The Presidency and Secretariat function of the UEMO rotates from member organisation to member organisation on a four-yearly basis. Starting in Belgium, the host organisation for UEMO moved to The Netherlands, France, Great Britain, Germany, Denmark, Ireland, Portugal, Italy and Sweden.

On 1st January 2023 the Portuguese Delegation assumed the Presidency and Secretariat function for the period 2023-2026.

The Presidency of UEMO consists of the President, the Secretary-General and the Treasurer from the host country. In addition, four Vice-Presidents are attached to the Presidency.

The order of rotation of the Presidency and Secretariat is decided by the General Assembly.

The four Vice-Presidents are also elected for a four-year term of office and are not re-eligible.

The President, Secretary-General and Treasurer are responsible for implementing the decisions of the UEMO General Assembly, preparing meetings of the General Assembly, conducting the daily work of UEMO, and maintaining contacts between UEMO and the relevant European authorities, the Standing Committee of European Doctors and other international organisations.

The Vice-Presidents are responsible for advising and assisting the Presidency in planning and analysing UEMO work and policy and, at the request of the President, representing UEMO at international meetings and on other occasions. Except by special dispensation, all political officers of UEMO must be general practitioners active in medical practice.

The UEMO is directed by a Board composed of at least three members, which has all management and administrative powers. The Board manages the assets of the association and represents it in all judicial and other acts, through the intermediary of its President.

The Board has the power of preparing administrative or political decisions for the General Assembly, of implementing decisions taken by the General Assembly and of adopting decisions except those reserved to the General Assembly.

The official organs of the UEMO are the General Assembly, the Board and two internal auditors.

The General Assembly shall consist of up to six delegates from each of the member organisations. Each delegation shall have the right to one vote (art.9, Statute).

The General Assembly is empowered to make all relevant political and organisational decisions concerning the UEMO in accordance with the Statutes (art.10, Statute).

The annual budget will be adopted by the autumn General Assembly each year. The basic contribution shall be determined on a yearly basis when the overall budget is fixed by the General Assembly.

The General Assembly shall elect from amongst its national delegations two auditors.

The UEMO shall normally hold a General Assembly twice a year, in spring and autumn. The General Assembly shall be called and chaired by the President.

An extraordinary General Assembly must be called if requested by at least one fifth of the delegations