Basil Boulton
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Basil Cartwright Boulton (March 6, 1938 to January 3, 2008) was a
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pediatrician Pediatrics (American English) also spelled paediatrics (British English), is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, pediatrics covers many of their youth ...
, child health advocate, and local politician in
Victoria, British Columbia Victoria is the capital city of the Provinces and territories of Canada, Canadian province of British Columbia, on the southern tip of Vancouver Island off Canada's Pacific Ocean, Pacific coast. The city has a population of 91,867, and the Gre ...
.


Early years

Basil Boulton was born in
Consort, Alberta Consort is a village in eastern Alberta, Canada. It is located at the intersection of Highway 12 and Highway 41, approximately 250 km (155 mi) southeast of Edmonton, 252 km (157 mi) northeast of Calgary, and 283 km (176 mi) west of Saskatoon. Th ...
, Canada, the youngest of seven children. He grew up on
Gabriola Island Gabriola Island is one of the Gulf Islands in the Strait of Georgia in British Columbia (BC), Canada. It is about east of Nanaimo on Vancouver Island, to which it is linked by a 20-minute ferry service. It has a land area of about and a resi ...
, located in
British Columbia British Columbia is the westernmost Provinces and territories of Canada, province of Canada. Situated in the Pacific Northwest between the Pacific Ocean and the Rocky Mountains, the province has a diverse geography, with rugged landscapes that ...
's
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(now named the
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), where he developed a love of nature at an early age. His family cleared and developed Somerset Farm, which remains the largest working farm on
Gabriola Island Gabriola Island is one of the Gulf Islands in the Strait of Georgia in British Columbia (BC), Canada. It is about east of Nanaimo on Vancouver Island, to which it is linked by a 20-minute ferry service. It has a land area of about and a resi ...
, occupying over 400 acres or 162 hectares. Boulton attended secondary school in
Nanaimo Nanaimo ( ) is a city of about 100,000 on the east coast of Vancouver Island, in British Columbia, Canada. "The Harbour City" was previously known as the "Hub City", which was attributed to its original layout design with streets radiating fr ...
, on
Vancouver Island Vancouver Island is an island in the northeastern Pacific Ocean and part of the Canadian province of British Columbia. The island is in length, in width at its widest point, and in total area, while are of land. The island is the largest ...
.


