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Anderson,  Harry  Bertram 

A  historical  sketch  of 
the  medical  profession  of 
Toronto 


J 


yf.<JLSkJ 


Reprinted   from 

TEE   CANADIAN  MEDICAL   ASSOCIATION  JOURNAL 

1926,   XVI,    446-452 


AN   HISTORICAL  SKETCH   OF  T 
MEDICAL  PROFESSION  OF 
TORONTO 

By.  H.  B.  Anderson,  M.D., 

Toronto 


After  the  Peace  of  Versailles,  in  1783,  the  en- 
forced migration  of  United  Empire  Loyalists 
brought  some  ten  thousand  exiles,  who  had  risked 
and  lost  all  for  their  attachment  to  king  and 
country,  to  seek  new  homes  in  the  northern  wilder- 
ness, and  this  constituted  the  first  considerable 
settlement  of  the  province  of  Upper  Canada. 

The  sudden  influx  of  a  class  cemented  by  the 
rigours  of  war,  the  harshness  of  the  victors  and 
the  hardships  of  the  pioneer;  the  extent  to  which 
they  acquired  possession  of  the  lands  of  the 
province  and  the  control  of  affairs  in  general 
which  naturally  fell  into  their  hands,  were  un- 
fortunately, perhaps  inevitably,  the  source  of 
many  difficulties  and  much  discussion  in  later 
years  as  the  population  increased  by  the  immigra- 
tion of  more  diverse  elements  from  the  mother 
country. 

According  to  Sabine,  their  American  historian, 
the  Loyalists  included  a  large  representation  of 
the  official  classes  and  the  professions  of  law  and 
divinity,  the  latter  mostly  of  the  Episcopal 
church.  The  remarkable  fact  that  few  doctors 
accompanied  these  exiles,  is  accounted  for  by 
Sabine  on  grounds  reflecting  no  discredit  upon  the 
medical  profession.  "The  physicians  who  ad- 
hered to  the  Crown  were  numerous  and  the  pro 


rn 


at 


,\\ 


"3    /   <V 


portion  of  Whigs  was  probably  less  in  the  prof es-  /  's  % 


sion  of  medicine  than  in  either  that  of  law  or 
theology.  But  unlike  the  latter  callings,  most  of 
the  physicians  remained  in  the  country  and 
quietly  pursued  their  business.  There  seems  to 
have  been  an  understanding  that  though  pulpits 
should  be  closed  and  litigation  suspended,  the 
sick  should  not  be  deprived  of  their  regular  and 
freely  chosen  medical  attendants;  .  .  .  their  per- 
sons and  property  were  generalh'  respected  in  the 
towns  and  villages,  where  little  or  no  regard  was 
paid  to  the  bodies  and  estates  of  the  gentleman 
of  the  robe  and  surplice. " 

A  few  medical  officers  of  disbanded  Loyalist 
regiments  settled  in  the  Lower  Provinces,  especi- 
ally in  New  Brunswick,  but  some  of  these  removed 
to  Upper  Canada  at  a  later  date.  To  Canadians 
the  best  known  of  these  American  colonial  regi- 

Iments  was  the  old  "Queen's  Rangers"  com- 
manded by  Colonel  John  Graves  Simcoe  during 
the  Revolutionary  War.  At  the  close  of  the  war 
the  regiment  went  out  of  commission,  but  on  being 
appointed  first  governor  of  Upper  Canada,  Simcoe 
received  authority  from  the  Crown  to  organize  a 
military  force  for  service  in  the  province.  He 
named  this  regiment  the  "Queen's  Rangers"  in 
honour  of  his  old  command,  and  the  important 
service  it  rendered  in  the  settlement  of  York  and 
the  opening  up  of  Yonge  Street,  before  it  was 
finally  disbanded  in  1802,  is  recorded  in  the  early 
history  of  the  province. 

The  medical  needs  of  the  small  settlements 
gathered  at  first  around  the  military  posts  and 

(along  the  St.  Lawrence  and  the  Great  Lakes,  were 
supplied  by  the  medical  officers  of  the  garrisons. 
As  population  increased  and  settlements  spread, 
the  dearth  of  properly  qualified  practitioners, 
.especially  at  a  distance  from  the  garrisons,  led  to 
(/the  springing  up  of  many  quacks  and  irregulars, 
who  menaced  the  lives  of  those  by  dire  necessity 
obliged  to  consult  them.  In  1788  an  Act,  known 
as  the  Quebec  Ordinance,  was  passed  by  the  par- 
liament of  Canada,  which  provided  under  severe 

2 


// 


penalty,  including  fine  and  imprisonment,  that 
no  persons  should  practice  medicine  without  a 
license  from  the  governor  or  commander-in-chief 
of  the  province,  upon  certificate  of  examination 
and  qualification  by  a  board  appointed  by  them 
for  that  purpose.  University  graduates  in  merli- 
rinejmd  warranted  army  and  navy  surgeon^were 
excluded  from  the  necessity  _of__cxaminatio_n. 
This  attempt  at  control,  however,  did  not  have 
the  desired  effect,  and  a  further  legislative  enact- 
ment occupied  the  attention  of  the  first  session  of 
the  parliament  of  Upper  Canada  at  Newark 
(Xiagara-on-the-Lake)  in  1796.  This  Act  pro- 
vided for  the  appointment  by  the  governor  of  the 
province  of  a  medical  board,  to  be  composed  of 
the  surgeon  to  his  Majesty's  hospital,  with  the 
surgeons  of  his  Majesty's  regiment  doing  duty  in 
the  province,  and  all  other  authorized  surgeons 
and  practitioners,  or  ami  two  of  them,  of  whom  the 
surgeon  to  his  Majesty's  hospital  must  be  one,  to 
examine  and  approve  candidates  for  license  to 
practice.  This  Act  likewise  proved  unsatisfac- 
tory and  was  repealed  in  1806. 

