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,G ®mer Mi uttI man From: Sent: Subject: Dear Budget Directors, Roger Mittleman Wednesday, January 16, 2019 1:01 PM 'Jhill@stlucieco.org'; 'MSMYKOWSKI@IRCGOV.COM'; jmanning@martin.fl.us'. 'rchartier@co.okeechobee.fl.us' Notice of Necessary Increased Temporary Professional Staffing I am sad to say that I will be retiring on April 30, 2020 and my associate Dr. Linda O'Neil will be retiring on January 31, 2020. We are fully funded for three physician positions. However, the third position is vacant because the pathologist resigned in August of 2018. This will soon leave the Medical Examiner's devoid of any professional services unless action is taken. I am in the process of hiring two new Associate ME's to replace Dr. O'Neil and the vacant Associate ME position. At the appropriate time, I will begin the process of notification to the Medical Examiner's Commission for my replacement. Forensic Pathologists are at a national shortage and are difficult to find. Competition for such highly trained physicians is fierce. It is essential, therefore, that I have already begun this process and will continue to seek replacement of these positions. To that effect, we must hire two recently graduated forensic pathologists to begin July 1, 2019 (training programs end June 30, 2019). More experienced, acceptable pathologists have not applied. Be use of the above we will require extra professional coverage from July 1, 2019 until at least January 31, 2020..I am these complex decisions to prevent a catastrophe of insufficient professional coverage and this additional - temporary staffing will effect next year's budget. We have sufficient coverage for this fiscal year. It is impossible for one doctor to cover this office and has become nearly impossible for two doctors to cover this office for any extended period of time. More information will be forthcoming in the budget letter and meetings. 1 101