CLINTON — Approximately five years after having his doctor’s license suspended, a current Clinton doctor’s probation has been terminated.
The Iowa Board of Medicine granted a request to terminate probation for Michael C. Prescher, who was identified in an Iowa Board of Medicine press release as a 52-year-old Iowa licensed physician currently practicing in Clinton.
The ruling for termination of probation states that a hearing was held in January 2012, with a decision and order given on March 29, 2012.
That ruling states the Board concluded Prescher violated the standard of care by seeing patients under sedation without staff members present. Each of four patients testified to being sedated to the point of unconsciousness. Three of the four were treated in Prescher’s office at a time it was closed and no one was present.
“Respondent (Prescher) created a climate in which his patients had no way to know what occurred during their treatment because there was no third person to verify what occurred,” the termination of probation ruling states.
The ruling also states Prescher did not have any of the four patients sign written consents. Prescher allegedly acknowledged that a written consent was always secured when he practices in the hospital but he did not do so in his clinic practice. At least two patients expressed confusion as to what occurred. One patient thought she was meeting Prescher for a consultation only and ended up being sedated for an hour during a procedure she questioned and did not understand. A separate patient had more of an understanding of her procedure but Prescher allegedly did not tell her she would be unconscious during the injection.
“One of the purposes of a written consent is to better ensure that patients fully understand the procedures that doctors perform,” the ruling states. “Respondent (Prescher) did not meet standard of care by failing to obtain proper consent.
The ruling states Prescher did not meet the standard of care by failing to monitor and document vital signs and by allowing two patients to drive home after procedures. Both patients testified to feeling shaky and unsteady after their procedures.
“Respondent (Prescher) knew that both had driven to the appointment,” the ruling states. “Respondent (Prescher) risked their safety and the safety of others on the road by allowing them to drive home.”
The Board concluded allegations of sexual misconduct were not supported “by a preponderance of evidence at hearing.”
As a result, Prescher’s medical license was suspended for a period of one year from the date the Board entered its emergency order on Dec. 8, 2011. Prescher’s request for reinstatement was granted Jan. 1, 2013. Prior to reinstatement, Prescher was required to pay a $10,000 civil penalty, successfully complete a Board-approved course on medical record keeping, provide proof of completion to the Board and pay a $75 disciplinary hearing fee. Prescher also successfully completed a professional boundaries evaluation at the Behavioral Medical Institute in Atlanta.
“BMI concluded that there was no evidence that Respondent (Prescher) is a sexual predator,” the termination of probation ruling states. “However, BMI concluded that Respondent (Prescher) did not practice medicine with good professional boundaries when he saw female patients after clinic hours without a chaperone and without charge. BMI concluded respondent (Prescher) does not pose a significant safety threat to his patients or staff related to professional sexual misconduct.”
BMI made no further recommendations.
The Board on Dec. 16 ruled to grant Prescher’s request to terminate probation, which was established by the Board on Jan. 11, 2013. The Iowa Board of Medicine ordered certain terms of his probation remain in effect. Prescher still must share a copy of the order with any hospital, clinic, officer or other healthcare facility where he practices medicine. He must also submit a written statement to the Board from each hospital, clinic, office of other health care facility where he practices, which indicates they have read and fully understand the terms and conditions of the order.
Prescher also was ordered to comply with several practice requirements. He must practice medicine in a Board-approved group practice setting only. He must seek written approval from the Board prior to practicing medicine in a new practice setting. He must have a Board-approved female healthcare professional chaperone continually present at all times except when he is practicing in a Board-approved hospital setting. The chaperone must be present during patient evaluation, treatment, post-evaluation treatment directions and any other requirements set forth. The chaperone is ordered to document her continued presence in each patient’s chart, while Prescher must provide the Board with the names of all persons providing chaperone services for him. The chaperone may not be related to Prescher.
Prescher is ordered to not treat patients in a clinic setting outside of regular clinic hours unless there is an emergency, at which time he shall clearly document the nature of the emergency. He must also ensure he has appropriately trained staff present at all times when providing care, including in emergencies. Prescher must ensure he complies with requirements for appropriate level of sedation, appropriate monitoring and appropriate aftercare. He must also obtain written consent for all patients, ensure he maintains appropriate medical records for all patients and shall charge appropriate fees for all medical services provided.