UTMB is a good company however correctional management is not for everyone. It is a very challenging job dealing with complex individuals 20-25 patients with various medical problems. many patients are requesting restrictions to get them out of the jobs they are doing because they do not want to work. many want referrals for special boots because they have foot problems related to previous injuries before incarceration. Some complaints are legitimate many are not. Management of patient with HTN, psorasis, angina, drug related HTN, seasonal allergies, hip, knee and joint pain, dermatitis, diabetes, self inflicted wounds. I learned how to say no to the inmates. A typical day at work is busy there is never any down-time, 1-60's need to be completed, patients seen, chain ins from other facilities, documentation, referraals completed, chart reviews, reveiw emails from lab, staff and pharmacy. Hardest part of the job is time management and learning all the guidelines that are unique about the system. The nursing staff that I worked with for the most part were good and I enjoyed the core group of Practitioners and physicians. I worked at two units the last one was a filthy rat and roach infested medical building.There were flies all over the place and the warden did not allow the medical department to have hot water to wash their hands.