Completion of a surgical assistant or surgical technologist certification, including but not limited to a certified ophthalmic surgical assisting credential issued by the International Joint Commission on Allied Health Personnel in Ophthalmology or its successor organization, that is accredited by the National Commission for Certifying Agencies OR . The primary service lines include but are not limited to: Cardiothoracic, General Surgery, Surgical Oncology, Colorectal, Bariatric, Gynecology, Oral Maxillofacial, Neurosurgery, Spine, Orthopedic, Otolaryngology, Plastics, Transplant, Urology, Vascular, Gender Affirmation, and Trauma.