Background: Privacy and confidentiality are essential for high-quality care, fostering trust between patients and healthcare providers. Despite their training status, medical students are equally responsible for upholding these principles. This study investigates medical students’ experiences and attitudes toward patient data privacy.

Methods: This cross-sectional study was conducted at the Faculty of Medicine and Pharmacy of Casablanca from September to November 2024, using a structured, self-administered questionnaire distributed to 4th–7th-year medical students. The questionnaire explored their access to and sharing of patient data during clinical rotations.

Results: A total of 337 students participated, most of whom trained in the university hospital, where paper-based records predominated. Only 11.9% reported good or very good knowledge of data confidentiality. Half of the students accessed patient records, often containing identifiable data, while 90.5% had never signed a confidentiality agreement. Accessing patient data via mobile devices was common, with little professional guidance. Younger students reported poorer confidentiality practices and were more likely to prioritize efficiency over privacy.

Conclusion: This study provides empirical insight into students’ experiences and needs regarding data confidentiality and ethical conduct during clinical training to guide curriculum development and policy in Morocco. Gaps in confidentiality practices and ethical guidance, including mobile use, highlight the necessity of targeted curriculum reform and institutional policies to strengthen professional conduct and data protection.

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