I interviewed there.
I used to live in Binghamton. I wouldn't use "gem", but it's do-able. It seemed okay to me after my interview there, but once I saw other transitional years, it lost a bunch of luster. The program director seems very much involved, to the point where I might say "paternalistic". And the thing about doing central lines on cadavers was so bizarre that I still can't get my head around it. And where were the residents? I realize it's a small cohort, but at least hand-pick your best one and show him/her off to us. Lastly, the 4th year medical student in me has to say the hours were longer than what every other TY talked about.
The above not withstanding, I actually ranked them high, but almost entirely because 1) I ranked categorical anesthesia programs highest, so I hope I don't get to the supplemental list at all, and 2) I have very close friends in the area, and I know that $49K will go for MILES in Binghamton, and it's very close to my beloved parents.
Not sure I helped you at all, but that's one man's opinion.
dc