If reputation is as effective as fact (and I’ve come to the conclusion it is), than the University of Nevada Medical School has two problems. First, it must change its reputation, and second, it must change what it actually is. A bad reputation takes longer to cure than a bad performance record. The UNR Medical School, for forty years, has had little or no respect from every other university medical school across this country. And the sad part is, it doesn’t seem to care.