Education and residency

Boulton attended the
University of British Columbia The University of British Columbia (UBC) is a Public university, public research university with campuses near University of British Columbia Vancouver, Vancouver and University of British Columbia Okanagan, Kelowna, in British Columbia, Canada ...
in
Vancouver Vancouver is a major city in Western Canada, located in the Lower Mainland region of British Columbia. As the List of cities in British Columbia, most populous city in the province, the 2021 Canadian census recorded 662,248 people in the cit ...
,
British Columbia British Columbia is the westernmost Provinces and territories of Canada, province of Canada. Situated in the Pacific Northwest between the Pacific Ocean and the Rocky Mountains, the province has a diverse geography, with rugged landscapes that ...
, graduating from medical school in 1963. He enjoyed summer breaks in the
Gulf of Alaska The Gulf of Alaska ( Tlingit: ''Yéil T'ooch’'') is an arm of the Pacific Ocean defined by the curve of the southern coast of Alaska, stretching from the Alaska Peninsula and Kodiak Island in the west to the Alexander Archipelago in the ...
working on
halibut Halibut is the common name for three species of flatfish in the family of right-eye flounders. In some regions, and less commonly, other species of large flatfish are also referred to as halibut. The word is derived from ''haly'' (holy) and ...
boats. Initially planning on a career in general practice, Boulton's first clinical experience was with Dr. Jack Pickup in
Alert Bay Alert Bay is a village on Cormorant Island, near the town of Port McNeill on northeast Vancouver Island, in the Regional District of Mount Waddington, British Columbia, Canada. Demographics In the 2021 Canadian census conducted by Statist ...
on northern
Vancouver Island Vancouver Island is an island in the northeastern Pacific Ocean and part of the Canadian province of British Columbia. The island is in length, in width at its widest point, and in total area, while are of land. The island is the largest ...
, whom he described as a "true individual" who taught him "to think beyond the textbooks in dealing with real life situations." Pickup was known as the "Flying Doctor of British Columbia", who learned to fly in 1950 and purchased an airplane to "reach sick and injured people in the many villages and camps of the region he served" who were spread out over 10,000 square kilometres. One writer said that beyond Pickup's main claim to fame, he was also "a teacher,
Alert Bay Alert Bay is a village on Cormorant Island, near the town of Port McNeill on northeast Vancouver Island, in the Regional District of Mount Waddington, British Columbia, Canada. Demographics In the 2021 Canadian census conducted by Statist ...
's Mayor, a skilled classical and jazz pianist and dry wit whose behaviour occasionally bordered on curmudgeonly." Boulton spent the following two years in Canada's first General Practice residency program at the
Montreal General Hospital The Montreal General Hospital (MGH) () is a hospital in Montreal, Quebec, Canada established in the years 1818–1820. The hospital received its charter in 1823. It is currently part of the McGill University Health Centre (MUHC) and is located ...
in
Montreal Montreal is the List of towns in Quebec, largest city in the Provinces and territories of Canada, province of Quebec, the List of the largest municipalities in Canada by population, second-largest in Canada, and the List of North American cit ...
,
Quebec Quebec is Canada's List of Canadian provinces and territories by area, largest province by area. Located in Central Canada, the province shares borders with the provinces of Ontario to the west, Newfoundland and Labrador to the northeast, ...
, which he said "took the starch out of me with an exhausting alternate night call blur of sleeplessness lasting the next two years." He enjoyed two rotations away. He spent four months in
Sherbrooke Sherbrooke ( , ) is a city in southern Quebec, Canada. It is at the confluence of the Saint-François River, Saint-François and Magog River, Magog rivers in the heart of the Estrie administrative region. Sherbrooke is also the name of a territ ...
,
Quebec Quebec is Canada's List of Canadian provinces and territories by area, largest province by area. Located in Central Canada, the province shares borders with the provinces of Ontario to the west, Newfoundland and Labrador to the northeast, ...
, under the wing of Dr. Robert Paulette, whom Boulton described as "one of the most capable surgeons I have known. He taught me qualities of care and caring that have stayed with me through life." The second rotation in 1964 in
Charlotte, North Carolina Charlotte ( ) is the List of municipalities in North Carolina, most populous city in the U.S. state of North Carolina and the county seat of Mecklenburg County, North Carolina, Mecklenburg County. The population was 874,579 at the 2020 United ...
was where Boulton found his calling in
pediatrics Pediatrics (American English) also spelled paediatrics (British English), is the branch of medicine that involves the medical care of infants, children, Adolescence, adolescents, and young adults. In the United Kingdom, pediatrics covers many o ...
. Boulton stated, "for the first time, I found
Pediatrics Pediatrics (American English) also spelled paediatrics (British English), is the branch of medicine that involves the medical care of infants, children, Adolescence, adolescents, and young adults. In the United Kingdom, pediatrics covers many o ...
was fun. I did more for children in my first four months than I did in the remaining two years of residency spent caring for adults. This was striking not only in lives saved but more so in life years saved and disabilities and disease prevented for later adult life." Dr. Bryant Galusha, then Pediatric Director of what later became the
Carolinas Medical Center Carolinas Medical Center, formally known as Atrium Health Carolinas Medical Center, is an 874-bed non-profit, tertiary, research and academic medical center located in Charlotte, North Carolina, servicing the southern North Carolina, northern So ...
, "taught me to enjoy and understand the pediatric literature and gave me the confidence to trust in my own ability. I learned that pediatrics was both fun and academically stimulating." But in those "early days of racial integration in the southern U.S.A", Boulton was struck by the "huge array of medical problems among those too poor to afford private medical care." Homesick for
Vancouver Vancouver is a major city in Western Canada, located in the Lower Mainland region of British Columbia. As the List of cities in British Columbia, most populous city in the province, the 2021 Canadian census recorded 662,248 people in the cit ...
, he declined an offer to stay on as Director of Pediatric Education. In 1967, Boulton spent his third year of residency in pediatrics at
Vancouver General Hospital Vancouver General Hospital (locally known as VGH, or Vancouver General) is a medical facility located in Vancouver, British Columbia. It is the largest facility in the Vancouver Hospital and Health Sciences Centre (VHHSC) group of medical facili ...
's Health Care Center for Children. Boulton had been awarded a
Queen Elizabeth II Elizabeth II (Elizabeth Alexandra Mary; 21 April 19268 September 2022) was Queen of the United Kingdom and other Commonwealth realms from 6 February 1952 until Death and state funeral of Elizabeth II, her death in 2022. ...
Fellowship to work with Dr. Denny Vince in pediatric cardiology. The head of pediatrics was Dr. Sidney Israels, whom Boulton described as "more knowledgeable in basic science and pathophysiology than any other clinical pediatrician I have known. He taught us to think." Israels was a major force in the later creation of the first Children's Hospital in the province,
British Columbia Children's Hospital British Columbia Children's Hospital is a medical facility located in Vancouver, British Columbia, and is an agency of the Provincial Health Services Authority. It specializes in health care for patients from birth to 16 years of age (possibly l ...
.


