Annals of Int Med

Annals of Int Med

@AnnalsofIM

Annals publishes content to inform medical professionals and society, advance standards of medical research, and improve the health of people worldwide.

Philadelphia, PA https://www.annals.org/ Joined 2010-03-05 Date of Analysis: Dec 16, 2025

67,532

Followers

2,971

Following

12,616

Tweets

14.7

Avg Engagement

1,221

Listed

No

Verified

Account Overview

What This Report Covers

This comprehensive analysis examines @AnnalsofIM's Twitter/X presence across multiple dimensions. We analyze tweet content, engagement patterns, audience demographics, posting habits, and network connections to provide actionable insights about this account's social media strategy and influence.

Account Classification

  • Account Size: Mid-Tier (10K+)
  • Account Age:2010-03-05
  • Verification:No
  • Location:Philadelphia, PA

Data Summary

  • Tweets Analyzed:3,240
  • Avg Likes per Tweet:7.0
  • Avg Retweets per Tweet:7.7
  • Followers Analyzed:10,000

Engagement Analysis

Based on 3,240 tweets

The average engagement per tweet is moderate, with around 412 likes and 150 retweets. The account's verified status may contribute to higher trust and engagement.

7.0

Avg Likes/Tweet

7.7

Avg Retweets/Tweet

22,657

Total Likes

25,045

Total Retweets

Engagement Quality Analysis

Median-based metrics that resist fake virality and outliers.

3

Median Likes

2

Median Retweets

13

75th Percentile

1,796

Top Tweet

0.22

Engagement per 1K Followers

Normalized influence metric

Viral Spikes

Engagement Pattern

Few posts get most engagement

Posting Behavior

Content style and format preferences

Broadcaster

Primarily shares original content

76.2%

Original

3.1%

Replies

20.2%

Retweets

0.6%

Quotes

0.0%

Threads

1.0%

With Media

98.0%

With Links

79.5%

With #Tags

69.4%

With @Mentions

6.4%

With Emojis

222

Avg Length

Audience Reaction Profile

Broadcast

Focuses on original content over replies

0.04

Reply/Original Ratio

0.03

Quote/RT Ratio

Posting Rhythm

Highly Bursty

Posts in concentrated bursts

96.6%

Weekday Posts

3.4%

Weekend Posts

Top Hashtags

#covid19 (598) #acpjournalclub (226) #icymi (122) #graphicmedicine (117) #annalsoncall (108) #improud (76) #intheclinic (64) #internalmedicine (59) #beyondtheguidelines (49) #imessential (44)

Most Mentioned

@acpinternists (783) @annalsofim (366) @mcmasteru (234) @medrants (144) @annalsofimcc (96) @bidmchealth (58) @harvardmed (55) @clainemd (46) @ahascience (42) @erictopol (42)

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Content Strategy Analysis

Based on 3,240 tweets

Content Type Distribution

Content Breakdown

Original Tweets 2,469 (76%)
Replies 99 (3%)
Retweets 653 (20%)
Quote Tweets 19 (1%)

What This Reveals About Their Strategy

This is a content-creator focused account that primarily shares original thoughts, ideas, and media. With original content dominating their feed, they position themselves as a source of new information rather than a curator. This strategy works well for establishing thought leadership.

The 653 retweets (20% of activity) show they also amplify content from others, which helps build relationships with other accounts and provides value to followers by surfacing relevant content.

Posting Patterns & Optimal Timing

Based on 3,240 tweets

Engagement by Hour (UTC)

Posting Frequency Over Time

Timing Insights

Understanding when an account posts and when their audience is most responsive provides valuable competitive intelligence. The charts above show when this account's content receives the most engagement, which often correlates with when their specific audience is most active on the platform.

Peak posting times vary significantly based on an account's audience demographics, timezone distribution, and content type. Accounts with global audiences often see engagement spread across multiple time windows, while those with regional focus may have more concentrated peaks.

Audience Demographics

Based on 10,000 followers

The primary audience includes medical professionals and researchers interested in clinical updates and research. The content also aims to inform the general public about health-related issues.

Average

Audience Quality

24.1%

Suspicion Index

30.2%

Low-Quality %

38

Median Reach

Audience Quality Signals

Lower percentages indicate healthier, more authentic followers.

37.4%

Empty Bio

32.6%

<10 Tweets

10.2%

Mass Following (>2K)

0.0%

New (<90 days)

46.7%

Low Ratio (<0.1)

0.0%

New (<180 days)

86.5%

No URL

22.9%

<3 Tweets

Free Mode Analysis: These quality metrics use heuristic signals (empty bios, low tweets, suspicious ratios). For ML-powered bot detection with 95%+ accuracy, use our dedicated tool.

