Seal of approval consequently keeping medic excited (6,2)
I believe the answer is:
thumbs up
'seal of approval' is the definition.
(both can mean approval for an action)
'consequently keeping medic excited' is the wordplay.
'consequently' becomes 'thus' (I've seen this before).
'keeping' indicates putting letters inside.
'medic' becomes 'MB' (Bachelor of Medicine).
'excited' becomes 'up'.
'thus' enclosing 'mb' is 'thumbs'.
'thumbs'+'up'='THUMBS-UP'
(Other definitions for thumbs up that I've seen before include "Approving gesture" , "Indication of approval" , "gets green light, perhaps" , "successfully received" , "Digital signal" .)