That  more  effectual  control  was  necessary  is  evi- 
dent from  an  editorial  in  the  York  Gazette,  Octo- 
ber 8,  1808:  "The  opinion  we  maintain  of  such 
a  public  want,  arises  from  the  conviction  we  feel 
and  the  knowledge  we  possess,  that  the  health, 
nay,  frequently  the  existence  of  a  fellow  crea- 
ture, is  lost,  being  too  often  sacrificed  to  the  pre- 
tentions or  cannibal  ignorance  of  empirics,  quacks 
and  imposters. "  The  deplorable  state  of  affairs 
continued  and  later  engaged  the  interest  and 
trenchant  pen  of  the  redoubtable  Bishop  Strachan 
and  other  public  men,  and  finally  resulted  in 
legislation  establishing  the  Medical  Board  of 
Upper  <  Janada  in  1818. 

The  creation  of  the  Upper  Canada  Medical 
Board  was  the  beginning  of  effective  control  of 
medical  practice  in  the  province.  The  board 
began  its  duties  January  4,  1819,  and  continued 
to  hold  regular  examinations  and  grant  licences 


close  ot  wlncn  lie  went  to  St.  John.  New  liruns- 

5 


V 


until  1839,  when  an  Act  of  the  provincial  parlia- 
ment was  passed,  constituting  "The  College  of 
Physicians  and  Surgeons  of  Upper  Canada"  with 
power  to  examine  and  licence  and  otherwise  con- 
'  rol  medical  affairs  in  the  province. 

This  Act  was  claimed  to  infringe  the  rights  of 
the  Royal  College  of  Surgeons  and  after  a  heated 
controversy,  it  was  disallowed  by  the  Imperial 
parliament.  The  College  of  Physicians  and  Sur- 
geons  of  Upper  Canada  held  its  last  meeting  in 
1841  and  control  of  the  examination  and  licensing 
of  practitioners  reverted  to  the  Medical  Board  of 
Upper  Canada  and  continued  under  its  control 
nnti]  18fin.-  In  1841  the  board  appointed  by  the 
governor  general.  Lord  Sydenham,  consisted  of 
Christopher  Widmer,  William  C  Hwynnp,  TEnhaH-. 
Hornby,  Walter  Telfer  and  Henry  Sullivan.  This 
medical  board  was  subjected  to  many  bitter 
attacks,  and  much  criticism  on  the  part  of  the 
profession  during  the  period  from  1833  until  it 
finally  went  out  of  existence. 

In  1865  the  parliament  of  Canada  passed  "an 
Act  to  regulate  the  qualifications  of  practitioners 
of  medicine  and  surgery  in  Upper  Canada"  by 
which  was  constituted  the  "General  Council  of 
Medical  Education  and  Registration  of  Upper 
Canada, "  and  this  body  began  its  duties  January 
1,  1866,  and  after  Confederation,  under  authority 
granted  in  1869  by  The  Ontario  Medical  Act,  the 
College  of  Physicians  and  Surgeons  of  Ontario  was 
created. 

In  order  to  maintain  uniformity  of  examina- 
tions and  control,  provision  was  made  for  the 
admission  not  only  of  regular  practitioners  but 
fljso— of— p**Wfig  ■  n,nd  hnmenpnthir:  pra.etitirmpjft 
who  had  been  in  practice  before  1850.  Each  of 
these  was  to  have  a  fixed  representation  on  the 
council  as  the  executive  body  of  the  College  was 
called.  This  was  brought  about  b}>-  an  agreement 
between  the  homeopaths,  eclectics  and  regular 
practitioners  to  the  repeal  of  Acts  passed  in  1859, 
1861  and  1866,  under  which  respectively,  they 

4 


had  obtained  legislation,  with  authority  to  ex- 
amine and  grant  iicence  to  practice  in  the  prov- 
ince. The  representation  of  the  eclectics  ceased 
without  special  enactment  about  1875. 

The  population  of  Upper  Canada  at  the  time 
York  was  chosen  as  the  capital  in  1793  was  about 
12,000,  composed  almost  wholly  of  United  Empire 
Loyalists,  disbanded  soldiers,  the  garrisons  and 
official  personnel.  During  Simcoe^s  four  years  as 
governor,  the  population  increased  to  about 
30,000.  The  only  evidences  of  a  settlement  at 
York  at  the  time  of  Governor  Simcoe's  arrival, 
were  the  ruins  of  the  old  French  fort  Rouille. 
(established  in  1749  to  protect  the  southern  en- 
trance to  the  overland  trade  route  between  Lake 
Ontario  and  the  Georgian  Bay),  and  a  few  wig- 
wams of  wandering  Mississauga  Indians. 

