| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Birth or Death involving a family member or close friend. |
| 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. |
| 2 | Promoted to rank 2 |
| 3 | Continued as Physician at age 26 |
| 3 | Advanced training in a specialist field. |
| 4 | Continued as Physician at age 30 |
| 4 | Refuse to join a cheat in some fashion. |
| 5 | Continued as Physician at age 34 |
| 5 | Advanced training in a specialist field. |
| 6 | Continued as Physician at age 38 |
| 6 | Assigned to work on a secret project for a patron or organisation. |
| 6 | Promoted to rank 3 |
| 7 | Continued as Physician at age 42 |
| 7 | Cheated in some fashion, advancing your career and research by stealing another’s work, using an alien device, taking a shortcut and so forth. |
| 7 | Gain an Enemy |
| 7 | Promoted to rank 4 |
| 8 | Continued as Physician at age 46 |
| 8 | Advanced training in a specialist field. |
| 8 | Promoted to rank 5 |
| 8 | Forced to muster out. |
| 9 | Switched to Scientist at age 50 |
| 9 | Assigned to work on a secret project for a patron or organisation. |
| 9 | Promoted to rank 1 |
| 10 | Continued as Scientist at age 54 |
| 10 | Advanced training in a specialist field. |
| 11 | Aging Crisis. Owe 30,000 for medical bills. |
| 11 | Continued as Scientist at age 58 |
| 11 | Advanced training in a specialist field. |
| 11 | Promoted to rank 2 |
| 12 | Aging Crisis. Owe 60,000 for medical bills. |