Liability is driving out board-certified ER docs, allowing internal medicine physicians to benefit:

Ironically, he credits the state’s years of high malpractice insurance premiums and fears of litigation with driving out the competition: board-certified emergency medicine physicians who, although they may live in Pennsylvania, commute across the river to work in New Jersey.

“As an ER doctor, I can make more money than I can as a hospitalist, more money than I can in primary care,” said Dr. Randall, who prefers to work part-time hours so he can spend more time with his two young daughters. “It enables me to work only 26 to 30 hours a week, making more money than I did at my last [primary care] job . . . where I was working 70 to 80 hours a week.”

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