| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Win a prestigious prize for your work. |
| 2 | Continued as Physician at age 22 |
| 2 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 2 | Promoted to rank 1 |
| 3 | Continued as Physician at age 26 |
| 3 | Refused to perform research that goes against your conscience. |
| 3 | Promoted to rank 2 |
| 4 | Continued as Physician at age 30 |
| 4 | Work for an eccentric but brilliant mentor, who becomes an Ally. |
| 4 | Promoted to rank 3 |
| 5 | Continued as Physician at age 34 |
| 5 | Make a breakthrough in your field. |
| 5 | Promoted to rank 4 |
| 6 | Continued as Physician at age 38 |
| 6 | Caught cheating in some fashion, advancing your career and research by stealing another’s work, using an alien device, taking a shortcut and so forth. |
| 6 | A rival researcher blackens your name or steals your research. Gain a Rival. |
| 6 | Gain an Enemy |
| 6 | Forced to muster out. |
| 7 | Became a Dilettante at age 42 |
| 7 | Is now a Wastrel |
| 7 | A new romantic starts. Gain an Ally. |
| 8 | Continued as Dilettante at age 46 |
| 8 | Become deeply involved in politics on your world of residence, becoming a player in the political intrigues of government. Gain a Rival. |
| 8 | Promoted to rank 1 |
| 9 | Continued as Dilettante at age 50 |
| 9 | Inherit a gift from a rich relative. |
| 10 | Voluntarily left Dilettante |
| 10 | Became a Scavenger at age 54 |
| 10 | Betrayed by a friend. One of your Contacts or Allies betrays you, ending your career. That Contact or Ally becomes a Rival or Enemy. |
| 11 | Aging Crisis. Owe 40,000 for medical bills. |
| 11 | Retired at age 58 |
| 11 | Gained a contact. |
| 12 | Aging Crisis. Owe 40,000 for medical bills. |