Since the first National Commission for the Speciality of Family and Community Medicine (FCM-NC), created in 1978, seven National Commissions of FCM have been constituted. The National Specialty Commissions are advisory bodies in the field of specialised health training, attached to the National Council of Specialities in Health Sciences of the Ministry of Health. There is a National Commission for each of the 59 specialities currently in existence and they are made up of eleven members. Among their functions is the preparation and updating of the Official Programme for each speciality. Between 2014 and 2024, the sixth and seventh FCM Commissions were constituted. During the sixth National Commissions of FCM, work was done on Royal Decree (RD) 639/2014, which regulated core specialisation ("troncalidad"), core re-specialisation and areas of specific training, although it was annulled by a Supreme Court ruling in 2016. During the seventh National Commissions of FCM, the fourth Official Programme of the Speciality of FCM was drawn up, published in Order PJC/798/2024, of 26 July.