The story of the Massachusetts Board of Registration in Medicine is one of revitalization and success. Since 1999 the agency has been reenergized and refocused after years of poor performance that had undermined our credibility in the eyes of the legislature, health care professionals and the public. By every measure, the agency has earned a restoration of that lost credibility. 2004 continued the trend of improvement and innovation. New information technology applications, revised licensing forms and processes, better records management and the largest number of disciplined physicians in the history of the Board all contributed to make 2004 another year.