All MSF associations, national, regional and international, are chaired by a president, usually elected by the board of directors from among its members. All board members are elected to the board by association members during the annual General Assembly.
Each association has its own Statutes and Internal Rules, which, among other things, detail the role, term and mandate of the president. Generally, the president chairs the board of directors; is responsible for the good functioning of the association and for the implementation of the decisions of the board and the general assembly; and represents the association externally. Most often, the president has a medical background.
Some presidents are committed to MSF on a full-time basis, while others maintain a full or part-time professional activity outside of MSF. They may be compensated for their time.
MSF International President is elected by the International General Assembly for a three-year term, renewable once.