Medical practice and teaching career

In 1969, Boulton moved to
Victoria, British Columbia Victoria is the capital city of the Provinces and territories of Canada, Canadian province of British Columbia, on the southern tip of Vancouver Island off Canada's Pacific Ocean, Pacific coast. The city has a population of 91,867, and the Gre ...
, where he established a medical practice as the "first pediatrician in Victoria with skills in the emerging fields of modern neonatal and intensive care," a work which grew to become "one of the busiest critical care pediatric practices in the province." Boulton had particular interest in children facing
poverty Poverty is a state or condition in which an individual lacks the financial resources and essentials for a basic standard of living. Poverty can have diverse Biophysical environmen ...
who might have complex health issues, and worked in the areas of
First nations First nations are indigenous settlers or bands. First Nations, first nations, or first peoples may also refer to: Indigenous groups *List of Indigenous peoples *First Nations in Canada, Indigenous peoples of Canada who are neither Inuit nor Mé ...
health,
child abuse Child abuse (also called child endangerment or child maltreatment) is physical abuse, physical, child sexual abuse, sexual, emotional and/or psychological abuse, psychological maltreatment or Child neglect, neglect of a child, especially by a p ...
and
fetal alcohol syndrome Fetal alcohol spectrum disorders (FASDs) are a group of conditions that can occur in a person who is exposed to alcohol during gestation. FASD affects 1 in 20 Americans, but is highly misdiagnosed and underdiagnosed. The several forms of the ...
. Eventually Boulton became chief of pediatrics at the
Royal Jubilee Hospital Royal Jubilee Hospital is a 500-bed general hospital in Victoria, British Columbia, Canada, located about east of the city centre, in the Jubilee neighbourhood (itself named after the hospital). Overview Its name commemorates the Golden Jubile ...
as well as the Queen Alexandra Centre for Children's Health. Boulton was the first physician in Victoria with a clinical academic appointment from the
University of British Columbia The University of British Columbia (UBC) is a Public university, public research university with campuses near University of British Columbia Vancouver, Vancouver and University of British Columbia Okanagan, Kelowna, in British Columbia, Canada ...
and to train pediatric residents at Victoria's
Royal Jubilee Hospital Royal Jubilee Hospital is a 500-bed general hospital in Victoria, British Columbia, Canada, located about east of the city centre, in the Jubilee neighbourhood (itself named after the hospital). Overview Its name commemorates the Golden Jubile ...
. Later he initiated clinical training of third year medical students at
Victoria General Hospital Victoria General Hospital (VGH) is an acute care facility located in View Royal, British Columbia, Canada, a western suburb of Victoria Victoria most commonly refers to: * Queen Victoria (1819–1901), Queen of the United Kingdom and Empress ...
. Boulton continued to teach as a clinical professor of pediatrics throughout his career. A colleague described Boulton as "intense and detailed in his practice of medicine, taking every symptom of a patient very seriously. And he always sought the best possible investigation and treatment." Boulton described his time with his patients as a
sacred Sacred describes something that is dedicated or set apart for the service or worship of a deity; is considered worthy of spiritual respect or devotion; or inspires awe or reverence among believers. The property is often ascribed to objects ( ...
place: "I found myself in a
sacred Sacred describes something that is dedicated or set apart for the service or worship of a deity; is considered worthy of spiritual respect or devotion; or inspires awe or reverence among believers. The property is often ascribed to objects ( ...
place in being able to touch and impact the lives of so many people." When Boulton was with a child patient, that child was "the most special person in the world, my favourite patient. Whenever somebody came, you had to find out what their special need or ability was, and deal with that, and it varied so much." He found that the children he could help most were children with
cancer Cancer is a group of diseases involving Cell growth#Disorders, abnormal cell growth with the potential to Invasion (cancer), invade or Metastasis, spread to other parts of the body. These contrast with benign tumors, which do not spread. Po ...
: "Maybe you couldn't give them the medicine, but you could give them a piece of yourself." Although he practiced medicine for 35 years, he remembered almost every child patient by name. He told an interviewer, "I have to give you names because that's how I think of my kids. Not 'a kid with
cerebral palsy Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. Signs and symptoms vary among people and over time, but include poor coordination, spasticity, stiff muscles, Paresis, weak muscles, and tremors. There may b ...
.'" Boulton continued active practice until 2004.