Dr.  James  MacAulay,  the  progenitor  of  some  // 
of  the  most  prominent  families  in  the  later  his- 
tory of  the  province,  was  induced  to  come  to 
Upper  Canada  by  his  friend,  Colonel  Simcoe,  as 
physician  to  his  household.  Arriving  in  1792  he 
was  appointed  surgeon  to  the  "Queen's  Rangers" 
and  after  the  regiment  was  disbanded,  he  was 
made  Deputy  Inspector-General  of  hospitals  of  the 
province.  His  own  name,  that  of  his  wife,  and 
other  members  of  his  family  are  commemorated 
in  the  streets  (Teraulay,  Hayter,  James,  Bu- 
chanan, Alice,  Edward,  Elizabeth)  of  the  district 
early  known  as  MacAulay  Village — later  St. 
John's  Ward.  On  the  establishment  of  the  Upper  -n 
Canada  Medical  Board,  he  was  elected  chairman  . 
and  continued  to  act  in  this  capacity  until  his 
death  in  1822.  The  name  "Teraulay"  was  de- 
rived from  the  last  syllables  of  Hayter  (Mrs. 
MacAulay's  maiden  name)   and  MacAulay. 

Dr.  John  Gamble,  an  Irishman,  born  1755, 
graduated  at  Edinburgh  and  came  to  New  York 
in  1779,  as  Dr.  MacAulay's  assistant  surgeon. 
For  a  time  he  was  attached  to  the  old  "Queen's 
Rangers"  during  the  Revolutionary  War,  at  the 
close  of  which  he  went  to  St.  John,  New  Bruns- 

5 


wick,  where  he  practised  for  ten  years.  In  1793 
Governor  Simcoe  appointed  him  assistant  sur- 
geon to  the  new  "Queen's  Hungers".  When 
the  regiment  was  disbanded  he  removed  to 
Kingston  where  he  had  a  large  practice  until  his 
death  in  1811.  One  daughter  married  the  Hon. 
Wm.  Allen,  and  another  Sir  James  Buchanan 
MacAulay,  a  son  of  Dr.  James  MacAulay  and 
afterwards  chief  justice  of  Upper  Canada. 
Neither  Dr.  MacAulay  nor  Dr.  Gamble  engaged 
in  private  practice  at  York,  though  in  their  official 
capacity,  no  doubt  they  were  called  upon  at 
times  to  minister  to  the  sick  of  their  community. 
i  William  Warren  Baldwin  was  the  first  civilian 
doctor  to  settle  at  York — about  1800.  He  was  a 
graduate  of  Edinburgh  and  had  practised  for  a 
year  or  so  in  the  old  land  before  coming  to  Canada. 
The  field  of  his  professional  work  for  a  man  of  his 
energ\r  and  capacity  was  obviously  too  restricted, 
and  as  there  was  an  insufficient  number  of  lawyers 
at  this  time  to  carry  on  the  work  of  the  courts, 
Governor  Hunter  in  1803,  designated  William 
Warren  Baldwin  and  three  others  as  fit  and  proper 
persons  to  practise  the  law.  "Having  sprung 
Minerva-like  at  once  into  being  in  full  professional 
maturity,  these  gentlemen  were  afterwards  some- 
times alluded  to  by  less  favoured  brethren  of  the 
robe  as  the  "heaven  descended  barristers. "  The 
various  important  duties  which  Dr.  Baldwin 
undertook,  however,  is  evidence  of  his  energy, 
ability  and  versatility — characteristics  which  he 
had  in  common  with  others  of  the  early  doctors  of 
York.  He  was  one  of  the  founders,  later  a 
bencher,  and  for  man}r  years  treasurer  of  the  Law 
Society  of  Upper  Canada.  An  interesting  inci- 
dent is  related  of  his  receiving  an  urgent  call  on 
one  occasion  to  attend  a  lady  when  he  was  plead- 
ing a  case  before  Mr.  Justice  Willcocks.  The 
latter  adjourned  the  court  and  on  the  doctor's 
return  inquired  for  the  patient.  On  being  assured 
of  her  successful  accouchement,  the  less  pressing 
judicial  proceedings  were  resumed,  thus  cstablish- 

6 


ing  an  early  Canadian  precedent  for  the  pre- 
eminence of  medicine  over  the  law.  Dr.  Baldwin 
laid  out  Spadina  Avenue,  as  a  splendid  approach, 
160  feet  in  width,  to  the  family  residence,  Spadina 
House,  on  the  site  of  the  present  building  of  the 
Provincial  Board  of  Health — the  old  Knox  Col- 
lege. Hon.  Robert  Baldwin,  who  distinguished 
himself  in  the  political  struggle  for  constitutional 
government  in  Upper  Canada  was  a  son  of 
William  Warren  Baldwin. 

Intimately  associated  with  the  ruling  families 
of  that  day  and  connected  by  marriage  with 
many  of  the  prominent  families  in  Upper  Canada, 
Drs.  MacAulay,  Gamble  and  Baldwin  exerted  a 
wide  and  salutary  influence,  socially  and  profes- 
sionally on  the  medical  interests  of  York  and  the 
province  in  general. 

Dr.  David  Burns  was  one  of  the  first  settlers  of 
York,  obtaining  the  patent  of  a  park  lot  on 
Dundas  Street,  later  know^n  as  Lot  Street,  now 
Queen  Street.  Soon  after  the  organization  of  the 
government,  he  was  appointed  clerk  of  the 
Crown  in  Chancery  for  the  province  of  Upper 
Canada.  There  is  no  record  of  his  having  en- 
gaged in  practice.  His  name  appears  in  the  list 
of  subscribers  to  a  fund  for  the  opening  up  of 
Yonge  Street,  in  1801.  He  died  in  1806,  lamented 
as  an  esteemed  citizen. 

