Introduction: Excessive alcohol consumption among medical students is a matter of concern, not only because of possible personal harm, but also due to the development and structuring of cognitive-behavioral and emotional skills, damage to public assets, and violence, but also due to the negative impact on their performance doctor. Objective: Evaluate the pattern of alcohol use by medical school students and analyze risk zones according to age, gender and stage attended in college. Methods: This work followed a descriptive observational study model, in which the instrument Audit (Alcohol Use Disorders Identification Test) was applied among students from the first to the fourth years of a medical course. Results: In total, 282 students participated in the survey. Considering the zones defined by Audit, the following distribution was observed: 144 students (51.1%) were in zone I, 92 (32.6%) in zone II, 25 (8.9%) in zone III, and 21 students (7.4%) in zone IV of alcohol consumption. There was a significant difference between genders, with a higher proportion of harmful use (zones III and IV) among men, compared to women (p=0.046). There was no significant difference between risk zones and age (p = 0.787), as well as the stage followed, although there was a trend towards a higher proportion of harmful use in the first two years of the course (p=0.063). Conclusion: This study opened perspectives for new follow-up studies to be carried out, with educational measures implemented by trained professionals.

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