Testifying as expert witness

Boulton frequently testified in court as an expert witness regarding the consultations he had with his clients. Some published cases include: *Speer v. Sather (2001 BCSC): Boulton's medical report was considered in a negligence action arising from the alleged shaking of the child plaintiff by her foster mother; the court declined an application to adjourn the trial. *Zhu v. Zhu (1998 BCSC): Boulton's evidence was considered in assessing damages sustained by a child in a motor vehicle collision. *Rhoule v. Walters (1997 BCSC): Boulton's report was considered in assessing damages from severe dog bite or bites to a child. *Forsythe v. Hai (1993 BCSC): Boulton's evidence was involved in the court's finding that there was no sexual abuse of a three-year-old child.


Leadership and advocacy for child health

In 1977, Boulton led a campaign to improve pediatric and maternity services in the Victoria, B.C. region. At the time, services were split between two major hospitals, the former St. Joseph's Hospital and the
Royal Jubilee Hospital Royal Jubilee Hospital is a 500-bed general hospital in Victoria, British Columbia, Canada, located about east of the city centre, in the Jubilee neighbourhood (itself named after the hospital). Overview Its name commemorates the Golden Jubile ...
. The result was a "single, well-equipped and staffed, integrated unit" at the new
Victoria General Hospital Victoria General Hospital (VGH) is an acute care facility located in View Royal, British Columbia, Canada, a western suburb of Victoria Victoria most commonly refers to: * Queen Victoria (1819–1901), Queen of the United Kingdom and Empress ...
. In 1980, together with former Deputy Minister of Health, James Mainguy, Boulton co-authored a comprehensive study of child health care in the Capital Region of British Columbia. As a result, all child health services throughout the region were coordinated years before regional Health Authorities were formed. The study also resulted in the creation of a Child and Family Ambulatory Unit at
Victoria General Hospital Victoria General Hospital (VGH) is an acute care facility located in View Royal, British Columbia, Canada, a western suburb of Victoria Victoria most commonly refers to: * Queen Victoria (1819–1901), Queen of the United Kingdom and Empress ...
, and the establishment of child and adolescent psychiatric services at Ledger House. In the 1990s, Boulton participated in a service mission as part of a
Christian Medical and Dental Society A Christian () is a person who follows or adheres to Christianity, a monotheistic Abrahamic religion based on the life and teachings of Jesus Christ. Christians form the largest religious community in the world. The words ''Christ'' and ''Chr ...
delegation providing supplies and expertise to doctors in
Cuba Cuba, officially the Republic of Cuba, is an island country, comprising the island of Cuba (largest island), Isla de la Juventud, and List of islands of Cuba, 4,195 islands, islets and cays surrounding the main island. It is located where the ...
. The team worked with the Cuban Ministry of Health and Cuban doctors to improve the health and welfare of children in Cuba. Boulton was active on many boards and committees that promoted the interests of children, including the READ Society, which promotes literacy; and the
Sail and Life Training Society The Sail and Life Training Society (SALTS), founded in 1974, is a non-profit Christianity, Christian organization based in Victoria, British Columbia. SALTS provides sail training and life lessons for 1,700 young people each year on tall ships ...
, a
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organization providing learning experiences to young people on
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. He chaired the British Columbia Medical Association's Child and Youth Health Committee, and served on its Council of Health Promotion. He also served as a director of the Greater Victoria Hospital Society. After retiring from medical practice, Boulton continued to advocate for children's health. For several years, he advocated for a bill of health care rights for children and youth in British Columbia, which he was working on at the time of his death. At that time, he was also working on a "pilot program in the schools that combined a mental health team, medical team, and educators to better support children."


