Physician Assistant or Nurse Practitioner - Urgent Care - Spring Township (Part Time 20 hours) St. Luke's Health Network, Inc.Physician Assistant or Nurse Practitioner - Urgent Care - Spring Township (Part Time 20 hours)Reading, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Participates in the teaching of multidisciplinary students (nursing, nurse practitioner, pharmacy, physician assistant, medical, etc.) and physician residents & fellows, ensuring a positive educational environment.
NewAssistant Restaurant Manager Hershey Entertainment & Resorts CompanyAssistant Restaurant ManagerHershey, PAThe space features past and present pieces from the Hersheypark ride collection, one-of-a-kind views of neighboring attractions, and a second-story patio and bar. Hire, train, and motivate staff; ensure staff are knowledgeable about current offerings and promotions in order to maximize sales.*.
Patient Safety Assistant (Part Time, Evenings) Penn MedicinePatient Safety Assistant (Part Time, Evenings)Lancaster, PAThis includes patients with compromised judgment pertaining to their safety and wellbeing as it relates to falls; interference with therapeutic equipment; patients who may need companions due to their state of confusion or agitation; and/or patients at risk for self-harm or elopement. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Patient Safety Assistant (Part Time, Nights) Penn MedicinePatient Safety Assistant (Part Time, Nights)Lancaster, PAThis includes patients with compromised judgment pertaining to their safety and wellbeing as it relates to falls; interference with therapeutic equipment; patients who may need companions due to their state of confusion or agitation; and/or patients at risk for self-harm or elopement. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Patient Safety Assistant - Float Pool - Day and Night shift WellSpan HealthPatient Safety Assistant - Float Pool - Day and Night shiftYork, PAProvides one on one observation for patients who are high risk elopement patients, patients that require behavioral management, suicidal patients or any other patient requiring one on one observation. Obtains verbal report from the patient's nurse to include information regarding the patient's identified care needs to work collaboratively with the care team.
Patient Safety Assistant - Float Pool - Evening WellSpan HealthPatient Safety Assistant - Float Pool - EveningYork, PAProvides one on one observation for patients who are high risk elopement patients, patients that require behavioral management, suicidal patients or any other patient requiring one on one observation. Obtains verbal report from the patient's nurse to include information regarding the patient's identified care needs to work collaboratively with the care team.
Safety Coordinator Science Museum GroupSafety CoordinatorYork, PAThe Science Museum Group encompasses the Science Museum, the National Railway Museum, the Science and Industry Museum, the National Science & Media Museum, Locomotion and the Science and Innovation Park; making us the world's greatest alliance of science museums. Working with a world-leading museum group that offers access to truly unique environments and collections, you'll benefit from the perks listed below, as well as full support for life events such as parental and adoption leave, sickness, and career breaks.
Patient Service Coordinator (Medical Assistant/Front Office Role University of Pittsburgh Medical CenterPatient Service Coordinator (Medical Assistant/Front Office RoleYork, PAClinical Support: Assist nursing staff with patient care in a limited capacity, including rooming patients, taking vital signs, and helping maintain exam rooms and clinical areas to support efficient patient flow. Front Office Excellence: Serve as the first point of contact for patients by greeting and registering them, scheduling appointments, verifying insurance, and collecting co-pays, while delivering a welcoming and professional experience in a fast-paced environment.
Physician Assistant Unify Health ServicesPhysician AssistantYork, PAUnify Health Services is a women-owned, national workers’ compensation and disability network committed to promoting employee health, safety, and wellness through onsite clinical services and workplace prevention programs. We are seeking an experienced Industrial Medical Provider (Physician Assistant or Nurse Practitioner) to deliver onsite healthcare to employees in an industrial environment.
Assistant Transportation Coordinator - Reading Senior LIFEAssistant Transportation Coordinator - ReadingReading, PennsylvaniaFull timeCoordinators are expected to be available to family members consistently, and to exhibit strong listening and problem solving skills to best educate participants in services as well as upcoming appointments, activities and schedule planning. In facilitating and implementing all transportation services, the Assistant Transportation Coordinator is essential to the success of this mission, ensuring all members have transport to the center and, with it, the host of medical, social, and physical benefits associated.
