WASHINGTON (AP) — President Donald Trump fired Veterans Affairs Secretary David Shulkin on Wednesday and nominated White House doctor Ronny Jackson to replace him in the wake of a bruising ethics scandal and a mounting rebellion within the agency.

A Navy rear admiral, Jackson is a surprise choice to succeed Shulkin, a former Obama administration official and the first non-veteran ever to head the VA. Trump had been considering replacements for Shulkin for weeks, but had not been known to be considering Jackson for the role.

In a statement, Trump praised Jackson as “highly trained and qualified.” It was a decision that signaled Trump chose to go with someone he knows and trusts, rather than the candidate with the longest resume, to run a massive agency facing huge bureaucratic challenges.

Jackson has served since 2013 as the physician to the president, one of the people in closest proximity to Trump day in and day out.

Trump had considered several others for the post, including conservative “Fox & Friends” contributor Pete Hegseth. The White House was hopeful Jackson will have a smoother confirmation process because he was chosen for his current position during former President Barack Obama’s administration.

But a major veterans’ organization expressed concern over Shulkin’s dismissal and Trump’s intention to nominate Jackson, whom they worried lacked experience to run the huge department.

“We are disappointed and already quite concerned about this nominee,” said Joe Chenelly, the national executive director of AMVETS. “The administration needs to be ready to prove that he’s qualified to run such a massive agency, a $200 billion bureaucracy.”

“I respect President Trump’s decision, support the president’s agenda and remain willing to work with anyone committed to doing the right thing on behalf of our nation’s veterans,” Roe said. “I am in the process of reaching out to Dr. Jackson and I look forward to building a strong relationship with him also.”

Shulkin is the second Cabinet secretary to depart over controversies involving expensive travel, following former Health and Human Services Secretary Tom Price’s resignation last September. Trump said in a statement he is “grateful” for Shulkin’s service.

He had agreed to reimburse the government more than $4,000 after the VA’s internal watchdog concluded last month that he had improperly accepted Wimbledon tennis tickets and that his then-chief of staff had doctored emails to justify his wife traveling to Europe with him at taxpayer expense. Shulkin also blamed internal drama at the agency on a half-dozen or so rebellious political appointees, insisting he had White House backing to fire them.

Having pushed through legislation in Trump’s first year making it easier to fire bad VA employees and speed disability appeals, Shulkin leaves behind a department in disarray. Several projects remain unfinished, including a multibillion-dollar overhaul of electronic medical records aimed at speeding up wait times for veterans seeking medical care as well as expanded mental health treatment for veterans at higher risk of suicide.

Trump selected Robert Wilkie, undersecretary of defense for personnel and readiness, to serve as the acting head of the VA.

The VA is government’s second-largest department, responsible for 9 million military veterans in more than 1,700 government-run health facilities. The selection of Wilkie bypasses VA Deputy Secretary Tom Bowman, who has come under criticism for being too moderate to push Trump’s agenda of fixing veterans’ care.

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Associated Press writers Jill Colvin and Jonathan Lemire contributed to this report.

Trump ousts Shulkin from Veterans Affairs, taps his doctor

By HOPE YEN and ZEKE MILLER, Associated Press