Even as imaging continues to be increasingly utilized in medical practice, imaging curricula remain unstandardized across universities, with almost three quarters of medical students believing they do not receive enough imaging education. There are large variations in how imaging is taught in medical schools, with one of every six programs having no recognized imaging curriculum. A national study performed in PGY-1 residents demonstrated a lack of confidence in basic imaging skills, such as recognizing abnormal from normal findings and indications for ordering specific tests, as well as understanding adverse effects of contrast agents. This study sought to evaluate the current status of medical imaging education and the impact of recent changes in resource availability throughout the pre-clinical years of medical education at Oregon Health and Science University.