I'll give the show another episode's try, in the hopes that the original pilot was used & that subsequent episodes made after being "picked up" are better. But I nearly turned Episiode 1 off several times out of boredom & disbelief. The very first scene was over-the-top overacted.
I've watched almost every medical drama on TV since St. Elsewhere. There've been MANY. Each of the newer ones has a fresh "hook" to make it stand out. I could not figure out what new approach Good Sam was bringing to the table. If the "hook" is the hospital's nepotism, it FAILS in believability.
There was some humor in the dialogue, but the words weren't delivered with humor. Sophia Bush's character was not believable as a someone capable of being cardio chief; she was more like a bright-but-insecure intern.
There were several times when the dialogue & music gave me flashbacks to General Hospital. Prime time shows shouldn't remind me of soap operas unless THAT is their "hook" & they're meant to be humorous.
The debates during the diagnostics were the same as in every medical drama since House, but there was no character-building during this. All the characters were bland, picked from Medical Drama Central Casting. Except for Jason Isaacs, whose weird plastic surgery creeped me out.
I also disliked that the show never said WHERE the hospital was located. Michigan was mentioned as cold, but with the clumsy dialogue, it wasn't clear if that was a hint. I did not recognize the skyline. If it's set in Detroit, just say so! It's filmed in Toronto - why not make it more believable by setting it there? But they mentioned STATE law, not PROVINCE law.
This is by far the lowest rating I've ever given an episode.