; and (2) in clause (ii), by striking 14-day period and inserting 10-day period . 207. Direct hiring authority for medical center directors and VISN directors (a) In general Section 7401 of title 38, United States Code, is amended by adding at the end the following new paragraph: (4) Directors of medical centers and directors of Veterans Integrated Service Networks with demonstrated ability in the medical profession, in health care administration, or in health care fiscal management. . (b) Conforming amendment Section 7404(a)(1) of such title is amended by inserting and 7401(4) after 7306 . 208. Time periods for review of adverse actions with respect to certain employees (a) Physicians, dentists, podiatrists, chiropractors, optometrists, registered nurses, physician assistants, and expanded-Function dental auxiliaries Paragraph (2) of section 7461(b) of title 38, United States Code, is amended to read as follows: (2) In any case other than a case described in paragraph (1) that involves or includes a question of professional conduct or competence in which a major adverse action was not taken, such an appeal shall be made through Department grievance procedures under section 7463 of this title. . (b) Major adverse actions involving professional conduct or competence Section 7462(b) of such title is amended— (1) in paragraph (1)— (A) in the matter preceding subparagraph (A), by inserting , within the aggregate time period specified in paragraph (5)(A), after is entitled ; (B) in subparagraph (A)— (i) by striking At least 30 days advance written notice and inserting Advance written notice ; (ii) by striking and a statement and inserting a statement ; and (iii) by inserting and a file containing all the evidence in support of each charge, after with respect to each charge, ; and (C) in subparagraph (B), by striking A reasonable time, but not less than seven days and inserting The opportunity, within the time period provided for in paragraph (4)(A)