College Faculties are based on geographical areas are centred round Auckland, Waikato, Hawke's bay, Wellington, Nelson/Marlborough, Canterbury and Otago-Southland and allow members to be involved in discussion and decision-making at a regional level. There are also seven sub-faculties which provide local opportunities for connection and collaboration. All College members are automatically assigned to a regional faculty and will receive information about faculty activities directly.

The College has a Maori representative group known as Te Akoranga a Maui. Te Akoranga a Maui is made up of College members who self-identify as Maori and have a Maori whakapapa. Membership is optional.
The College currently has three chapters based on major national areas of practice:
Each Faculty appoints two representatives to Council.
| Faculties | Sub-Faculties |
| Te Akoranga a Maui Chairperson: Dr Bryn Jones Secretary: Dr Tangimoana Habib Council Representatives: Dr Jim Vause & Dr Tane Taylor |
|
| Rural General Practitioners' Chapter Chairperson: Dr Campbell Murdoch Honorary Treasurer and Secretary: Dr George Tripe National Advisory Council Representative: Dr Jo Scott-Jones |
|
| Division of Rural Hospital Medicine Faculty Council Chairperson: Dr Stephen Main Board of Studies Chairperson: Dr James Reid |
|
| Northland Faculty Chairperson: Dr Kyle Eggleton Secretary: Dr Kyle Eggleton |
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| Auckland Faculty Chairperson: Dr Ashwin Patel Secretary: Dr Chandrakkanth Jayaraman Council Representatives: Dr Chandrakkanth Jayaraman & Dr Ashwin Patel |
|
| Waikato Faculty Chairperson: Dr Liza Lack Secretary: Dr Ralph Wiles Council representatives: Dr Sean Barklie & Dr Cecile de Groot |
Tairawhiti Sub-Faculty Chairperson: Dr David Somerton Secretary: Dr Moira Cunningham |
| Hawkes Bay Faculty Chairperson: Dr Penny Henley Secretary: Dr Mark Peterson |
|
| Wellington Faculty Chairperson: Dr Jane Burrell Treasurer: Dr Tim Marsland Secretary: John Monro Council Representatives: Dr Richard Tyler |
Wairoa Sub-Faculty Chairperson: Dr Colin Chilvers Secretary: Dr Brian Underwood Taranaki Sub-Faculty Chairperson: Dr Johan Peters Secretary: Dr Peter Catt Whanganui Sub-Faculty Chairperson: Dr John Kay Secretary: Dr Alastair Wilson Manawatu Sub-Faculty Chairperson: Dr Martin Minnee Secretary: Dr John Drake |
| Nelson/Marlborough Faculty Chairperson: Dr Kae Bennetts Secretary: Dr Tony Eames |
|
| Canterbury Faculty Acting Chairperson:Dr Jason Pryke Secretary: Josie Toop Council Representatives: Dr David Pilbrow & Professor Les Toop |
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| Otago-Southland Faculty Chairperson: Dr Lilian van Alphen Secretary: Dr Jim Ross Council Representative: Dr Jim Ross & Dr Lilian Van Alphen |
Southland Sub-Faculty |
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