The CGCOM is the governing body that coordinates and represents the 52 local medical colleges at national and international levels.

These committees are in charge of providing advice regarding their own specialties as well as organising suggestions or audits on the appropriate issues set up by nominated working groups.

The national representatives of the different college sections are as follows: The OMC publishes books and journals that allow Spanish doctors to stay up to date with information and news on professional issues.

In 1875, King Alfonso XII signed a law that made it compulsory for doctors working in Madrid and other Royal Places to be part of a register.

During the next several years the Federation evolved to establish some formal rules when it came to sanction doctors or to settle disagreement between the administration and the Colleges.

During this meeting a project to study the country medical needs (Proyecto de Previsión Nacional) and the statute were signed off.

At the very beginning of the Spanish Civil War, in July 1936, the Ministry of Work and Health dissolved the existing Colleges organization.

By 1967 the official state document announced that the OMC is a guild within public law and is fully independent from the Health Administration.

In 1980 some new medical statutes were approved; the main novelty being that the representatives of the sections within the colleges had their right to voice and vote, and furthermore, all registered doctors can take part in general elections to choose the members of the Council.