The graph only shows matching into first choice specialty. However, when you compare that to the US MD & DO who mostly match into their first choice, going to an Indian school is still far worse.
http://www.ecfmg.org/resources/NRMP...atch-International-Medical-Graduates-2014.pdf
(pg. iii)
"For purposes of this report,
match success is defined as a match to the specialty of the applicant’s first-ranked program because that is assumed to be the specialty of choice. Because preliminary programs provide only one or two years of prerequisite training for entry into advanced specialty training, applicants who ranked a preliminary program first are considered not to have a preferred specialty.
Lack of match success includes matching to another specialty as well as failure to match at all. No distinction was made based on whether applicants matched to their first, second, third, or lower program choice. Applicants who obtained positions in the Match Week Supplemental Offer and Acceptance Program® (SOAP®) were not included in the analyses."