Young adults are more likely to have experimented with electronic cigarettes (EC) and underestimate their risks. The on-line survey adapted from American Survey on Tobacco and Alternative Tobacco Products included questions about the personal use of EC, perceptions about the harms and their role in disease causation, education and cessation training and practices related to classical cigarettes (CC), electronic cigarettes (EC) and alternative tobacco products (ATP). The questionnaire filled in 577 medical students (71.9% women) from Comenius University in Bratislava, the average age was 23±2yrs. The sample comprised of 486 (84.2%) Slovak and 91 (15.8%) foreign students; 385 were (66.7%) non-smokers, 111 (19.3%) ex-smokers and 81 (14 %) current smokers. EC currently use 13.5 % medical students, more males than females (22.2% vs 10.12%; OR 2.53, 95% CI 1.55−4.13), more foreign students than Slovak students (24.2% vs 11.52; OR 2.44, 95% CI 1.41−4.26), more smokers of classical cigarettes than non-smokers (46.9% vs 8.06%; OR 10.07, 95% CI 5.85−17.34). EC seems to be less harmful to 59.97 % students, mostly in the age groups ≤ 24 (61.76% vs 51.49%; OR 1.46, 95% CI 1.03−2.07), 41.25% of students consider EC to be less addictive, 55.6% think they do not get enough education on EC during their medical study. The results show the high consumption of tobacco products and the lack of knowledge and awareness among medical students.