Welcome to the latest edition of the periodic medicine meta thread. Per
reddit site-wide guidelines, our goal is to maintain the unique medicine atmosphere through agreed-upon, clear, and consistent rules. This is your opportunity to give feedback, shape the rules, suggest events, and guide the next several months of moderation for the subreddit. The last meta thread was April, 2019. The major themes in that thread were a loosening of restrictions on political discussion and a request to reign in overt hostility towards non-physician healthcare workers. For reference, other prior meta threads include July 2018 and December 2017.
In April 2019, we had 229,036 subscribers and as of November 11, 2019 we have 261,816. We are approximately the 1000th most subscribed subreddit, and rank 2794 for most active, with an average of 83 comments per day on approximately 20,000 unique users per day. We have been growing at a rate of about 200-250 new subscribers per day. Most of our subscribers are lurkers, with an average of 0.000013 comments per subscriber. The majority of our users interact with the subreddit via mobile web (~44%), new reddit (~25%), and reddit apps (~24%), with old reddit in a distant 4th place (~7%). It is not our intention to rapidly grow or promote the subreddit outside a narrow target audience, and we have focused on quality of content rather than broad appeal.
Between the last meta thread April 2019 and mid-November 2019, the eleven human moderators have taken 8880 mod actions, for an average of 42.7 per day. This reflects the highly moderated atmosphere of the subreddit. The rules are posted in the sidebar in new reddit, old reddit and mobile, and there is also a link to the rules in the new reddit menu bar. By far the most common moderator action by both human mods and automod is removing posts due to Rule 1 (user flair and starter comment). This is a simple filter which ensures anyone posting has at least read the rules and provides some context. The vast majority of low-quality posts which violate a subreddit rule also violate Rule 1. The most common reasons outside Rule 1 to remove posts are Rule 2 (asking medical advice), Rule 3 (askMeddit), Rule 8 (med school/career advice), and Rule 9 (throwaway accounts). The most common reasons for comment moderation are Rule 5 (being a jerk), followed by Rule 6 (pushing an agenda), and then Rule 2 (sharing personal medical details).
We have an updated logo, color scheme, and image header for new reddit and mobile. The medicine wiki has been built out a little, with new content explaining flair and updated links to related subs. A link to the subreddit rules, wiki, and an early draft of frequently asked questions has been added to the menu bar on new reddit and mobile. Due to the lagging development of moderator tools for new reddit, the mod team is primarily using old reddit. Therefore, we would appreciate feedback on the new reddit design as well as any advice/offers of help for subreddit design and/or wiki content. Based on the very limited number of users on old reddit, there are no plans for a significant overhaul of the old reddit design.
In the last meta thread, we expressed a desire to do more official AMAs. Since the last meta thread we have had exactly two: one on gout awareness and a repeat appearance from a snakebite treatment and advocacy group. Both drew a number of questions and sparked interesting discussion. In our 250,000+ subscribers, surely there are some more with interesting careers and expertise? Do you have interesting research findings you would like to publicize? Do you practice in a resource-constrained setting? Our users seem to be interested in novel practice structures. Those of you with direct primary care practices or concierge medicine, would you do an AMA? You do not have to publicly reveal your primary reddit username. If you are interested in hosting an AMA, you can make a throwaway and message the mods via
modmail. We can help verify your identify and create a new AMA account linked to your real name or pseudonym as desired.
In order to keep the comments organized and usable, top level comments for this meta thread will be created by mods for categories of discussion. Other top-level comments will be removed. If your feedback does not fit in one of the top-level comment categories we have suggested, place it under "other".
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