JAMA engagement report
@JAMA_current - 495K followers on X
Measured over 38 original posts from a 30-day window, last computed on October 21, 2026.
Engagement
A typical post picks up 36 interactions against 495K followers, an engagement rate of 0.007%. Measured over 38 original posts, its engagement rate beats 30% of 20,182 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 4.7K times each, and 0.763% of those impressions turn into an interaction. That is about 0.952% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.9 posts a day over the last 30 days, though only 17% of days saw any activity at all. Most posts go out around 15:00 UTC, and Tuesday is the busiest day of the week. Of the 38 posts sampled, 89% carry an image or video, 26% are part of a thread and 100% link out. The account's strongest tracked post pulled 823 interactions, about 23x its own typical post. Recurring topics include #medicine, #ai, #clinicaltrial.
Measured over 38 original posts from a 30-day window, last computed on October 21, 2026. Recurring tags: #medicine, #ai, #clinicaltrial.
Compared with accounts its own size
JAMA's engagement rate beats 30% of the tracked X accounts closest to it in follower count (20,182 accounts, accounts of similar size (decile 10 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 40% 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 0.007%, JAMA sits above the 10th percentile of the 202,175 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.024%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.024% |
| 50th percentile | 0.142% |
| 75th percentile | 0.672% |
| 90th percentile | 2.54% |
| 99th percentile | 82.5% |
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 15:00 UTC, and Tuesday 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% | 89K |
| 01:00 UTC | -2% | 90K |
| 02:00 UTC | -3% | 88K |
| 03:00 UTC | -4% | 94K |
| 04:00 UTC | -5% | 76K |
| 05:00 UTC | -4% | 75K |
| 06:00 UTC | -5% | 86K |
| 07:00 UTC | -5% | 93K |
| 08:00 UTC | -4% | 108K |
| 09:00 UTC | -4% | 124K |
| 10:00 UTC | -3% | 129K |
| 11:00 UTC | -3% | 141K |
| 12:00 UTC | -3% | 154K |
| 13:00 UTC | -3% | 167K |
| 14:00 UTC | -4% | 173K |
| 15:00 UTC | -2% | 176K |
| 16:00 UTC | -3% | 171K |
| 17:00 UTC | -3% | 159K |
| 18:00 UTC | -2% | 149K |
| 19:00 UTC | -2% | 141K |
| 20:00 UTC | -1% | 131K |
| 21:00 UTC | 0% | 116K |
| 22:00 UTC | -2% | 100K |
| 23:00 UTC | -1% | 90K |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +5% | 393K |
| Monday | +1% | 483K |
| Tuesday | -2% | 520K |
| Wednesday | -3% | 472K |
| Thursday | -2% | 430K |
| Friday | -3% | 447K |
| Saturday | +2% | 393K |
Formats this account uses
Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.
| Format | This account | Catalog effect | 95% interval | Accounts behind it |
|---|---|---|---|---|
| Image or video | 89% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 100% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | +15% | +14% to +16% | 32K |
- 89% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
- 100% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts, so a large share of this account's output sits in the weakest bucket we measure.
- Its average post runs 447 characters, which falls in the over 280 characters band. Across the catalog, posts over 280 characters run 15% above the same accounts' other posts.
These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.
