| Term | History |
|---|
| 1 | Became a Physician at age 18 |
| 1 | Gained a contact. |
| 2 | Continued as Physician at age 22 |
| 2 | Win a prestigious prize for your work. |
| 3 | Continued as Physician at age 26 |
| 3 | Advanced training in a specialist field. |
| 4 | Continued as Physician at age 30 |
| 4 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 4 | Promoted to rank 1 |
| 5 | Continued as Physician at age 34 |
| 5 | Make a breakthrough in your field. |
| 6 | Continued as Physician at age 38 |
| 6 | Refuse to join a cheat in some fashion. |
| 6 | Promoted to rank 2 |
| 7 | Continued as Physician at age 42 |
| 7 | Make a breakthrough in your field. |
| 7 | Promoted to rank 3 |
| 8 | Continued as Physician at age 46 |
| 8 | Make a breakthrough in your field. |
| 8 | Promoted to rank 4 |
| 9 | Continued as Physician at age 50 |
| 9 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 9 | Promoted to rank 5 |
| 9 | Forced to muster out. |
| 10 | Aging Crisis. Owe 30,000 for medical bills. |
| 10 | Retired at age 54 |
| 10 | Severely injured. Owe 20,000 for medical bills. |
| 11 | Aging Crisis. Owe 30,000 for medical bills. |
| 11 | Gained a contact. |
| 12 | Aging Crisis. Owe 10,000 for medical bills. |
| 12 | Gained a contact. |
| 13 | Aging Crisis. Owe 50,000 for medical bills. |
| 13 | Birth or Death involving a family member or close friend. |
| 14 | Aging Crisis. Owe 20,000 for medical bills. |