William  Lee,  a  military  surgeon  attached  to  the 
Indian  department  came  to  York  in  1807.  He 
ministered  to  the  Indians,  making  visits  through 
the  forests  as  far  as  Penetanguishene.  He  was 
relieved  of  his  strenuous  duties  in  1815  and 
shortly  afterwards  was  appointed  Gentleman 
Usher  of  the  Black  Rod  to  the  legislative  council 
and  for  some  years  was  secretary  to  the  Upper 
Canada  Medical  Board. 

Available  records  do  not  mention  the  names  of  "? 
any    other    doctors    practising    in    York    before    * 
1812,  but  when  it  is  remembered  that  it  requires 
a  community  of  from  five  hundred  to  a  thousand 
to  maintain  the  services  of  a  physician,   it  is 

7 


evident  that  the  needs  of  the  restricted  field  were 
already  well  supplied.     When  Dr.  Strachan  re- 
moved from  Cornwall  to  York  in  1812,  the  town  ,1 
was  "only  a  quiet  little  parish"  and  according  to    ' 
Bishop  Bethune  the  population  in  1819  was  less 
than  1,200. 

There  was  a  new-comer  to  York  in  1812  in  the 
person  of  Dr.  Grant  Powell,  son  of  Hon.  Justice 
William  Dummer  Powell.  He  had  received  his 
medical  training  at  Guy's  Hospital,  and  practised 
for  three  years  in  New  York  state  and  for  five 
years  in  Montreal,  where  he  was  familiarly 
known  as  "the  little  doctor  with  the  gold  spec- 
tacles. "  He  was  not  enamoured  of  practice  in 
York,  but  it  was  well  known  that  he  took  an  inter- 
est in  medical  affairs,  and  was  one  of  the  first  mem- 
bers of  the  Upper  Canada  Medical  Board.  He 
was  also  clerk  of  the  legislative  assembly,  princi- 
pal of  the  Court  of  Probate,  and  later  judge  of  the 
Home  District  and  clerk  of  the  legislative  council, 
holding  the  latter  post  until  his  death  in  1838. 
His  son,  William  Dummer  Powell,  died  in  early 
manhood  and  his  widow  married  Dr.  William 
Clarke  of  Guelph,  the  father  of  the  late  lieutenant 
governor  of  Ontario,  Hon.  Lionel  Clarke,  Esq. 

Incidentally,  it  is  of  interest  to  recall. the  visit 
of  Dr.  William  Beaumont,  celebrated  physiologist 
and  pioneer  in  the  experimental  physiology  of 
digestion,  who  arrived  at  York,  April  27,  1813,  not 
to  minister  to  the  inhabitants,  but  as  surgeon  to 
the  American  forces  attacking  the  town.  He 
wrote  a  graphic  account  of  the  attack  on  York  and 
the  subsequent  treatment  of  the  wounded. 

In  1814  William  Dunlop,  then  a  youth  of 
nineteen  attached  to  the  89th  (Irish)  regiment, 
was  at  York  for  a  time  and  describes  the  place  as 
"a  dirty,  straggling,  village  of  about  sixty 
houses,  the  church — the  only  one — being  con- 
verted into  a  general  hospital  during  the  war." 
This  was  the  first  hospital  at  York.  Dr.  Dunlop 
afterwards  went  to  India  with  his  regiment,  but 
returned  to  Canada  in  1825  with  Mr.  John  Gait 

8 


and  entered  the  service  of  the  Canada  Company 
as  warden  of  the  Forest.  He  was  one  of  the 
founders  of  Guelph,  and  a  pioneer  of  the  Lake 
Huron  district.  As  an  official  of  the  Canada 
Company,  he  was  a  frequent  visitor  and  a  fam- 
iliar figure  in  York  during  the  thirties.  He  was  a 
warm  friend  of  John  Gait,  author  and  philosopher,, 
who  as  manager  of  the  Canada  Company,  did 
much  to  settle  the  western  part  of  the  province 
and  was  ill-requited  for  his  labors.  Herculean 
in  size,  witty,  kind-hearted  and  eccentric,  Dunlop 
was  a  notable  character  familiarly  known  as  the 
Tiger.  He  had  considerable  literary  ability  being 
a  contributor  to  Fraser's,  Blackwoods  and  other 
magazines  and  the  author  of  several  books.  He 
served  as  member  for  the  Huron  district  in  the; 
provincial  legislature.  An  extract  from  his  extra- 
ordinary last  will  and  testament  sufficiently  indi- 
cates his  peculiarities:  "I,  William  Dunlop,  of 
Gairbraid  in  the  township  of  Colborne,  county 
and  district  of  Huron,  Western  Canada,  Esquire, 
being  in  sound  health  of  body,  and  my  mind  just 
as  usual,  which  my  friends  who  flatter  me  say  is 
no  great  shakes  at  the  best  of  times,  do  make  this 
my  last  will  and  testament,  etc. " 

He  died  in  1848  and  the  citizens  of  Goderich 
erected  a  monument  to  the  memory  of  "a  man  of 
surpassing  talent,  knowledge  and  benevolence. " 

Dr.  William  Keating,  an  Irish  graduate,  prac- 
tised in  York  for  a  short  time  about  1816. 

He  and  Powell  were  succeeded  by  Dr.  Christo- 
pher Widmer,  F.R.C.S.  (Eng.)  a  distinguished 
practitioner  who  was  the  first  to  devote  his  entire 
time  to  practice  in  York.  His  name  is  associated 
with  every  medical  enterprise,  and  his  energy, 
ability  and  foresight  made  him  a  dominating 
influence  from  the  time  of  his  arrival  until  his 
death  in  1858. 

