District of Columbia Fire and Emergency Medical Services Department
In June 2015, Jullette M. Saussy was named the medical director of DC Fire and EMS. On January 29, 2016, she announced her resignation from that position in a letter to Mayor Muriel Bowser. In her letter, she called the department's culture "highly toxic to the delivery of any semblance of quality pre-hospital medical care."
Detroit Fire Department
By the end of March 2014, Commissioner Jackson resigned due to a life-threatening neural disease. On April 8, 2014, Deputy Commissioner Edsel Jenkins was named as the new Executive Fire Commissioner. He resigned in October 2015, and was succeeded in office by Eric Jones.