The main purposes of COSGP are to foster the exchange of ideas, information, and problem-solving for issues that affect individual colleges of osteopathic medicine, and to effectively communicate and represent the osteopathic medical student perspective to professional and educational organizations such as AACOM and AOA.

In addition to the executive board, six Representative Officers are appointed: Legislative Affairs, Medical Education, Research, Programs, Communications, and Public Relations and Website.

Student Government Presidents of every osteopathic medical schools comprise the general council of the COSGP.

Past seminar speakers include Senator Joe Heck, DO, from the Nevada State Senate, who spoke about "Leadership and Political Activity as a Physician," and Jay Kirkham, OMS II from AZCOM, and a former lobbyist on Capitol Hill, who spoke about the 2008 Presidential Election regarding each candidate's views on healthcare.

[5] Also in 2011, the Student Government Council passed a resolution through the AOA House of Delegates to commit to establishing and supporting tobacco-free osteopathic medical college campuses.