Academic integrity is a cornerstone of modern education, ensuring the quality of learning and shaping the ethical standards of future professionals. This is particularly crucial in medical education, where adherence to academic integrity directly impacts the safety and quality of future healthcare practices. This literature review examines contemporary approaches to promoting academic integrity in medical universities and explores factors that contribute to its violation among medical students. The findings highlight the multifactorial nature of academic dishonesty, driven by individual, institutional, social, cultural, and technological factors. Key challenges include the misuse of artificial intelligence tools, high academic stress, and a lack of awareness regarding the ethical and professional implications of academic misconduct. The study underscores the importance of implementing comprehensive strategies, such as promoting a culture of integrity, improving plagiarism detection systems, and enhancing ethics education, to mitigate academic dishonesty and foster a strong foundation for ethical medical practice.