Widmer  was  educated  in  London  and  gained  a 
wide  experience  as  surgeon  to  the  89th  Light 
Dragoons  during  the  Peninsular  War.  He  cams 
to  Canada  about  the  close  of  the  War  of  1812  and 

9 


began  private  practice  in  1816.  He  was  a 
martinet — forceful  in  language  as  well  as  in  bear- 
ing; bluff  and  cavalier,  but  nevertheless  an  able, 
farseeing,  diplomatic  man  and  a  born  leader.     He 

0  initiated  the  movement  in  1817  for  establishing 
the  York  General  Hospital,  was  chairman  of  the 

**  Upper  Canada  Medical  Board  from  1823  until  his 
death  in  1858,  was  early  interested  in  medical 
education,  receiving  students  as  apprentices;  he 
was  a  chief  mover  in  the  establishment  of  the 

m  College  of  Physicians  and  Surgeons  of  Upper 
Canada  (1839),  and  one  of  the  founders  of  the 
medical  department  of  King's  College,  (1843), 
besides  taking  an  active  interest  in  the  affairs  of 
York  generally.  For  a  time  he  was  a  member  of 
the  legislative  assembly,  and  was  one  of  the 
founders  of  St.  Andrew's  Masonic  Lodge.  He  has 
justly  been  called  the  "Father  of  Surgery"  in 
Upper  Canada  and  until  1830  practically  con- 
trolled the  practice  of  York. 

About  1816  Dr.  Robert  Charles  Home,  a 
military  surgeon  came  to  York  from  Kingston 
where  he  had  married  a  daughter  of  Dr.  Gamble, 
He  did  not  take  up  private  practice,  but  became 
King's  Printer  and  editor  of  the  Official  Gazette. 
After  retiring  from  these  appointments,  he  entered 
the  service  of  the  Bank  of  Upper  Canada,  but 
remained  a  member  of  the  Upper  Canada  Medical 
Board  from  1823  to  1831,  and  at  a  later  date  was 
elected  treasurer  of  the  College  of  Physicians  and 
Surgeons  of  Upper  Canada.  His  house  was 
burned  by  order  of  the  rebel  leaders  during  the 
Rebellion  of  1837,  the  family  barely  escaping  with 
their  lives. 

In  1828  Dr.  Peter  Deihl  an  Edinburgh  graduate 
(1809)  came  from  Montreal  to  be  associated  in 
practice  with  Widmer  and  later  became  a  member 
of  the  Medical  Board.  He  married  a  daughter 
of  Dr.  James  MacAulay.  For  a  short  time  he  was 
an  attending  physician  to  the  Montreal  General 
Hospital  before  coming  to  York. 

From  the  foregoing  remarks  it  will  be  noted 

10 


that  the  military  surgeons  played  an  important 
part  in  the  early  clays  of  the  medical  profession  in 
Upper  Canada.  They  were  men  of  education  and 
culture,  with  an  excellent  practical  training  and 
knowledge  of  the  world  obtained  during  their 
military  service.  They  had  received  their  chief 
education  in  London  and  Edinburgh,  and  some 
of  them  had  studied  in  Paris  as  well. 

After  1825  civilian  doctors  from  I  lie  motherland, 
Canadians  educated  in  American  schools,  or  at 
McGill  University  in  Montreal,  or  under  the 
system  of  apprenticeship,  began  rapidly  to  increase 
in  numbers;  nevertheless,  the  control  and  direc- 
tion of  medical  affairs  for  many  years  remained 
largely  in  the  hands  of  the  military  element. 
Family  ties,  church  and  political  sympathies,,  all 
inclined  the  early  doctors  of  York  toward  the  \ 
party  afterwards  known  as  the  Family  Compact.  \ 
whose  dominating  influence  was  challenged  as  the 
population  of  the  province  rapidly  increased  after 
the  War  of  1812. 

Of  260  doctors  whose  biographies  appear  in 
Canniff's  History  of  the  Medical  Profession  of 
Upper  Canada  from  1783  to  1850,  seventy-one 
were  graduates  of  the  Scottish  universities,  forty- 
three  of  English,  twenty-eight  of  Irish  and  forty 
of  American.  Thirty-nine  had  their  training 
wholly  or  in  part  under  the  old  system  of  appren- 
ticeship, ten  were  graduates  of  McGill,  eleven 
of  the  Rolph  School,  and  a  few  of  King's  College. 

The  estrangement  of  the  American  colonies 
from  the  motherland  had  an  important  bearing 
upon  the  subsequent  evolution  of  the  medical 
profession  of  the  United  States  and  Canada  re- 
spectively which  should  not  be  overlooked.  After 
the  Revolution  the  tendency  on  the  part  of 
American  graduates  was  to  no  to  Paris,. and  at  a 
later  period  to  Vienna  or  Berlin  for  further  study, 
rather  than  to  the  British  schools.  For  this 
reason  continental  influences  exercised  a  more 
powerful  influence  in  moulding  the  ethics,  educa- 
tion and  practice  of  the  American  than  of  the 

11 


J 


..    .  ^a7. 

Canadian  profession,  for  medicine  in  Canada  had 
its  origin  and  received  its  impetus  from  the 
medical  centres  of  the  motherland — especially, 
London,  Edinburgh,  and  Dublin. 

The  political,  religious  and  family  affiliations 
before  noted,  will  suggest  the  causes  of  a  cleavage 
in  the  stormy  days  before  and  after  the  Rebellion 
of  1837,  in  the  ranks  of  the  medical  profession  of 
York  corresponding  to  that  of  the  population  in 
general. 

