There is a lack of data about the levels of satisfaction among medical students in regards to their academic activities in Malaysia. Therefore, the objective of this study was to fill the gap in the existing knowledge. A cross sectional study was carried out at the International medical school, the Management and Science University of Malaysia, from December 2011 to February 2012. A total of 200 medical students were participated in this study through random sampling. The questionnaires used in this study consisted of socio-demographic questions and questions about the existing academic system. The study found that, despite there was the satisfaction by medical students from some academic aspects, improvements in other areas, such as providing digital library and career counseling, are urgently needed. The present study provides the world community with factual information about the current situation in medical education in Malaysia. The results of the study might assist Malaysian administrators and authorities in better decision making.