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# Contents

- Introduction
- Learning outcomes
- 1 Speculating about knowledge
  - 1.1 The value of doubt
- 2 Understanding ‘service’
- 3 How do I determine improvement and identify progress?
  - 3.1 Indicators of improvement
- 4 What sustains the practice improvement?
- Conclusion
- Keep on learning
- References
- Acknowledgements

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