Thomas J. Grogan is a practicing pediatric orthopaedic surgeon in the West Los Angeles area, who has seen over 50,000 patients in his career. He spent several years involved in managed care consulting as an orthopaedic surgeon and has developed special expertise in this area. He collaborated with the American Academy of Orthopaedic Surgeons (AAOS) in the development of a handbook and audiotape entitled, “Health Care Reform and Managed Care: A Guidebook for Orthopedic Surgeons.”