To demonstrate the global reach of a case-based teaching initiative that feature cases from Continuum articles posted on the social media platform X (Twitter). 

As the leading narrative review and CME journal, Continuum articles feature cases that demonstrate practical application of the latest research and optimal clinical care. These cases can be used on social media platforms like X, which offer a powerful way to reach a global audience.

Continuum cases (#ContinuumCase) were posted on X starting September 8, 2022. Polls surveyed community knowledge and engagement. X analytics were collected from each post; the artificial intelligence analytic program Fedica was used to visualize the global reach of the two posting accounts.

Between September 8, 2022, and October 4, 2023, two accounts posted 72 unique Continuum cases (@LyellJ, 42 cases; @caseyalbin, 30 cases) from 56 articles in 11 issues. Most (91.6%, 66/72) are searchable using the hashtag #ContinuumCase. The median length is 7.5 posts (interquartile range [IQR] 6-11). The mean number of “likes” per case is 174 (IQR 93-198) and the mean number of “reposts” per case is 47 (IQR 26-52). On average, cases have been viewed by 60,920 X users (IQR 27,850-72,200). Cumulatively, the cases have garnered 4.2 million views. Most (91.6%, 66/72) of the cases feature a poll and an average of 596 people voted on case management in the polls (IQR for poll participation 252-656). @LyellJ and @caseyalbin have followers from more than 130 countries. The USA, India, the United Kingdom, and Canada account for 59% of followers of both accounts.

Continuum cases have engaged clinical learners through case-based teaching on social media, reached a global audience, and generated high engagement. Given the low barrier to access, social media may be a preferred teaching platform for some educators and learners.