Changes to Canadian Dietetic Education Models 1993-2021

Purpose: There have been many changes to both academic and practical aspects of dietetic education in Canada since 1993. This study sought to document and explore major changes. Methods: Key informants (n = 22) identified through purposeful sampling completed semi-structured interviews, using a draft timeline based on a literature review. Recordings were transcribed, coded, and analyzed thematically using a social ecologic framework. Results: Five main themes emerged: (i) challenges with the traditional dietetic education model; (ii) emergence of champions for change; (iii) barriers and facilitators for change; (iv) shift towards integration; and (v) increasing access for diverse populations. The interviews supported that changes had been driven by a need to increase access to dietitians and to improve the capacity and sustainability of dietetic education. Conclusions: The past thirty years have been marked by changes in the organization and delivery of dietetic education in Canada, mainly through collaborations of university programs with health system and community partners. Overall, dietetic education programs have increased their capacity and sustainability. By doing so, they have improved access and better positioned the profession to meet the needs of diverse populations. These findings provide context for dietitians, educators, and students to prepare for future development of the profession.