Prem Rashid1,2, Maxine Ronald3, Kelvin Kong4,5,6,7,8. 1. Department of Urology, Port Macquarie Base Hospital, The University of New South Wales, Port Macquarie, New South Wales, Australia. 2. Rural Clinical School, Faculty of Medicine, The University of New South Wales, Port Macquarie, NSW, 2444, Australia. 3. Department of General Surgery, Whangarei Hospital, Aotearoa, New Zealand. 4. Department of Otolaryngology, Head & Neck Surgery, John Hunter Hospital, Newcastle, NSW, Australia. 5. Department of Linguistics, Faculty of Medicine, Health and Health Sciences, Macquarie University, Sydney, NSW, Australia. 6. School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia. 7. Hunter Medical Research Institute, New Lambton Heights, NSW, Australia. 8. Hearing For Learning Initiative, Menzies School of Health Research, Casuarina, NT, Australia.