Industrial Medical Assistant - PRN Unify Health ServicesIndustrial Medical Assistant - PRNYork, PAUnify Health Services is a women-owned, national workers’ compensation and disability network dedicated to helping businesses create healthier, safer workplaces. We are seeking an Industrial Medical Assistant to support onsite employee health services in an industrial setting.
Geriatric Nursing Assistant GreenLife Healthcare StaffingGeriatric Nursing AssistantRising Sun, MDWe are seeking compassionate and dedicated Per-Diem Geriatric Nursing Assistants (GNAs) to fill available shifts at a Nursing and Rehabilitation Center in Rising Sun, MD. Soft Skills: Compassion, patience, strong communication skills, reliability, attention to detail, and the ability to work effectively as part of a healthcare team.
Assistant Project Manager/Construction Manager - Lancaster, PA EAD Management Services IncAssistant Project Manager/Construction Manager - Lancaster, PALancaster, PAFull timeProvide consistent and reliable PM/CM support to EAD's client by leading and managing cross-disciplined project teams comprised of engineers, vendors, subcontractors, owners, suppliers, and any other project stakeholders throughout the execution of the project(s). The ideal candidate will have a strong background in project management within the manufacturing sector, excellent organizational skills, and a proven track record of successfully overseeing projects from inception to completion.
Nursing Assistant - Oncology - UPMC Community Osteopathic University of Pittsburgh Medical CenterNursing Assistant - Oncology - UPMC Community OsteopathicHarrisburg, PAMaintains an environment conducive to patient safety and recovery including, but not limited to, completing safety checks, keeping the department and patient rooms clean and organized, cleaning department specific equipment, changing bed linens, emptying linen hampers, keeping hallways clear of equipment and returning equipment. Acquires and distributes supplies and equipment to facilitate patient care delivery including, but not limited to, performing messenger functions, ordering, charging/crediting supplies, setting up patient care equipment within the scope of the nursing assistant position and stocking patient rooms and unit supply areas.
Nursing Assistant - Intermediate Care Unit (Harrisburg Hospital University of Pittsburgh Medical CenterNursing Assistant - Intermediate Care Unit (Harrisburg HospitalHarrisburg, PAMaintains an environment conducive to patient safety and recovery including, but not limited to, completing safety checks, keeping the department and patient rooms clean and organized, cleaning department specific equipment, changing bed linens, emptying linen hampers, keeping hallways clear of equipment and returning equipment. Acquires and distributes supplies and equipment to facilitate patient care delivery including, but not limited to, performing messenger functions, ordering, charging/crediting supplies, setting up patient care equipment within the scope of the nursing assistant position and stocking patient rooms and unit supply areas.
Nursing Assistant, NS - Resource Pool (Harrisburg Hospital University of Pittsburgh Medical CenterNursing Assistant, NS - Resource Pool (Harrisburg HospitalHarrisburg, PAMaintains an environment conducive to patient safety and recovery including, but not limited to, completing safety checks, keeping the department and patient rooms clean and organized, cleaning department specific equipment, changing bed linens, emptying linen hampers, keeping hallways clear of equipment and returning equipment. Acquires and distributes supplies and equipment to facilitate patient care delivery including, but not limited to, performing messenger functions, ordering, charging/crediting supplies, setting up patient care equipment within the scope of the nursing assistant position and stocking patient rooms and unit supply areas.
Nursing Assistant, NS - Intermediate Care Unit (Harrisburg Hospital University of Pittsburgh Medical CenterNursing Assistant, NS - Intermediate Care Unit (Harrisburg HospitalHarrisburg, PAMaintains an environment conducive to patient safety and recovery including, but not limited to, completing safety checks, keeping the department and patient rooms clean and organized, cleaning department specific equipment, changing bed linens, emptying linen hampers, keeping hallways clear of equipment and returning equipment. Acquires and distributes supplies and equipment to facilitate patient care delivery including, but not limited to, performing messenger functions, ordering, charging/crediting supplies, setting up patient care equipment within the scope of the nursing assistant position and stocking patient rooms and unit supply areas.
