Internal Medicine JournalVolume 53, Issue 9 p. 1724-1725 Letter to the Editor Like a Surgeon? A letter commenting on Grosse and Thomas's 'Selection into training will always be an inexact process: a survey of Directors of Physician Education on selection into Basic Physician Training in Australia and New Zealand' Brandon Stretton, Brandon Stretton [email protected] orcid.org/0000-0002-7939-3489 Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorJoshua Kovoor, Joshua Kovoor orcid.org/0000-0002-3880-3840 Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorStephen Bacchi, Stephen Bacchi Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorAashray Gupta, Aashray Gupta Department of Cardiothoracic Surgery, Gold Coast University Hospital, Gold Coast, Queensland, AustraliaSearch for more papers by this authorThomas Hugh, Thomas Hugh Surgical Education Research and Training, Royal North Shore Hospital, Sydney, New South Wales, AustraliaSearch for more papers by this authorChristopher Dobbins, Christopher Dobbins Department of Surgery, Queen Elizabeth Hospital, Adelaide, South Australia, AustraliaSearch for more papers by this authorMarkus Trochsler, Markus Trochsler Department of Surgery, Queen Elizabeth Hospital, Adelaide, South Australia, AustraliaSearch for more papers by this authorPeter Hewett, Peter Hewett Department of Surgery, Queen Elizabeth Hospital, Adelaide, South Australia, AustraliaSearch for more papers by this authorWeng O. Chan, Weng O. Chan Department of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, AustraliaSearch for more papers by this authorSavio G. Barreto, Savio G. Barreto College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia Hepatobiliary and Liver Transplant Unit, Flinders Medical Centre, Adelaide, South Australia, AustraliaSearch for more papers by this authorChristopher Rayner, Christopher Rayner Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorMartin Bruening, Martin Bruening Department of Cardiothoracic Surgery, Gold Coast University Hospital, Gold Coast, Queensland, AustraliaSearch for more papers by this authorRobert Padbury, Robert Padbury College of Medicine and Public Health, Flinders University, Adelaide, South Australia, AustraliaSearch for more papers by this authorNicholas J. Talley, Nicholas J. Talley School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, AustraliaSearch for more papers by this authorAdrian Anthony, Adrian Anthony Royal Australasian College of Surgeons, Melbourne, Victoria, AustraliaSearch for more papers by this authorMichael Horowitz, Michael Horowitz Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorGuy Maddern, Guy Maddern Department of Cardiothoracic Surgery, Gold Coast University Hospital, Gold Coast, Queensland, AustraliaSearch for more papers by this authorMark Boyd, Mark Boyd Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this author Brandon Stretton, Brandon Stretton [email protected] orcid.org/0000-0002-7939-3489 Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorJoshua Kovoor, Joshua Kovoor orcid.org/0000-0002-3880-3840 Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorStephen Bacchi, Stephen Bacchi Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorAashray Gupta, Aashray Gupta Department of Cardiothoracic Surgery, Gold Coast University Hospital, Gold Coast, Queensland, AustraliaSearch for more papers by this authorThomas Hugh, Thomas Hugh Surgical Education Research and Training, Royal North Shore Hospital, Sydney, New South Wales, AustraliaSearch for more papers by this authorChristopher Dobbins, Christopher Dobbins Department of Surgery, Queen Elizabeth Hospital, Adelaide, South Australia, AustraliaSearch for more papers by this authorMarkus Trochsler, Markus Trochsler Department of Surgery, Queen Elizabeth Hospital, Adelaide, South Australia, AustraliaSearch for more papers by this authorPeter Hewett, Peter Hewett Department of Surgery, Queen Elizabeth Hospital, Adelaide, South Australia, AustraliaSearch for more papers by this authorWeng O. Chan, Weng O. Chan Department of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, AustraliaSearch for more papers by this authorSavio G. Barreto, Savio G. Barreto College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia Hepatobiliary and Liver Transplant Unit, Flinders Medical Centre, Adelaide, South Australia, AustraliaSearch for more papers by this authorChristopher Rayner, Christopher Rayner Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorMartin Bruening, Martin Bruening Department of Cardiothoracic Surgery, Gold Coast University Hospital, Gold Coast, Queensland, AustraliaSearch for more papers by this authorRobert Padbury, Robert Padbury College of Medicine and Public Health, Flinders University, Adelaide, South Australia, AustraliaSearch for more papers by this authorNicholas J. Talley, Nicholas J. Talley School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, AustraliaSearch for more papers by this authorAdrian Anthony, Adrian Anthony Royal Australasian College of Surgeons, Melbourne, Victoria, AustraliaSearch for more papers by this authorMichael Horowitz, Michael Horowitz Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this authorGuy Maddern, Guy Maddern Department of Cardiothoracic Surgery, Gold Coast University Hospital, Gold Coast, Queensland, AustraliaSearch for more papers by this authorMark Boyd, Mark Boyd Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, AustraliaSearch for more papers by this author First published: 24 September 2023 https://doi.org/10.1111/imj.16214Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. References 1Grosse A, Thomas J. 'Selection into training will always be an inexact process': a survey of directors of physician education on selection into basic physician training in Australia and New Zealand. Intern Med J 2023. https://doi.org/10.1111/imj.16083 10.1111/imj.16083 PubMedWeb of Science®Google Scholar 2Brennan P. Trainee Selection in Australian Medical Colleges. Medical Training Review Panel Commonwealth Department of Health and Family Services, Pub; 1998. Google Scholar 3 RACS Surgical Competence and Performance Framework – A Guide to Aid the Assessment and Development of Surgeons. 3rd ed, 2020. Australia: RACS. Available from URL: https://www.surgeons.org/-/media/Project/RACS/surgeons-org/files/Louise-Pfrunder/Surgical-Competence-and-Performance-Framework_V16.pdf?rev=120ec964eb9e4c26a1f266eba17eaf79&hash=BA49820B4620667CA9F007C72856E346 Google Scholar 4Oldfield Z, Beasley S, Smith J, Anthony A, Watt A. Correlation of selection scores with assessment scores during surgical training. ANZ J Surg 2013; 83: 412–416. 10.1111/ans.12176 CASPubMedWeb of Science®Google Scholar Volume53, Issue9September 2023Pages 1724-1725 ReferencesRelatedInformation

Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) reduce elevated blood glucose levels and induce weight loss. Multiple GLP-1 RAs and one combined GLP-1/glucose-dependent insulinotropic polypeptide agonist are currently available. This review was conducted with the aim of summarising direct comparisons between subcutaneous semaglutide and other GLP-1 RAs in individuals with type 2 diabetes (T2D), particularly with respect to efficacy for inducing weight loss and improving other markers of metabolic health. This systematic review of PubMed and Embase from inception to early 2022 was registered on PROSPERO and was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Meta-Analysis of Observational Studies in Epidemiology guidelines. Of the 740 records identified in the search, five studies fulfilled the inclusion criteria. Comparators included liraglutide, exenatide, dulaglutide and tirzepatide. In the identified studies, multiple dosing regimens were utilised for semaglutide. Randomised trials support the superior efficacy of semaglutide over other GLP-1 RAs with respect to weight loss in T2D, but tirzepatide is more effective than semaglutide.