Dr.  John  Rolph  became  an  outstanding  figure 
among  the  malcontents.  He  was  the  son  of  Dr. 
Thomas  Rolph  who  came  to  Canada  from 
Gloucestershire  about  1810,  settling  in  Norfolk 
county  where  he  acquired  a  large  tract  of  land. 
As  a  youth  of  nineteen,  John  Rolph  was  in  York 
in  1812,  and  during  the  war  acted  as  paymaster  to 
the  forces.  At  the  close  of  the  war  he  returned  to 
England  and  took  up  the  study  of  law  and  medi- 
cine concurrently,  the  former  at  the  Inner  Temple, 
the  latter  at  Guy's  Hospital  under  Sir  Astley 
Cooper.  He  returned  to  Upper  Canada  and 
began  the  practice  of  both  professions  in  Norfolk 
county,  though  he  did  not  pass  the  Upper  Canada 
Medical  Board  until  1828.  At  first  his  interest 
centred  in  law  and  politics.  In  the  former  he 
rose  rapidly  until  he  was  recognized  as  a  leader 
at  the  bar;  was  a  bencher  of  the  Law  Society  of 
Upper  Canada  and  his  political  advancement  was 
marked  by  his  election  as  Reform  member  for 
Middlesex  in  1824.  In  1828,  being  dissastisfied 
with  a  judgment  of  Mr.  Justice  Sherwood,  he 
threw  off  his  gown  and  in  company  with  Dr. 
William  Warren  Baldwin  and  his  son,  Robert 
Baldwin,  left  the  court.  At  this  time,  it  is 
stated,  he  thought  of  entering  the  church  but 
finally  decided  to  devote  his  energies  to  medicine. 
He  practised  for  a  short  time  at  Dundas  but  re- 
moved to  York  in  1831.  The  year  after  Rolph's 
arrival  in  York  is  notable  in  the  medical  history 
of  the  town  from  the  fact  that  it  was  visited  by 
an  epidemic  of  cholera,  the  infection  following  the 

12 


stream  of  immigration  from  Quebec  to  Montreal, 
Kingston  and  finally  to  York. 

Dr.  Strachan,  who  rendered  notable  service  to 
the  stricken  population  states  that  the  epidemic 
raged  from  June  to  October,  during  which  period 
one-fourth  of  the  inhabitants  suffered  from  the 
disease,  of  whom  one-third  died. 

Shortly  after  Rolph's  coming  to  York  he  was 
appointed  a  member  of  the  Medical  Board  of 
Upper  Canada  and  when  the  town  was  incor- 
porated as  the  City  of  Toronto  in  1834,  he  was 
elected  an  alderman.  The  Reformers  had  gained 
a  majority  in  the  council,  and  as  the  aldermen  at 
that  time  selected  one  of  their  own  number  as 
mayor,  it  was  expected  that  Rolph  would  have 
received  the  honour  of  being  chosen  first  chief 
magistrate.  As  the  result  of  a  caucus,  however, 
William  Lyon  Mackenzie  was  selected  and  Rolph 
resigned  from  the  council. 

One  need  not  dwell  on  his  entanglement  in  the 
political  dissensions  culminating  in  the  Rebel- 
lion of  1837,  his  hurried  flight,  facilitated  by  two 
of  his  students,  Henry  Hoover  Wright  and  James 
H.  Richardson,  afterwards  distinguished  as  pro- 
fessors and  practitioners  in  Toronto.  He  prac- 
tised for  six  years  in  Rochester,  when  he  was  par- 
doned and  returned  to  Toronto  in  1843.  The 
remainder  of  Dr.  Rolph's  career  is  intimately 
associated  with  medical  education,  and  will  be 
referred  to  later  in  that  connection.  He  died  at 
Mitchell  in  October,  1870,  at  the  advanced  age  of 
eighty-three  years,  regarded  generally  in  his  pro- 
fession as  an  outstanding  figure,  and  the  most 
brilliant  teacher  among  the  many  distinguished 
men  of  his  time. 

The  necessity  for  providing  facilities  for  the 
training  of  students  of  medicine  was  in  the  minds 
of  those  who  obtained  the  charter  for  King's  Col- 
lege in  1827.  Though  for  political  reasons  it  was 
deemed  unfortunate,  yet  young  men  of  the  prov- 
ince entering  the  profession  of  medicine  were 
forced  by  circumstances  to  go  to  American  schools, 

13 


of  which  Fairfield,  Geneva,  Dartmouth  and 
Jefferson  were  usually  selected;  some  went  to 
McGill  after  its  establishment  in  1824. 

Christopher  Widmer,  John  Rolph,  John  King 
and  other  prominent  doctors  of  York  received 
students  as  apprentices  for  the  whole  or  part  of 
their  training.  Rolph's  capacity  as  a  teacher  was 
early  recognized  and  he  was  urged  to  establish  a 
medical  school  towards  the  maintenance  of  which 
the  governor,  Sir  John  Colbornc,  encouraged  him 
with  the  promise  of  public  support. 