Nursing Assistant - Neurology Unit (Harrisburg Hospital University of Pittsburgh Medical CenterNursing Assistant - Neurology Unit (Harrisburg HospitalHarrisburg, PAMaintains an environment conducive to patient safety and recovery including, but not limited to, completing safety checks, keeping the department and patient rooms clean and organized, cleaning department specific equipment, changing bed linens, emptying linen hampers, keeping hallways clear of equipment and returning equipment. Acquires and distributes supplies and equipment to facilitate patient care delivery including, but not limited to, performing messenger functions, ordering, charging/crediting supplies, setting up patient care equipment within the scope of the nursing assistant position and stocking patient rooms and unit supply areas.
Medical Assistant Lead - Neurology York - Full Time WellSpan HealthMedical Assistant Lead - Neurology York - Full TimeYork, PAMonitors monthly clinical check lists to ensure that delegated quality checks are being performed and, when found to be out of normal range, are handled in a timely and effective manner. Ensures the required documentation of quality control inspections are completed, which may include documentation of temperature readings, expiration date assessment and the maintenance of emergency supplies and equipment.
Medical Assistant Lead - Neurosurgery York - Full Time WellSpan HealthMedical Assistant Lead - Neurosurgery York - Full TimeYork, PAMonitors monthly clinical check lists to ensure that delegated quality checks are being performed and, when found to be out of normal range, are handled in a timely and effective manner. Ensures the required documentation of quality control inspections are completed, which may include documentation of temperature readings, expiration date assessment and the maintenance of emergency supplies and equipment.
Milieu Management Assistant WellSpan HealthMilieu Management AssistantYork, PAAPPs All APPs CRNAs Nursing All Nursing Experienced Nurses Nursing Support Graduate Nurses Nursing Students Behavioral Health Allied Health All Allied Health Imaging Careers Laboratory Services Rehab Services Respiratory Therapists EM Careers Heart Careers OR Careers. Demonstrates leadership through collaboration with other team members, maintaining positive solution-focused communication, taking initiative, leading by example, demonstrating open and consistent communication, understanding of diagnosis and clinical interventions, and investing in the development and growth of staff and the program.
Administrative Assistant - Level 3 US_AGS LancesoftAdministrative Assistant - Level 3 US_AGSMarietta, PA$1Proactively reviewing visa requirements prior to visits and designing detailed itineraries featuring key contacts, shuttle/transfer details, lodging, meeting locations, restaurant reservations, and proactively send out necessary maps and directions to visitors. Track and follow up on action items and decisions from governance meetings and proactively create visibility and clarity to areas of attention and where support is needed, including tracking milestones, risks and dependencies across multiple workstreams.
NewCertified Nursing Assistant (CNA) / Home Health Aide (HHA) Care Options For KidsCertified Nursing Assistant (CNA) / Home Health Aide (HHA)Lancaster, PennsylvaniaMaintain a clean, safe, and healthy environment, which may include light cleaning and straightening of the bathroom, straightening the sleeping and living areas, washing the patient's or client's dishes or laundry, and such tasks to maintain cleanliness and safety for the patient or client. As the leading pediatric community healthcare system, we provide dedicated, compassionate therapy, nursing, and support that integrates into children's lives and creates limitless possibilities for our growing team of clinicians.
Nurse Practitioner / Physician Assistant - Christiana Care NICU Children's Hospital of PhiladelphiaNurse Practitioner / Physician Assistant - Christiana Care NICUDE$115,060–$152,450 / yearp>In collaboration with an attending physician, the Hospital Provider Nurse Practitioner / Physician Assistant is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. In collaboration with neonatologists, nurses, and a multidisciplinary team, the APP will perform advanced clinical assessments, initiate and manage treatment plans, and contribute to ongoing quality improvement and clinical excellence.
Nurse Practitioner / Physician Assistant - Cardiology Clinic Children's Hospital of PhiladelphiaNurse Practitioner / Physician Assistant - Cardiology ClinicLancaster, PA$104,600–$138,600 / yearp>The APP will work within the multidisciplinary clinical team to provide individualized patient care through history and physical assessment, ordering and interpreting diagnostic tests, medication ordering, prescribing and management, formulating diagnoses and patient/family education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings.
