Missouri

State report card

The report card for each state contains the scores it received when we evaluated it for how well it protects patients against sexually abusive doctors. The overall rating is the average of the score the state received in each category. In states with two medical boards, one for osteopathic physicians and the other for medical doctors, the overall rating is based on an average of each board’s scores.

Click on the boxes below to read how Missouri did on each category — and how we calculated the score for the categories.

55

State rating (out of 100)

  • Board composition: 60
    Are consumer members included to balance physicians’ tendency to identify with their colleagues? More...
    A blueprint developed by The Federation of State Medical Boards recognized the importance of having independent public members on physician-dominated medical regulatory agencies. To assess the composition of disciplinary agencies, the AJC used three measures, with the most weight given to consumer representation. Top grades went to states where public members make up at least 40 percent of the board; where those members represent consumers and where neither they nor their family members have professional or financial ties to health care; and where women hold at least 40 percent of the board seats.
    • Are public members independent and do they represent consumers?: 20 of 25
      The public member cannot be or ever have been a member of any profession licensed or regulated by the board or the spouse of such person, nor have or ever have had a material, financial interest in either the providing of professional services regulated by the board or in an activity or organization directly related to any profession licensed or regulated by it.
  • Discipline laws: 85
    Do state laws strengthen oversight and discipline of problem physicians? More...
    Abusive physicians can be protected by laws that limit regulators’ ability to investigate cases and don’t require permanent revocation of doctor licenses for egregious offenses. To assess the legal environment for doctor discipline, the AJC examined four key laws. Top grades went to states that require permanent revocation of doctor licenses for some violations; where physicians who have been convicted of felonies or who have lost their licenses in other states cannot be licensed; where medical regulators are entitled to records and other proceedings of hospital peer review committees that examine doctor misconduct; and where there is a reasonable standard of proof required for disciplinary action against physicians, especially in sexual misconduct cases where there may be no independent witnesses.
    • Does state law require revocation for some violations? Can revocation be permanent?: 25 of 25
      Automatic revocation is mandated for conviction of felony-level crimes of moral turpitude; for offense reasonably related to profession; and for any act of violence. The board cannot stay the revocation. However, for any order or revocation, the board may set a period of from 2 to 7 years when a doctor may not reapply. If it doesn't specify a period, the doctor must wait at least one year.

More from Missouri

Highlighted case

Dr. Milton Eichmann

After the urologist had numerous medical malpractice cases brought against him in Louisiana, he moved to Missouri and was licensed there in 2003 with restrictions that included oversight for his medical work.

Months later, Eichmann was asked to consult on a 33-year-old who had suffered injuries as the result of a sexual assault and was having bladder problems. During that consultation, the board found, Eichmann asked the patient numerous questions about her sexuality, such as whether she was submissive during sexual relations; whether she liked to be urinated on during sex; whether she liked to be tied up; what type of stimulation would best cause her to orgasm; and whether she had ever engaged in sexual relations with more than one person at a time.

During the conversation, he told her he was becoming aroused, then he said he wanted to catheterize her to evaluate her urinary problem. She said she didn’t want to be catheterized, but as he urged her to allow the procedure, he stood over her and put his groin area on her knee. He made lewd comments, including that she would have an orgasm as he inserted the catheter. He then told her to go to an exam room, but she left quietly through his office and did not return.

The board in 2006 gave Eichmann five years’ probation, requiring him to use a chaperone and to review his protocol for questioning patients about their sexual history. In 2011, it issued another order and placed his license on probation for three years for violating terms of the settlement.

In 2013, it issued another order after finding the doctor had violated the chaperone requirement of the 2011 order. In 2014, Eichmann retired from medicine.

In an interview with the Journal-Constitution, Eichmann said that he was sorry, “as a physician and as a Christian,” for the comments he made to the patient. He said the evaluation and treatment he went through as a result of the disciplinary action helped him discover that he had a condition that could cause him to be both obsessive about his interests and awkward in social situations. Learning this about himself, Eichmann said, ended up making him a better doctor and a better person, and he said many patients continued to seek him out for care.

“Bottom line – I do not want physicians to go through what I went through,” he said.

Researching a doctor

  • Accurate records of sexual abuse accusations against doctors are not always easily accessible. In Missouri, the best chance of finding problems is a searchable list of disciplinary actions offered by the Board of Registration for the Healing Arts. Please note that license search results typically include all public disciplinary actions, not just those involving sexual misconduct, and can sometimes include vague language. Also, some states deal with some disciplinary issues privately; private board orders are not included.

Complaint process

The complaint form starts with a warning that making a false statement is a crime. The form requires the name and other identifying information on the person filing it. Anonymous complaints are not accepted.

Where to file a complaint

Quoted

“The Respondent showed no apparent remorse for his actions during the hearing for what he had done to a family member who will suffer life-long consequences and the fact that as a doctor he is in a position of trust.”

— Missouri State Board of Registration for the Healing Arts, in its order revoking Dr. Charles Steven Krin's license following his 2010 conviction for statutory rape and sodomy. Krin told the Journal-Constitution that he surrendered his license before the board action and is not planning to go back into practice at any time. He said he started counseling before he went to trial and remains in counseling today. "[The board's] statement does not truly represent my regret at that time and since that time," Krin added.

Key fact

State law requires automatic revocation of a doctor’s license upon conviction of a felony-level crime of moral turpitude.

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