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Tena koutou, tena koutou, tena koutou katoa On behalf of the general physicians of Waitemata and wider Auckland we are delighted to invite you to the 2019 New Zealand meeting of the Internal Medicine Society of Australia and New Zealand. Medicine is constantly evolving as we develop new skills, invent new techniques, learn from the past and incorporate lessons from the wider world. This year’s meeting will explore the impact of technology, how we learn from our errors and update our knowledge across a wide spectrum of general medicine. All of this will be offered in inimitable NZ IMSANZ style: good food and company with lively and provoking discussion, all with views across the harbour in the City of Sails