The Supervisory Medical Instrument Technician - Supervisory Echocardiography/Electrocardiography (ECG) Technician, is a highly skilled professional who will have full supervisory responsibility for all echocardiography technologists as well as ECG technicians within the Cardiology Section, VA Medical Center, San Francisco. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. Certification. At this level, it is highly desirable that supervisors poss