In  1834  Dr.  David  Lithgow,  a  recently  arrived 
graduate  of  Edinburgh  University,  announced  the 
opening  of  a  school  for  the  teaching  of  anatomy, 
surgery  and  medicine,  but  nothing  came  of  this 
premature  enterprise.  The  delay  in  the  establish- 
ment of  King's  College,  and  Rolph's  flight  from 
Canada  after  the  collapse  of  the  Mackenzie 
Rebellion  (1837),  postponed  for  a  time  the 
movement  for  a  medical  school,  though  the  Col- 
lege of  Physicians  and  Surgeons  of  Upper  Canada 
(1839-1841),  strongly  urged  the  necessity  for 
action.  Widmer,  especially,  was  active  in  formu- 
lating plans  for  a  medical  department  in  King's 
College,  and,  due  largely  to  his  efforts,  a  teaching 
faculty  in  medicine  was  organized  when  the 
institution  was  opened  in  1843. 

John  King  was  appointed  professor  of  medi- 
cine; William  R.  Beaumont  of  surgery;  George 
Herrick  of  midwifery;  William  B.  Nicol  of  materia 
medica;  Henry  Sullivan  was  placed  in  charge  of 
practical  anatomy;  W.  C.  Gwyne  of  anatomy  and 
plrysiology  and  James  H.  Richardson  was  made 
demonstrator  of  anatomy.  In  1845  Lucius 
O'Brien  was  appointed  professor  of  medical  juris- 
prudence, and  E.  M.  Hodder  was  added  to  the 
staff. 

On  Rolph's  return  from  Rochester  in  1843  he 
opened  a  school  in  opposition  to  the  newly 
created  medical  faculty  of  King's  College,  and 
between  these  institutions  naturally  there  de- 
veloped a  keen  rivalry.     Rolph  was  ably  sup- 

14 


ported  by  Dr.  Joseph  Workman  who  afterwards 
attained  a  distinguished  position  among  the  medi- 
cal men  of  Toronto.  Other  members  of  the  staff 
of  the  Rolph  school  were  T.  D.  Morrison,  James 
Langstaff,  W.  T.  Aikins  and  W.  B.  Geikie. 

In  1849  King's  College  was  secularized  and  the 
name  changed  to  the  University  of  Toronto  by  the 
Baldwin  Act. 

In  1850  the  Upper  Canada  School  of  Medicine 
was  organized  by  Edward  M.  Hodder,  James 
Bovell,  Francis  Badgley,  Norman  Bethune,  Wil- 
liam Hallowell  and  Henry  Melville  and  soon  after 
it  became  the  medical  department  of  Trinity 
University,  which  had  just  been  established 
under  Anglican  auspices  by  Bishop  Strachan. 
There  were,  therefore,  three  medical  schools  in 
Toronto  in  1850:  (1)  the  medical  department  of 
the  University  of  Toronto;  (2)"tKerToToiifo  School 
of  Medicine,  commonly  known  as  the  Rolph 
School:  and  (3)  the  Upper  Canada  School  of 
Medicine. 

This  multiplicity  of  schools  naturally  did  not 
lessen  the  rivalry;  the  unhappy  case  of  the  medical 
student  of  that  time  is  indicated  in  an  extract 
from  an  editorial  in  the  Medical  Chronicle  of 
Montreal  in  1855:  "Be  he  ever  so  brilliant  his 
fate  may  be  doomed  when  it  is  whispered  that  he 
did  not  attend  'our'  school  and  his  examinations 
cannot  be  begun  without  first  discovering  whose 
classes  he  followed.  Rolph  men  sitting  in  judg- 
ment on  the  Trinit}'-  youths  and  the  Trinity  men 
on  the  Rolph  youths.  The  ex-professors  of 
Toronto  University  struggling  against  both  par- 
ties, or  joining  either  one  as  the  diversion  seemeth 
most  delightful."  That  we  have  not  overdrawn 
the  subject,  we  quote  from  the  correspondent:  "no 
candidate  is  examined  by  his  own  teachers  but 
by  some  of  the  other  members  present,  who  are 
chiefly  connected  with  rival  institutions. "  The  edfc 
torials  in  the  Medical  Chronicle,  however,  indicate 
that  there  existed  a  strong  rivalry,  not  only 
between  McGill  and  the  Toronto  schools,  but  also 

15 


between  the  medical  boards  of  Upper  and  Lower 
Canada. 

In  1853  Rolph  became  a  member  of  the  govern- 
ment of  Sir  Francis  Hincks  and  due  largely  to  his 
influence,  the  medical  department  of  the  Uni- 
versity of  Toronto  was  disestablished  along  with 
the  other  teaching  departments  in  1854.  All  the 
medical  schools  of  the  province  became  affiliated 
with  the  provincial  university  thus  reorganized, 
which  remained  only  an  examining  body  after  the 
pattern  of  the  UniverskVy  of  London. 

The  Toronto  School  of  Medicine  (Rolph 's 
School),  became  the  medical  department  of  Vic- 
toria University  in  1855  with  a  strong  faculty 
including  John  Rolph  (surgery),  Joseph  "Work- 
man (midwifery),  and  W.  T.  Aikins  (anatomy). 

The  medical  department  of  Trinity  went  out  of 
existence  in  1856  and  the  same  year  the  charter 
of  the  Toronto  School  of  Medicine  was  revived  by 
a  number  of  doctors  who  organized  the  institu- 
tion in  affiliation  with  the  University  of  Toronto 
with  Edward  M.  Hodder  as  Dean. 

In  1866  the  Ecole  de  Medicin  et  de  Chirurgie 
of  Montreal,  was  constituted  a  medical  depart- 
ment in  Quebec  of  Victoria  University  and  con- 
tinued in  this  relationship  until  Victoria  federated 
with  the  University  of  Toronto  in  1890. 

