ACM's Management Team

Dr. Geoff Tothill
Chief Medical Officer, International Medical Group

Dr. Tothill received his Medical Doctorate from Guys Hospital Medical School of London. He has more than 25 years of experience in both the clinical setting and emergency assistance services. His clinical experience includes aviation medicine; orthopedic surgery; neurosurgery; cardiothoracic surgery; and emergency medicine. Dr. Tothill also has more than 20 years of experience working in emergency assistance services, including providing in-flight care for multiple air ambulance evacuations. He is a senior clinical lecturer and course director for Aeromedical Retrieval and Aviation Medicine at the University of Otago in New Zealand, and a permanent faculty member of the Clinical Consideration in Aero-Medical Transfer (CCAT) course in the UK. In addition, he is a licensed single- and multi-engine pilot and an avid skydiver.

Dr. Ian Ashley
Medical Director, AkesoCare

Dr. Ashley has more than 20 years of clinical experience practicing in emergency medicine, also serving as the medical director in ER. During his tenure, he has served on the hospital’s Quality Monitoring Committee, honing his skills in developing and utilizing quality assessment and performance improvement programs as well as clinical pathways as they relate to standards of care. With 10 years of experience performing clinical reviews, Dr. Ashley has gained the knowledge and expertise to enhance his ability to oversee the AkesoCare Utilization Review team. Dr. Ashley earned a bachelor’s degree from Oberlin College and completed medical school at Baylor School of Medicine in Houston.

Denise Buckland RN, BSN, CCM 
Vice President, Clinical Programs

Ms. Buckland has over 20 years of health care experience. She has a variety of work experience across the continuum of providers and payors, including two Fortune 100 companies. Her work experience includes acute care nursing, medical record auditing, quality assurance, government contract implementation, market research and medical management including utilization review/discharge planning, and case management.

Ms. Buckland is a Registered Nurse and earned her Bachelor of Science degree from Purdue University.