; and (2) in clause (ii), by striking 14-day period and inserting 10-day period . 8. Direct hiring authority for medical center directors and VISN directors (a) In general Section 7401 is amended by adding at the end the following new paragraph: (4) Medical center directors 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) is amended by inserting and 7401(4) after 7306 . 9. 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 Section 7461(b)(2) 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 is amended— (1) in subsection (b)— (A) in paragraph (1)— (i) in subparagraph (A), by striking At least 30 and inserting Ten business ; and (ii) in subparagraph (B)— (I) by striking A reasonable time, but not less than seven days and inserting The opportunity, within the ten-day notice period ; and (II) by striking orally and ; (B) in paragraph (3)— (i) by striking (A) If a proposed adverse action covered by this section is not withdrawn and inserting After considering the employee’s answer, if any ; (ii) by striking 21 days and inserting 5 business days ; (iii) by striking answer. The decision shall include a statement of and inserting answer stating ; and (iv) by striking subparagraph (B); and (C) in paragraph (4)— (i) by striking (A) The Secretary and all that follows through (B) The Secretary and inserting The Secretary