The NZMSA executive is composed of representatives that are elected from Auckland, Wellington, Christchurch and Dunedin medical schools.

NZMSA represents medical students on many levels, from universities to government representation.

[citation needed] The president is elected annually by the NZMSA Executive and holds the position for one year.

Source:[2] NZMSA issues two awards per year to a nominated member of the association.

[3] This is awarded to "an individual or group of students who have started the most innovative and successful project for that preceding academic year".