Municipal politics

Boulton became increasingly active in the Township of
Esquimalt The Township of Esquimalt () is a municipality at the southern tip of Vancouver Island, in British Columbia, Canada. It is bordered to the east by the provincial capital, Victoria, British Columbia, Victoria, to the south by the Strait of Jua ...
, located on the west border of
Victoria, British Columbia Victoria is the capital city of the Provinces and territories of Canada, Canadian province of British Columbia, on the southern tip of Vancouver Island off Canada's Pacific Ocean, Pacific coast. The city has a population of 91,867, and the Gre ...
. He was elected to the municipal council, where he served from 1999-2002 and 2005 until his death. In his role as councillor, Boulton continued to advocate for children in the broader community on the Capital Region Family Court Committee and the Action Team for Sexually Exploited Youth.


Family

Boulton married Marilyn, his wife of 46 years, while in medical school. They had four children. Boulton was also survived by nine grandchildren and five siblings.


Honours and awards

Some awards that Boulton received during his lifetime include: *2002 -
Queen Elizabeth II Golden Jubilee Medal The Queen Elizabeth II Golden Jubilee Medal () or the Queen's Golden Jubilee Medal was a commemorative medal created in 2002 to mark the 50th anniversary of Queen Elizabeth II's accession in 1952. The Queen Elizabeth II Golden Jubilee Medal was ...
awarded for Boulton's work as an advocate for children. The Medal "was awarded to Canadians who have made outstanding and exemplary contributions to their communities or to Canada as a whole. The award focuses both on the achievements of those people who, over the past 50 years, have helped create the Canada of today, and on the achievements of younger Canadians who are actively contributing to our future." *2004 - British Columbia Medical Association (BCMA) Silver Medal of Service. This award is given to members with long and distinguished service to the BCMA, and/or outstanding contributions to medicine and/or medical/political involvement in British Columbia or Canada. *2006 - Wallace Wilson Leadership Award of the
University of British Columbia The University of British Columbia (UBC) is a Public university, public research university with campuses near University of British Columbia Vancouver, Vancouver and University of British Columbia Okanagan, Kelowna, in British Columbia, Canada ...
Medical Alumni Association. This award is "presented to a graduate who has demonstrated high ethical standards and outstanding leadership to the profession." Awards granted posthumously include: *2008 - Canadian Paediatric Society's Certificate of Merit. These awards "recognize members who have made exceptional contributions to the health of children and youth at a regional level." *2008 - British Columbia Medical Association's Excellence in Health Promotion Award, given for "extraordinary results in promoting health and wellness in British Columbia". Nov. 30, 2009 saw the publication of a report named in Boulton's honour: ''The Boulton Initiative: A Child Rights Approach to Canadian Child Health Services: Final Report''. "The initiative began as part of Dr. Basil Boulton's dream to make child rights a central theme and way of life for health professionals" (p. 5). The International Institute for Child Rights and Development (IICRD) and the
University of British Columbia The University of British Columbia (UBC) is a Public university, public research university with campuses near University of British Columbia Vancouver, Vancouver and University of British Columbia Okanagan, Kelowna, in British Columbia, Canada ...
's Department of Pediatrics worked together to create a plan "for a national initiative to incorporate a child rights approach into the education, policies and practices of Canadian child and youth health services" (p. 4). The 2012-2013 annual report of the IICRD states that for child medical professionals in Canada, existing partners were awaiting "first stage systems and curriculum development" at the University of Florida Medical School. Boulton's family was instrumental in creating the Basil Boulton Memorial Scholarship, awarded annually to a third or fourth year Island Medical Program student interested in pediatrics or international health. The Island Medical Program is the
University of British Columbia The University of British Columbia (UBC) is a Public university, public research university with campuses near University of British Columbia Vancouver, Vancouver and University of British Columbia Okanagan, Kelowna, in British Columbia, Canada ...
's MD undergraduate program delivered in collaboration with the
University of Victoria The University of Victoria (UVic) is a public research university located in the municipalities of Oak Bay, British Columbia, Oak Bay and Saanich, British Columbia, Canada. Established in 1903 as Victoria College, British Columbia, Victoria Col ...
, the provincial government and health authorities."About the Island Medical Program"
Island Medical Program, accessed Sept. 16, 2014.