Assistant Store Manager The Salvation ArmyAssistant Store ManagerEast York, Pennsylvania$17–$17The in-residence rehabilitation program focuses on basic necessities with every man or woman being provided a clean and healthy living environment, good food, work therapy, leisure time activities, group and individual counseling, and spiritual direction. The Salvation Army Adult Rehabilitation Center is seeking an Assistant Store Manager to assist the Store Manager with managing store operations and in supervision of store personnel.
Assistant Project Manager - Jr. Estimator McCarl's Inc.Assistant Project Manager - Jr. EstimatorHarrisburg, PAFull timeYou'll work side-by-side with senior project managers, learning how to develop estimates, manage schedules, and support projects from bid through completion. This role is ideal for someone with hands-on experience in construction, painting/coatings, or manufacturing who is looking to build a career in project management and estimating.
QUALITY CONTROL ASSISTANT Champion PersonnelQUALITY CONTROL ASSISTANTLEBANON, PAResponsible for administrative operations pertaining to food safety & quality, ensuring that all procedures are implemented and documented . - Quality Control assistant needed for Lebanon area food mfg/packager .
Assistant General Manager - Burger King Applegreen USA Welcome Centers Central ServicesAssistant General Manager - Burger KingNewark, DEEnsure the day-to-day supervision of non-management associates, assigning specified work, focusing on store level operation performance, coaching, and developing shifts supervisors. The Assistant General Manager helps the General Manager to ensure that day-to-day business operations run smoothly.
Assistant General Manager - Popeyes Applegreen USA Welcome Centers Central ServicesAssistant General Manager - PopeyesNewark, DEEnsure the day-to-day supervision of non-management associates, assigning specified work, focusing on store level operation performance, coaching, and developing shifts supervisors. The Assistant General Manager helps the General Manager to ensure that day-to-day business operations run smoothly.
NewAssistant Estimating Manager JobotAssistant Estimating ManagerEast York, PA$105,000–$115,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Our client, a long-established and expanding leader in structural steel fabrication and erection, is seeking an Assistant Estimating Manager to play a key role in driving project success and supporting a team of dedicated estimators.
Assistant Construction Manager Aspen Technical Staffing, IncAssistant Construction ManagerReading, PAThe ideal candidate will assist Senior Project Managers with cost management, project coordination, scheduling, construction oversight, and stakeholder communication across multiple active projects. This contract-to-hire opportunity offers hands-on involvement in complex electrical utility projects while working alongside experienced project and construction management professionals.
Assistant General Manager - Retail Applegreen USA Welcome Centers Central ServicesAssistant General Manager - RetailNewark, DEEnsure the day-to-day supervision of non-management associates, assigning specified work, focusing on store level operation performance, coaching, and developing shifts supervisors. The Assistant General Manager helps the General Manager to ensure that day-to-day business operations run smoothly.
Assistant Construction Manager ESPO CorporationAssistant Construction ManagerReading, PA$47–$49 / hourThe Assistant Project Manager is responsible for supporting Senior Project Managers with cost management of individual projects, the successful completion of the projects within the specified dates, and establishing and maintaining a professional and satisfactory relationship with the Owner, subcontractors, and any other project stakeholders. Report regularly to the Lead Project Manager and Client on construction progress, cost and schedule metrics, procurement issues, safety or environmental concerns, design questions, potential impacts, and any issues requiring home office support.
