002% |
| 25th percentile | 0.012% |
| 50th percentile | 0.08% |
| 75th percentile | 0.435% |
| 90th percentile | 2.10% |
| 99th percentile | 159.8% |
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.
Show engagement by hour posted, utc as a table
| Hour (UTC) | Vs author median | Posts |
|---|---|---|
| 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 |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +4% | 232K |
| Monday | 0% | 290K |
| Tuesday | -2% | 281K |
| Wednesday | -1% | 252K |
| Thursday | -2% | 245K |
| Friday | -3% | 254K |
| Saturday | +3% | 228K |
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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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
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.