| Term | History |
|---|
| 1 | Became a Dilettante at age 18 |
| 1 | Is now a Wastrel |
| 1 | You manipulate and charm your way through high society. Gain a Rival and an Ally. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Dilettante at age 22 |
| 2 | Refused a challenge to a duel for your honour and standing. |
| 2 | Promoted to rank 2 |
| 2 | Is now a Ingrate |
| 3 | Voluntarily left Dilettante |
| 3 | Became a Physician at age 26 |
| 3 | Win a prestigious prize for your work. |
| 3 | Promoted to rank 1 |
| 4 | Continued as Physician at age 30 |
| 4 | Win a prestigious prize for your work. |
| 4 | Promoted to rank 2 |
| 5 | Continued as Physician at age 34 |
| 5 | Refused to perform research that goes against your conscience. |
| 5 | Promoted to rank 3 |
| 6 | Continued as Physician at age 38 |
| 6 | Win a prestigious prize for your work. |
| 6 | Promoted to rank 4 |
| 7 | Continued as Physician at age 42 |
| 7 | Advanced training in a specialist field. |
| 7 | Promoted to rank 5 |
| 8 | Continued as Physician at age 46 |
| 8 | 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. |
| 8 | A disaster leaves several injured, and others blame you, forcing you to leave your career. Gain a Rival. |
| 8 | Injured. Fully recovered. Owe 1,250 for medical bills. |
| 8 | Gain an Enemy |
| 8 | Promoted to rank 6 |
| 9 | Aging Crisis. Owe 50,000 for medical bills. |
| 9 | Continued as Physician at age 50 |
| 9 | Make a breakthrough in your field. |
| 9 | Promoted to rank 7 |
| 10 | Aging Crisis. Owe 30,000 for medical bills. |
| 10 | Continued as Physician at age 54 |
| 10 | Assigned to work on a secret project for a patron or organisation. |
| 10 | Promoted to rank 8 |
| 11 | Aging Crisis. Owe 10,000 for medical bills. |