Physician Assistant - Staff or Senior - UPMC Leader Surgical Associates (York, PA) University of Pittsburgh Medical CenterPhysician Assistant - Staff or Senior - UPMC Leader Surgical Associates (York, PA)york, PALicensure, Education, Certifications, and ClearancesPhysician Assistant (PA: A graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the physician assistant (ARC-PA is required BS or MS candidate is preferred Experience as a physician assistant and/or experience in a clinical setting is preferred Current state PA license certified by the National Commission on Certification of Physician Assistants (NCCPA is required Current CPR certification is required Act 33 Clearance will be required Act 73 Clearance will be required Act 34 Clearance required Senior Level Minimum 3 years of experience or Completion of a post-graduate residency Graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the physician assistant (ARC-PA program is required BS or MS preferred for PA Completion of National Certification Must achieve a Solid/Strong/Good performance rating or higher on annual performance evaluation for consideration and to maintain status annually Completion of an OAPP approved professional contribution within one year of hire or promotion into the position. A career path that provides you with the right experience to be successful in the position you want to obtain now and, in the futureHealth and welfare benefits like medical, vision, dental, and life and disability, and an exceptional retirement programWork life balance to help manage other important aspects of your life such as: PTO, wellness programs, paid parental leaveCompetitive pay for the work that you do - base pay, merit, and premium paySign-on Bonus available if applicableStaff/Senior Level:The Staff or Senior Advanced Practice Provider (APP is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team.
Patient Care Assistant-Joint Replacement (Part Time, Evenings) Penn MedicinePatient Care Assistant-Joint Replacement (Part Time, Evenings)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Patient Care Assistant-Supplemental Staff (Full Time, Evenings) Penn MedicinePatient Care Assistant-Supplemental Staff (Full Time, Evenings)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Certified Nursing Assistant 7am-7:30pm Acadia Healthcare Co IncCertified Nursing Assistant 7am-7:30pmReading, PAApply de-escalation techniques to help manage patient's emotions, behavior and participation in treatment and assist with seclusion and restraints when necessary. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current Certified Nursing Assistant (CNA) certification or license, per state requirements.
Patient Care Assistant-5F General Surg & Bariatric (Full Time, Nights) Penn MedicinePatient Care Assistant-5F General Surg & Bariatric (Full Time, Nights)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Patient Care Assistant-Observation Unit (Full Time, Nights) Penn MedicinePatient Care Assistant-Observation Unit (Full Time, Nights)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Patient Care Assistant-Observation Unit (Part Time, Nights) Penn MedicinePatient Care Assistant-Observation Unit (Part Time, Nights)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Student Nurse Patient Care Assistant (PRN, Casual Hours) Penn MedicineStudent Nurse Patient Care Assistant (PRN, Casual Hours)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Physician Assistant or Nurse Practitioner (PRN) Medcor IncPhysician Assistant or Nurse Practitioner (PRN)PATo preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. The clinic provides a broad scope of services including the diagnosis and treatment of workers compensation injuries and illnesses, urgent care, surveillance and regulatory exams, and preventative services.
Patient Care Assistant-5EW CT Surgery Peripheral Vasc (Full Time, Days) Penn MedicinePatient Care Assistant-5EW CT Surgery Peripheral Vasc (Full Time, Days)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Patient Care Assistant-4L Joint Replacement (Part Time, Nights) Penn MedicinePatient Care Assistant-4L Joint Replacement (Part Time, Nights)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Geriatric Nursing Assistant Greenlife Healthcare StaffingGeriatric Nursing AssistantMillers, MD$22,700–$45,500We are seeking compassionate and dedicated Per-Diem Geriatric Nursing Assistants (GNAs) to fill available shifts at a Nursing and Rehabilitation Center in Manchester, MD. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Patient Care Assistant-Oncology (Part Time, Nights) Penn MedicinePatient Care Assistant-Oncology (Part Time, Nights)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Patient Care Assistant-ABBCI Medical Clinic (Full Time, Days) Penn MedicinePatient Care Assistant-ABBCI Medical Clinic (Full Time, Days)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Patient Care Assistant-7 North (.5FTE, Days) Penn MedicinePatient Care Assistant-7 North (.5FTE, Days)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).
Patient Care Assistant-6L Intensive Care (Part Time, Evenings) Penn MedicinePatient Care Assistant-6L Intensive Care (Part Time, Evenings)Lancaster, PAAssist patients with personal hygiene needs and/or provide activities of daily living, comfort measures including changing linen, providing safe environment for mobility and ambulation, and maintaining a clean and orderly patient environment. Completion of the educational requirements (additional formal education/training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training).