In  1868  the  medical  faculty  of  Victoria  was 
constituted  as  follows:  John  Rolph,  medicine  and 
pathology;  Walter  B.  Geikie,  midwifery;  Walter 
Berryman,  materia  medica,  therapeutics  and 
jurisprudence;  John  N.  Reed,  institutes  of  medi- 
cine; John  Sangster,  chemistry  and  botany;  Wil- 
liam Canniff,  surgery  and  surgical  anatomy;  John 
Fulton,  anatomy;  John  King  and  Christopher 
Widmer  Rolph,  clinical  medicine  and  surgery; 
Michael  Barrett,  demonstrator  of  anatomy; 
Thomas  May,  curator  of  the  museum.  The  Vic- 
toria medical  school  was  a  strong  institution 
until  1870  when  a  disagreement  arose ;  "Rolph  and 
Geikie  resigned  from  the  staff  and  the  faculty  was 
eventually  broken  up  in  1875. . 

16 


The  Trinity  faculty  was  re-established  in  1871, 
Hodder  leaving  the  Toronto  School  to  become 
Dean  of  the  resuscitated  institution  and  he  was 
joined  by  W.  B.  Geikie,  Norman  Bethune,  Wil- 
liam R.  Beaumont,  William  Hallowell,  John 
Fulton,  James  A.  Temple,  Arthur  Jukes  Johnson, 
Charles  Covernton,  William  Kennedy  and  Mc- 
Larty.  In  1878  Trinity  obtained  a  charter  as  an 
independent  teaching  body,  closely  associated 
with  Trinity  University  but  affiliated  with  other 
Canadian  universities.  Under  the  leadership  of  1 
W.  B.  Geikie,  Trinity  opposed  state  aid  for 
medical  education  and  a  long  and  acrimonious 
controversy  resulted  before  such  assistance  was 
finally  recognized  as  necessary.  Dr.  J.  A.  Temple 
was  Dean  of  the  Trinity  Medical  School  at  the 
time  of  amalgamation. 

For  many,  years  the  Toronto  School  of  Medi- 
cine continued  to  draw  closer  to  the  University 
of  Toronto  and  finally  became  re-established  as 
its  medical  department  in  1889. 

The  Women's  Medical  College  was  organized  by 
Michael  Barrett  who  was  Dean  from  1884  to  1887. 
It  is  somewhat  bewildering  to  trace  the  fortunes 
and  kaleidoscopic  changes  of  the  various  schools 
and  their  university  connections  between  1850 
and  1875  when  the  Trinity  School  and  the  Toronto 
School  emerged  as  the  only  survivors  of  the 
struggle  for  existence  in  an  overcrowded  field. 

The  movement  toward  federation  of  the  uni- 
versities continued  to  gain  strength  and  a  growing 
appreciation  gradually  developed  of  the  difficulty 
of  adequately  supporting  the  requirements  of 
modern  scientific  training  in  medicine  by  private 
means;  a  sentiment  opposed  to  proprietary  schools 
with  a  desire  to  pave  the  way  for  an  era  of  expan- 
sion, reconstruction  and  reorganization,  lead 
eventually  to  the  amalgamation  of  Trinity  and 
the  Women's  Medical  College  with  the  medical 
department  of  the  University  of  Toronto  in  1903. 
This  school  thus  constituted  has  become  one  of  the 
largest  and  most  important  on  the  continent  with 

17 


between  600  and  700  students  and  over  eighty  of  a 
teaching  staff*. 

The  evolution  of  the  medical  school  as  an 
integral  part  of  the  University,  the  provision  of 
modern  hospital  buildings,  laboratories,  equip- 
ment, adequate  financial  support,  the  oppor- 
tunities for  better  staff-organization,  represent 
the  realization  of  the  visions,  the  efforts  and  the 
sacrifices  of  men  -who  had  done  their  best  under 
more  primitive  conditions.  Those  who  enjoy  the 
fruits  of  their  labours  cannot  in  fairness  fail  to 
recognize  the  good  work  of  the  old  proprietary 
schools  in  training  practitioners  who  served  well 
their  day  and  generation. 

The  recent  epoch  making  discovery  of  insulin 
by  Frederick  G.  Banting  and  his  collaborators — 
Professor  J.  J.  R.  Macleod,  Charles  H.  Best, 
J.  B.  Collip  and  others,  has  directed  the  atten- 
tion of  the  medical  world  to  Toronto,  and  is  too 
well  known  to  require  further  comment.  It 
serves  as  an  indication  of  the  scientific  activities 
of  the  present  time,  and  the  impetus  given  to 
medical  research  by  the  generous  support  of  the 
province  of  Ontario,  the  citizens  of  Toronto  and 
the  Rockefeller  Foundation.  During  the  past 
year,  under  the  leadership  of  Sir  William  Mulock, 
Chancellor  of  the  University,  a  half  million  dollars 
was  raised  to  establish  the  Banting  [Medical  Re- 
search Endowment. 


*Dr.  R.  A.  Reeve  was  first  Dean  of  the  amalgamate  1 
institution  and  discharged  the  duties  of  the  office  at  a 
critical  period  with  marked  ability  and  satisfaction. 


is 


\tt. 


PLEASE  DO  NOT  REMOVE 
CARDS  OR  SUPS  FROM  THIS  POCKET 


UNIVERSITY  OF  TORONTO  LIBRARY 


R 

463 

T6A65 


Anderson,  Harry  Bertram 

A  historical  sketch  of 
the  medical  profession  of 
Toronto 


BioMed.