Quotations


On a bill of health care rights for children and youth

"Adults are deeply affected by their childhoods. Many chronic diseases originate in childhood, and lifelong disabilities may be prevented with good perinatal and pediatric care. Issues of growth and development influence later mental health and intellectual capacity. Health care provisions built on an understanding of children and youth can avoid or lessen many of these problems.... A Bill of Health Care Rights for Children and Youth will assist Ms
Mary Ellen Turpel-Lafond Mary Ellen Elizabeth Turpel-Lafond (born February 1963) is a Canadian lawyer and law professor. She has served as a judge and as a legislative advocate for children's rights. Turpel-Lafond has been a legal and constitutional adviser to aborig ...
, BC's new Children's Representative. The bill will provide a level playing field for children and youth who must depend on services directed and provided by government. The consequences of failing to rise to the challenge of providing adequate health care to these children are profound." - ''Each of once us was once a child'', 2007.


On child abuse

"Society has been concerned about the maltreatment of children for millennia, but it is only in recent times that doctors have developed the scientific basis for the recognition and understanding of
child abuse Child abuse (also called child endangerment or child maltreatment) is physical abuse, physical, child sexual abuse, sexual, emotional and/or psychological abuse, psychological maltreatment or Child neglect, neglect of a child, especially by a p ...
.... The medical system should not be complacent. Doctors should not opt out or be excluded from areas where they ought to contribute. Family doctors and specialists caring for children need to continually improve their skills in the recognition, diagnosis, and management of
child abuse Child abuse (also called child endangerment or child maltreatment) is physical abuse, physical, child sexual abuse, sexual, emotional and/or psychological abuse, psychological maltreatment or Child neglect, neglect of a child, especially by a p ...
, and
multidisciplinary An academic discipline or academic field is a subdivision of knowledge that is taught and researched at the college or university level. Disciplines are defined (in part) and recognized by the academic journals in which research is published, ...
specialized teams need to be available in each health region.... Turf protection and jurisdictional concerns must not be allowed to interfere." - ''A bill of health care rights for children and youth?'', 2006.


On broken promises to children

"For more than 40 years the Canadian government has guaranteed
medical care Health care, or healthcare, is the improvement or maintenance of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is deliver ...
as a right to all Canadian citizens. This promise has not been honored for children and youth, and this needs to be rectified.... Children and youth need effective diagnostic, assessment, and treatment services available as close to their homes as possible in order to provide for their care and to support their families, daycares, preschools, schools, protection services, and community agencies. Failure to provide adequate developmental and mental health services for children results in greater lifelong disability, adverse health outcomes, increased dysfunctionality in adults, as well as increased costs manifested through lost productivity, broken relationships, and antisocial behavior. The inequality and discrepancy in health services provided for children and youth is evidenced in the allocation of health care dollars. The 0 to 19-year-old age group represents more than 25% of the population in British Columbia but receives less than 10% of the health care budget.... Children are the custodians of our future. They must no longer be left at the back of the line." - ''A bill of health care rights for children and youth?'', 2005.


References

{{DEFAULTSORT:Boulton, Basil Canadian pediatricians University of British Columbia Faculty of Medicine alumni 1938 births 2008 deaths