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."
New York City Fire Department
Like most fire departments of major cities in the United States, the New York City Fire Department is organized in a paramilitary fashion, and in many cases, echoes the structure of the police department. The department's executive staff is divided into two areas that include a civilian Fire Commissioner who serves as the head of the department and a Chief of Department who serves as the operational leader. The current Fire Commissioner is Daniel A. Nigro, who succeeded Salvatore J. Cassano in June 2014. The executive staff includes several civilian deputy commissioners who are responsible for the many 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.