WASHINGTON (AFP) - Secretary of Veterans Affairs David Shulkin is the latest member of US President Donald Trump's cabinet to be shown the door, with speculation rife over who might be next.
Here are the senior members of Trump's government who have departed since the Republican leader took office on January 20, 2017.
NATIONAL SECURITY ADVISOR MICHAEL FLYNN
Michael Flynn, a retired lieutenant general, entered the White House with a cloud over him - he had been fired by Barack Obama as defense intelligence chief.
Flynn was also being investigated for his contacts with Russians and eventually pleaded guilty to lying to the FBI.
Flynn lasted only 22 days as national security advisor.
He was forced out on February 13, 2017 amid concerns that he could be compromised by false statements he made over his contacts with Russian officials and his paid lobbying for Turkey during the campaign.
CHIEF OF STAFF REINCE PRIEBUS
Reince Priebus, the bland former chairman of the Republican National Committee, was supposed to manage the White House workflow and control the door to Trump's office.
But Priebus, who was never a member of Trump's inner circle, couldn't manage the tweeting president himself, and the West Wing sank into chaos.
Priebus made his exit on July 31, to be replaced by retired Marine Corps general Kelly, who has been credited with bringing a measure of discipline to the Oval Office - though some say his future is also in doubt.
CHIEF STRATEGIST STEVE BANNON
The architect of Trump's nationalist-populist campaign and his election victory, White House chief strategist Steve Bannon was nicknamed the Prince of Darkness and the Shadow President.
His economic nationalism became the lynchpin of Trump policies, even as many of his other ideas were rebuffed by policy rivals.
After Kelly arrived, Bannon's constant clashes with other advisors became untenable, as did his ties to the extreme right, which drew accusations that Trump fostered racists. Bannon left on August 18.
TOP ECONOMIC ADVISOR GARY COHN
Gary Cohn, a former president of investment bank Goldman Sachs, resigned as Trump's top economic advisor on March 6, 2018 in protest against the president's decision to levy new global trade tariffs.
A long-time Democrat, Cohn had always been an uneasy fit in an administration propelled to power by strident nationalism.
Trump's decision to impose the steep tariffs on imports of steel and aluminum was the final straw for the former Wall Street banker.
The first eruption of tensions with Trump came last year when the president balked at condemning neo-Nazis and far-right extremists who had led a violent rally in Virginia in August. Cohn, who is Jewish, said he considered resigning.
SECRETARY OF STATE REX TILLERSON
Rex Tillerson was fired by Trump on March 13, ending a rocky tenure as the nation's top diplomat for the former chief executive of Exxon.
Tillerson was frequently at odds with the mercurial president and Trump said that while the pair got along "quite well," they "disagreed on things" - notably the Iran nuclear deal.
During his brief stay at Foggy Bottom, Tillerson frequently found himself out of the loop and caught unawares by policy shifts announced in Trump tweets.
A top aide said Tillerson did not speak to the president before his firing was announced and was not given a reason for his dismissal.
NATIONAL SECURITY ADVISOR H.R. MCMASTER
H.R. McMaster, a lieutenant general in the US Army who gained fame for a landmark book blaming politicians for the American debacle in Vietnam, leaves his post on April 9.
Trump tweeted that McMaster "has done an outstanding job," but he never really clicked with the president, who bristled at the general lecturing on policy.
Perhaps the final straw came when McMaster, echoing the consensus of the US intelligence establishment, told a conference that the evidence was "incontrovertible" that Russia meddled in the 2016 election, drawing a public rebuke from Trump, who is hyper-sensitive to the implication that Moscow aided his victory.
Secretary of Veterans Affairs David Shulkin
David Shulkin headed the Department of Veterans Affairs (VA), the second-largest US federal agency, which has a reputation for deep dysfunction and which Trump - who has closely courted military votes - promised to reform.
He was a holdover from president Barack Obama's administration, under which he was the VA's undersecretary of health. Shulkin was under fire for spending US$122,000 on a trip to Europe that included a visit to watch Wimbledon tennis matches and sightseeing at castles. An inspector general found the department improperly paid for his wife to tag along.
Continuing a tradition of announcing personnel changes via social media, Trump tweeted on March 28 that Shulkin would be replaced by the White House doctor.
