The timely theme for the 2019 SGIM Annual Meeting is “Courage to Lead: Equity, Engagement, and Advocacy in Turbulent Times.” This year’s meeting will, as always, encompass the breadth of general internal medicine, including health services research, medical education, population health, and excellence in hospital-based and primary care. In addition, this meeting will highlight the contributions generalists can make to advance health equity, patient and community engagement, and high-value care. We intend the 2019 Meeting to be a venue to discuss how generalists can proactively lead collaborative efforts—within our clinics, health systems, classrooms, and communities—to advance health, well being, and equity.