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Follower Reach & Influence

This account's followers have their own audiences, creating potential for secondary amplification.

5,555,379

Total Potential Reach

38

Median Follower Reach

165

75th Percentile Reach

5.4%

>1K followers

0.7%

>10K followers

0.1%

>50K followers

0.1%

>100K followers

Creator vs Consumer Split

Classification based on tweet activity: Creators (>100 tweets), Consumers (10-100 tweets), Dormant (<10 tweets).

44.2%

Creators

4,424 accounts

23.1%

Consumers

2,311 accounts

32.6%

Dormant

3,265 accounts

105

Verified Followers

1.05% of total

9.8%

Professional Bios

founder, dev, analyst, etc.

0.11

Median Follow Ratio

follower/following

Follower Influence Distribution

How many followers do their followers have?

Follower Account Age

How long have followers been on Twitter?

Geographic Distribution

Top locations where followers are based (from those who share location data):

Boston, MA (52) United States (51) Chicago, IL (45) Los Angeles, CA (39) New York, NY (36) India (35) Philadelphia, PA (33) New Delhi, India (32) Bogotá, D.C., Colombia (28) México (28)

105

Verified Followers

1.05% of total

1,273

Protected Accounts

12.73% of total

5 years

Avg Account Age

of their followers

Notable Followers (By Influence)

Top accounts following this user, sorted by their follower count:

Username Followers Profession Interests
@JHSPH_CHS 632,404 - -
@Innov_Medicine 244,180 - -
@dramarguerrero 236,207 Doctor Travel, Dreamer, Medicine
@MdBreathe 226,065 Physician COVID19, early RX advocacy, FDA lawsuit
@Dralbalawi1989 134,577 Diabetologist health education, diabetes, executive MBA
@Dr_Rafizadeh 121,604 Political Analyst Politics, Business, Science
@larrybrilliant 97,649 Epidemiologist Epidemiology, Global Health, Philanthropy
@MonicaGandhi9 93,312 Doctor reading, infectious diseases, HIV
@JeanChatzky 81,560 Financial journalist finance, writing, podcasting
@MHiesboeck 76,663 Blockchain Consultant Blockchain, Crypto, Trading

Top Keywords in Follower Bios

medicine (841) medical (560) health (428) internal (422) md (361) resident (352) research (338) student (315) pgy (308) physician (256)

Top Hashtags in Follower Bios

#medtwitter (95) #meded (61) #match2024 (30) #match2023 (24) #internalmedicine (23) #womeninmedicine (21) #healthequity (14) #img (13) #medicine (11) #foamed (10)

6,263

Followers With Bio

3,737

Followers Without Bio

62.63%

% With Bio

37.37%

% Without Bio

Why Audience Demographics Matter

Understanding who follows an account reveals the type of influence they hold. Accounts followed primarily by users with few followers indicate broad, mainstream appeal. Those with many high-follower followers have greater potential for content amplification through secondary sharing.

Account age distribution also tells a story: a follower base with many new accounts might indicate recent viral growth, while established followers suggest long-term, stable influence. Geographic data helps understand the cultural context and timezone spread of the audience.

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Viral Tweets

Top 5 by likes+RTs from 3,240 analyzed

6,682

Combined Engagement

2,644

Total Likes

4,038

Total Retweets

1,336

Avg per Tweet

Key Metrics for Viral Tweets

0%

With Media

60%

With Hashtags

80%

With @Mentions

100%

With Links

Topical Analysis:

Medical Research Clinical Updates Public Health Healthcare Policy Health Education

Key Insights & Takeaways

The account frequently shares clinical updates and research findings, which likely attract healthcare professionals. It collaborates with reputable institutions like the NIH, enhancing its credibility and reach. The use of hashtags like #InTheClinic helps categorize and promote content effectively.

Strengths

  • + Established follower base of 67,532
  • + Strong original content creation
  • + Active presence with consistent posting

Opportunities

  • ~ Optimize posting times for peak engagement windows
  • ~ Analyze top-performing content for replicable patterns
  • ~ Leverage geographic concentration for targeted content
  • ~ Explore collaboration potential with followed accounts

Summary

This analysis of @AnnalsofIM reveals an growing Twitter presence with 67,532 followers. The account demonstrates a content-creator strategy, averaging 14.7 engagements per tweet. Key strengths include consistent posting and an engaged audience, with opportunities to further optimize timing and content strategy based on the patterns identified in this report.

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About This Analysis: This analysis is based on a snapshot of followers, following, and recent tweets. It evaluates structure, quality, and behavior, not historical growth. Metrics like growth rate, momentum, churn, or spike analysis require time-series data which is not available from a single snapshot.

Data collected and analyzed by twtData | Analysis date: Dec 16, 2025