All I know about St. Agnes is that it's a small hospital in a lousy neighborhood with a big IVDA population. I don't know anything about the GS program. Most of the IM residents are IMG's, most of the interns are prelims. Baltimore might not be the best place to go for a small community surgery program given that there are a lot of big referral centers in the city (Hopkins for everything, U Maryland for cardiothoracic, transplant, trauma, GBMC, Union for Ortho...).