| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Make a breakthrough in your field. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Physician at age 22 |
| 2 | Assigned to work on a secret project for a patron or organisation. |
| 3 | Continued as Physician at age 26 |
| 3 | Assigned to work on a secret project for a patron or organisation. |
| 4 | Continued as Physician at age 30 |
| 4 | 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. |
| 4 | An expedition or voyage goes wrong, leaving you stranded in the wilderness. |
| 4 | Gain an Enemy |
| 4 | Promoted to rank 2 |
| 5 | Continued as Physician at age 34 |
| 5 | Assigned to work on a secret project for a patron or organisation. |
| 6 | Continued as Physician at age 38 |
| 6 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 6 | Promoted to rank 3 |
| 7 | Continued as Physician at age 42 |
| 7 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 7 | Forced to muster out. |
| 8 | Became a Scavenger at age 46 |
| 8 | Find valuable salvage. |
| 8 | Promoted to rank 1 |
| 9 | Continued as Scavenger at age 50 |
| 9 | Suffer from a life-threatening illness. |
| 10 | Returned to Physician at age 54 |
| 10 | Work leads to a considerable breakthrough. |
| 10 | Promoted to rank 4 |
| 11 | Continued as Physician at age 58 |
| 11 | Refused to perform research that goes against your conscience. |
| 11 | Promoted to rank 5 |
| 12 | Aging Crisis. Owe 30,000 for medical bills. |
| 12 | Continued as Physician at age 62 |
| 12 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 12 | Promoted to rank 6 |
| 13 | Aging Crisis. Owe 40,000 for medical bills. |
| 13 | Continued as Physician at age 66 |
| 13 | 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. |
| 13 | Severely injured. Fully recovered. |
| 13 | Gain an Enemy |
| 13 | Forced to muster out. |
| 14 | Aging Crisis. Owe 60,000 for medical bills. |
| 14 | Retired at age 70 |
| 14 | A romantic relationship deepens, possibly leading to marriage. Gain an Ally. |
| 15 | Aging Crisis. Owe 60,000 for medical bills. |