'The idea of clinical engagement is a good one," says Dr Rant. Dr Grumble agrees. No more ranting and no more grumbling. Dr Grumble sees definite signs that in his hospital clinicians are becoming more engaged. It is tragic that the powers-that-be ever thought that successful healthcare could flourish without clinical engagement. It's insulting that doctors were considered to be just out for themselves and not enthusiastic about improving the ways they work. But let's not go on grumbling. Let's join with Dr Rant and welcome the concept of bringing back clinical engagement.