i am an american allopathic grad doing my residency in internal medicine in the northeast US. i am indian, and despite the stereotypes, my parents never once pressured me or my siblings to go into medicine. in fact, my dad (who graduated from St.John's in Bangalore), actually tried to talk us out of it! i do have many friends who were pressured to become either doctors or engineers, but i think that's because those are the two fields where you're ensured job security (at least in the eyes of an indian parent).
as far as being an img, i know several who have been able to find good positions in residency. you might have to settle for programs that are not as well-known as BI, but many of the midwest programs are usually overlooked by the us grads just because of location, but they are still very strong programs. and yes, it is harder to find a fellowship position, but if you do well in residency and get strong letters of recommendation, you can definitely find a fellowship even in the more competitive fields like cardiology or gi.
as far as being an img, i know several who have been able to find good positions in residency. you might have to settle for programs that are not as well-known as BI, but many of the midwest programs are usually overlooked by the us grads just because of location, but they are still very strong programs. and yes, it is harder to find a fellowship position, but if you do well in residency and get strong letters of recommendation, you can definitely find a fellowship even in the more competitive fields like cardiology or gi.