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."
Organization of the New York City Fire Department
The Department's executive staff is divided into two areas including a civilian fire commissioner who is in charge of the Department and a Fire Chief who is the operational lead. The current fire commissioner is Daniel A. Nigro. and the current Chief of Department is James E. Leonard. The 28-member executive staff includes the civilian deputy commissioners who are responsible for administrative bureaus within the Department, along with the Chief of Department, Chief of Fire Operations, Chief of EMS, Chief Fire Marshal, Chief of Training and other staff chiefs. Staff chiefs include the seven citywide tour commanders, the Chief of Fire Prevention, and the Chief of Safety.