Best tweets
- Aug 24, 202623x their median
#PosturalOrthostaticTachycardiaSyndrome (POTS) is a chronic autonomic disorder defined by orthostatic symptoms with a sustained heart rate increase within 10 minutes of standing or head-up tilt, without orthostatic hypotension. π https://t.co/p5lt0kHKNs https://t.co/kmEFXMEUIp
- Sep 15, 202615x their median
π #JAMAReview: #LiquidBiopsy using circulating #tumor #DNA can help guide care in #Cancer by identifying gene variants associated with treatment selection, monitoring treatment response, and detecting minimal residual disease after therapy. Detectable circulating tumor DNA after curative-intent treatment was associated with recurrence and poorer survival across multiple cancer settings, often before progression was evident on imaging. https://t.co/hUWmVvEhEM
- Oct 19, 202610x their median
π JAMA Clinical Guidelines Synopsis: The 2025 @IDSAInfo guideline for adults with c omplicated #UrinaryTractInfection recommends selecting empirical antibiotic therapy based on severity of illness, risk factors for resistance, patient-specific considerations, and recent local antibiogram data. For patients who are clinically improving, the guidance supports shorter treatment courses and transition from intravenous to oral antibiotics when an effective oral option is available. https://t.co/QYlf0mqYk7
- Aug 25, 20268.8x their median
Familial #hypercholesterolemia (FH) is a family of genetic disorders characterized by impaired hepatic clearance of low-density #lipoprotein (LDL) particles, due to pathogenic variants that impair #LDL receptor function. π‘ This JAMA Insights explores FH, including assessment and diagnosis, effective treatments, and management of both homozygous and heterozygous FH. https://t.co/J3wdLvkiAF
- Sep 3, 20267.9x their median
#Gastroparesis is a digestive disorder involving delayed emptying of the stomach that may cause nausea, vomiting, feeling full quickly, bloating, and upper abdominal pain or discomfort. π This JAMA Patient Page describes common risk factors, including type 1 and type 2 #diabetes, prior surgery, cannabis use, and medications that slow stomach emptying such as opioids, anticholinergics, and glucagon-like peptide-1 receptor agonists. https://t.co/ifTtvEBRFj
- Sep 14, 20267.4x their median
π #JAMAReview: #Idiopathic normal pressure hydrocephalus is a progressive neurologic disorder in older adults associated with gait impairment and often urinary dysfunction and cognitive decline. π Learn more: https://t.co/nI7qpWQOw6 https://t.co/gI7lN1Bwml
- Aug 19, 20266.8x their median
π‘ JAMA Insights: #AlcoholUseDisorder medications, including naltrexone, acamprosate, disulfiram, and topiramate, can support abstinence or reduced drinking and may be started in inpatient or primary care settings. https://t.co/tM4sdSjywF https://t.co/vbp8FNS87O
- Aug 25, 20266.8x their median
π¬ Perspective: #ArtificialIntelligence may increase efficiency and diagnostic support in medicine, but its value will depend on whether time saved is redirected to face-to-face patient care rather than more screen-based work. https://t.co/wDQf8onNvJ https://t.co/Ojs4w6tYQn
- Sep 2, 20266.8x their median
#BrainDeath, or death as determined by neurologic criteria, can be difficult for families to understand because patients may still have a pulse, warm skin, chest rise with mechanical ventilation, or reflexive movements. π‘ This JAMA Insights article discusses how simple, direct, and precise language may help clinicians communicate that brain death is legal death and reduce confusion during evaluation and determination. π https://t.co/bbrewxFjpw
- Aug 26, 20266.5x their median
#CannabinoidHyperemesisSyndrome is associated with chronic, daily or near-daily #cannabis use and is characterized by recurrent episodes of severe nausea, vomiting, and abdominal pain. π‘This JAMA Insights discusses diagnosis based on typical clinical features, regular cannabis use, and symptom resolution after cannabis cessation, which distinguishes this condition from cyclic vomiting syndrome. https://t.co/qELi8jELU4
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 36 interactions against 495K followers, an engagement rate of 0.007%. Measured over 38 original posts, its engagement rate beats 30% of 20,182 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 4.7K times each, and 0.763% of those impressions turn into an interaction. That is about 0.952% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.9 posts a day over the last 30 days, though only 17% of days saw any activity at all. Most posts go out around 15:00 UTC, and Tuesday is the busiest day of the week. Of the 38 posts sampled, 89% carry an image or video, 26% are part of a thread and 100% link out. The account's strongest tracked post pulled 823 interactions, about 23x its own typical post. Recurring topics include #medicine, #ai, #clinicaltrial.
- What is JAMA's engagement rate on X?
- JAMA (@JAMA_current) has an engagement rate of 0.007%, based on the median interactions across 38 original posts from the last 30 days against 495,285 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.007%, JAMA sits above the 10th percentile of the 202,175 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 @JAMA_current have real engagement?
- Its engagement rate beats 30% of the tracked X accounts closest to it in follower count (20,182 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 @JAMA_current post?
- Most posts go out around 15:00 UTC, and Tuesday is its busiest day, at roughly 1.93 posts per day across the measured window.