(Downsized) It has laid off some 250 people and eliminated 700 positions but is still state government's largest employer. (Cuts) Tight dollars and tighter budgets have compelled program reductions. (Degrees) Even so, it schools more clinicians and health professionals, and treats more patients, than any other facility in Arkansas. (UAMS) The Med Center, where it stands, where the new man at the top wants to take it.