On slide 2 you'll see what we have in terms of a global footprint in the full gamut of places where CIC delivers services. In a nutshell, we have seven regions that we work out of: the centralized processing region, the international region, and five domestic regions.
We have 46 points of service in Canada and more than 90 overseas with different types of offices overseas. Some are full service. Some are liaison and reporting. Some of them have more limited lines of business attached to them.
If you go down the left-hand column on the far left of the page, in terms of what we do with our medical program, we have medical officers who evaluate immigration medical exams, and they're stationed in various locations in the world and in Ottawa. We have a very large processing centre in Ottawa. They do over 500,000 immigration medical exams every year. So when Les and I talk to you today, all our lines of business have very high volumes. It's not just two or three or five. We're always in the tens of thousands, if not the hundreds of thousands.
On the right-hand side of the page, just to let you know if you weren't already aware of this, back in 2003 the government made a decision to split the immigration program between two different departments. So we have Citizenship and Immigration Canada, where Les and I work, and now there's also the Canada Border Services Agency.
The Canada Border Services Agency looks after the enforcement and intelligence side of what we do under the Immigration and Refugee Protection Act. They're responsible for the border services offices at the ports of entry. They have responsibility for the sections of the act that are the really nasty security inadmissibility sections: 34, 35, and 37. So there's a division between what we do under the act, and our clients actually move between the two organizations depending on what's happening with them on any given day. There's a very close collaboration between CIC and the Canada Border Services Agency, but we do have different distinct areas of responsibility.
The last thing I would say before leaving this page--and this is not on your page, so don't look for it.... One of the things that you need to realize about Citizenship and Immigration Canada in our global footprint is that we're pushing very hard on developing a service innovation, our modernization agenda. We are not going to be continuing to deliver services in the same way in the same places as we have always traditionally done.
As one of the three pillars of that modernization agenda, we look at risk management. Do we have some types of decision-making that don't need specialized place-based knowledge, that can be done in a number of different locations? Can we move that work around? Maybe one office is a little less busy than another. Can we move some of that low-risk work to that office to fill up their time while the office where the application was actually filed can do other work?
The second pillar is looking at our workload management. How do we do the work and where do we do the work? There are going to be a lot of changes, and there have already been a lot of changes about how we do this, so we're looking at things such as centralized intake of applications, centralized file opening procedures, and then the files are transferred to officers in a decision-ready state or an interview-ready state so they can focus on the task at hand of doing those types of work.
Lastly, for our workforce, we want to have an interesting environment for them to work in. We want to take the routine, mundane stuff out of their hair so that they can focus on work where their expertise is brought to bear and where they can do quality assurance work to ensure that we're doing the right things. This has all been greatly facilitated by the global case management system, which some of you may have heard about.
GCMS has been a long time coming, but as of the end of March this year it is now installed in all our overseas operations, which makes a huge difference. We now have one processing system that everybody inputs into, and now we can move work around electronically instead of physically shifting boxes.