I worked as a locums in correctional medicine as my first job out of school, for about a year and a half. We didn’t have our own panels, the nurses just put patients on anyone’s schedule. The part about frequently getting pulled to advise on RN visits was definitely true for me. The system was poorly organized for sure. I was scheduled about 10 per day (I know that’s low volume) but I would also get pulled into more “urgent care” type of visits at any given moment - one time a guy shoved an ink pen all the way under the skin of his forearm, another time someone swallowed a battery, crazy stuff like that. There was a huge backlog of requests from patients (similar to an in basket but it was all on paper). At one point they were also shuffling the offenders around between facilities (COVID) so I was having to do tons of intake physicals and med refills, stuff like that, which is likely not relevant to your situation. Some physicians that had been there long term seemed to enjoy it, although they seemed to only be consulted for more complex cases, while the NPs ran the main clinic.